The Fundamentals of Care Framework as a Point-of-Care Nursing Theory

ILC co-founder Professor Alison Kitson has published an article in Nursing Research on the use of the Fundamentals of Care Framework as a point-of-care nursing theory. In the paper Professor Kitson outlines how the Framework can be used to reflect the dynamic, multidimensional nature of real-life nursing care. Professor Kitson uses an equation to represent the Framework’s core dimensions:

PCFC = PP(R + i-FOC + C), where

  • PCFC = person-centered fundamental care and is the goal/outcome of the nurse-patient encounter/relationship;
  • PP = the practice process that describes how the nurse assesses what care is needed and what the nurse does in partnership with the patient, carers, and/or relatives and other members of the multidisciplinary team to meet the patient’s fundamental care needs;
  • R = the relationship between the nurse and the patient, which is key to the successful delivery of PCFC;
  • i-FOC = integrated fundamentals of care, which is the systematic and ongoing evaluation of the patient’s physical, psychosocial, and relational fundamentals of care; and
  • C = the context or setting where care is transacted.


Source: Kitson, A. (2018). The Fundamentals of Care Framework as a Point-of-Care Nursing Theory. Nursing Research, 67, 97-107. doi: 10.1097/NNR.0000000000000271