Feasibility of a fundamentals of care book club: lessons from a clinical project
Maria Sandgren, Carin CarlssonAbstract
Introduction
While structured reflection is limited in inpatient care, the need to strengthen nursing visibility and quality remains high. Using the Fundamentals of Care framework, a book club provides a resource-efficient method for knowledge development in clinical teams. This study explored the implementation of a book club in an inpatient ward.
Methods
This development project was conducted on a surgical ward. Approved by the department head, the Fundamentals of Care book club consisted of two parallel groups to enable participation. Nursing staff met for 45 min during shift overlaps six times over three months. Participants discussed pre-read book sections, focusing on clinical application.
Results
Seven RNs and four assistant nurses participated in groups scheduled by work shifts. Four meetings have been held (completing May 2026). Attendance declined over time, primarily due to clinical priorities, shift changes, and varying preparation levels.
Discussion
Implementing a Fundamentals of Care book club in inpatient care is feasible but depends on leadership support and staff commitment.