{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T02:50:06Z","timestamp":1772160606867,"version":"3.50.1"},"reference-count":29,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2022,7,21]],"date-time":"2022-07-21T00:00:00Z","timestamp":1658361600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100017511","name":"Metro North Hospital and Health Service","doi-asserted-by":"publisher","award":["Clinician Researcher Fellowship"],"award-info":[{"award-number":["Clinician Researcher Fellowship"]}],"id":[{"id":"10.13039\/100017511","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Advanced Nursing"],"published-print":{"date-parts":[[2023,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>Fundamentals of care are particularly important for older people in acute inpatient settings, who are at increased risk of serious hospital\u2010associated complications like delirium and functional decline. These complications occur due to interactions between clinical complexity and the complex processes and context of hospital care and can be reduced by consistent attention to the fundamentals of care. This paper aims to illustrate of how multi\u2010level nursing leadership of fundamentals of care can be supported to emerge within complex multidisciplinary delivery systems in acute care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Discussion paper informed by clinical and organizational experience of a multidisciplinary leadership team and complexity leadership theory.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data sources<\/jats:title>\n                    <jats:p>We provide a series of vignettes as practical illustrations of a successful multidisciplinary improvement program called Eat Walk Engage which supports the delivery of better care for older inpatients, significantly reducing delirium. We argue that taking a broader complexity\u2010based approach including collaborative multidisciplinary engagement, iterative and integrated interventions and appropriate knowledge translation frameworks can enable emergent leadership by nurses at all levels.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for nursing<\/jats:title>\n                    <jats:p>This promising approach to improving care for older patients requires organizational support for facilitation and reflective practice, and for meaningful data to support change. Our discussion challenges nursing leaders to support the time, agency and connections their nursing staff need in order to emerge as local leaders in fundamental care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The debate around scope and responsibilities for fundamentals of care in hospital care has important practical implications for conceptualizing leadership and accountability for improvement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Impact<\/jats:title>\n                    <jats:p>Our discussion illustrates how a structured multidisciplinary approach that acknowledges and navigates complexity can empower nurses to lead and improve outcomes of older patients in acute care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jan.15363","type":"journal-article","created":{"date-parts":[[2022,7,21]],"date-time":"2022-07-21T23:00:00Z","timestamp":1658444400000},"page":"961-969","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Eat Walk Engage: Enabling acute care teams to deliver consistent fundamentals of care for older people"],"prefix":"10.1111","volume":"79","author":[{"given":"Margaret","family":"Cahill","sequence":"first","affiliation":[{"name":"Eat Walk Engage program Royal Brisbane and Women's Hospital  Herston Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sharne","family":"Neill","sequence":"additional","affiliation":[{"name":"Eat Walk Engage program Royal Brisbane and Women's Hospital  Herston Queensland Australia"},{"name":"Medicine Service Line Redcliffe Hospital  Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elise","family":"Treleaven","sequence":"additional","affiliation":[{"name":"Eat Walk Engage program Royal Brisbane and Women's Hospital  Herston Queensland Australia"},{"name":"Department of Nutrition &amp; Dietetics Royal Brisbane and Women's Hospital  Herston Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karen","family":"Lee\u2010Steere","sequence":"additional","affiliation":[{"name":"Eat Walk Engage program Royal Brisbane and Women's Hospital  Herston Queensland Australia"},{"name":"School of Health and Rehabilitation Sciences The University of Queensland  St Lucia Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andy","family":"Carter","sequence":"additional","affiliation":[{"name":"Royal Brisbane and Women's Hospital  Herston Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Linda","family":"McCormack","sequence":"additional","affiliation":[{"name":"Healthcare Improvement Unit, Clinical Excellence Division, Queensland Health  Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0242-2165","authenticated-orcid":false,"given":"Alison","family":"Mudge","sequence":"additional","affiliation":[{"name":"Eat Walk Engage program Royal Brisbane and Women's Hospital  Herston Queensland Australia"},{"name":"School of Clinical Medicine The University of Queensland  Herston Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,7,21]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2016.08.001"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.15242"},{"key":"e_1_2_9_4_1","volume-title":"Health systems improvement across the globe: Success stories from 60 countries","author":"Braithwaite J.","year":"2016"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD013307.pub2"},{"issue":"3","key":"e_1_2_9_6_1","first-page":"13","article-title":"Eat Walk Engage: Delirium prevention for acute care","volume":"7","author":"Cahill M.","year":"2018","journal-title":"Australian Journal of Dementia Care"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.14954"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2016.01.006"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.14313"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.15194"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.4324\/9780203557334"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2017.00027"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(19)31786\u20106"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afx081"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-020-05354-8"},{"key":"e_1_2_9_16_1","unstructured":"Kitson A. Conroy T. Kuluski K. Locock L. &Lyons R.(2013).Reclaiming and redefining the fundamentals of care: Nursing's repsonse to meeting patients' basic human needs."},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.15248"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2021.7556"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1177\/1062860613510965"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/imj.14400"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.15662"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1002\/jhm.2536"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.15800"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.14250"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(12)62087\u2010X"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.14150"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.14596"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.1097\/NAQ.0000000000000407"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.12940"},{"key":"e_1_2_9_30_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.13193"}],"container-title":["Journal of Advanced Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jan.15363","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jan.15363","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jan.15363","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,22]],"date-time":"2023-08-22T03:14:47Z","timestamp":1692674087000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jan.15363"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,7,21]]},"references-count":29,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2023,3]]}},"alternative-id":["10.1111\/jan.15363"],"URL":"https:\/\/doi.org\/10.1111\/jan.15363","archive":["Portico"],"relation":{"has-review":[{"id-type":"doi","id":"10.1111\/JAN.15363\/v1\/review1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JAN.15363\/v1\/decision1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JAN.15363\/v1\/review2","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JAN.15363\/v2\/review1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JAN.15363\/v2\/review2","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JAN.15363\/v1\/review3","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JAN.15363\/v2\/decision1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JAN.15363\/v3\/review2","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JAN.15363\/v3\/review1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JAN.15363\/v3\/decision1","asserted-by":"object"}]},"ISSN":["0309-2402","1365-2648"],"issn-type":[{"value":"0309-2402","type":"print"},{"value":"1365-2648","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,7,21]]},"assertion":[{"value":"2021-09-29","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-07-05","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-07-21","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}