Unfinished Nursing Care in Four Central European Countries

Overview

Journal J Nurs Manag

Specialty Nursing

Date 2019 Nov 5

PMID 31680373

Citations 18

Authors

Renata Zelenikova

Elena Gurkova

Adriano Friganovic

Izabella Uchmanowicz

Darja Jarosova

Katarina Ziakova

Ilona Plevova

Evridiki Papastavrou

Affiliations

Soon will be listed here.

Abstract

Aim: The main aim of the research was to describe and compare unfinished nursing care in selected European countries.

Background: The high prevalence of unfinished nursing care reported in recently published studies, as well as its connection to negative effects on nurse and patient outcomes, has made unfinished care an important phenomenon and a quality indicator for nursing activities.

Methods: A cross-sectional descriptive study was undertaken. Unfinished nursing care was measured using the Perceived Implicit Rationing of Nursing Care questionnaire (PIRNCA). The sample included 1,353 nurses from four European countries (Croatia, the Czech Republic, Poland and Slovakia).

Results: The percentage of nurses leaving one or more nursing activities unfinished ranged from 95.2% (Slovakia) to 97.8% (Czech Republic). Mean item scores on the 31 items of the PIRNCA in the total sample ranged from 1.13 to 1.92. Unfinished care was significantly associated with the type of hospital and quality of care.

Conclusion: The research results confirmed the prevalence of unfinished nursing care in the countries surveyed.

Implications For Nursing Management: The results are a useful tool for enabling nurse managers to look deeper into nurse staffing and other organizational issues that may influence patient safety and quality of care.

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References

Sochalski J . Is more better?: the relationship between nurse staffing and the quality of nursing care in hospitals. Med Care. 2004; 42(2 Suppl):II67-73. DOI: 10.1097/01.mlr.0000109127.76128.aa. View

Jones T, Hamilton P, Murry N . Unfinished nursing care, missed care, and implicitly rationed care: State of the science review. Int J Nurs Stud. 2015; 52(6):1121-37. DOI: 10.1016/j.ijnurstu.2015.02.012. View

Bragadottir H, Kalisch B, Tryggvadottir G . Correlates and predictors of missed nursing care in hospitals. J Clin Nurs. 2016; 26(11-12):1524-1534. DOI: 10.1111/jocn.13449. View

Jones T, Willis E, Amorim-Lopes M, Drach-Zahavy A . Advancing the science of unfinished nursing care: Exploring the benefits of cross-disciplinary knowledge exchange, knowledge integration and transdisciplinarity. J Adv Nurs. 2019; 75(4):905-917. DOI: 10.1111/jan.13948. View

Papastavrou E, Charalambous A, Vryonides S, Eleftheriou C, Merkouris A . To what extent are patients' needs met on oncology units? The phenomenon of care rationing. Eur J Oncol Nurs. 2016; 21:48-56. DOI: 10.1016/j.ejon.2016.01.002. View

Kramer M, Schmalenberg C . Development and evaluation of essentials of magnetism tool. J Nurs Adm. 2004; 34(7-8):365-78. DOI: 10.1097/00005110-200407000-00010. View

Hessels A, Flynn L, Cimiotti J, Cadmus E, Gershon R . The Impact of the Nursing Practice Environment on Missed Nursing Care. Clin Nurs Stud. 2016; 3(4):60-65. PMC: 4988676. DOI: 10.5430/cns.v3n4p60. View

Tothova V, Sedlakova G . Nursing education in the Czech Republic. Nurse Educ Today. 2007; 28(1):33-8. DOI: 10.1016/j.nedt.2007.02.003. View

Papastavrou E, Andreou P, Efstathiou G . Rationing of nursing care and nurse-patient outcomes: a systematic review of quantitative studies. Int J Health Plann Manage. 2013; 29(1):3-25. DOI: 10.1002/hpm.2160. View

10.

Zuniga F, Ausserhofer D, Hamers J, Engberg S, Simon M, Schwendimann R . The relationship of staffing and work environment with implicit rationing of nursing care in Swiss nursing homes--A cross-sectional study. Int J Nurs Stud. 2015; 52(9):1463-74. DOI: 10.1016/j.ijnurstu.2015.05.005. View

11.

Jones T . Validation of the Perceived Implicit Rationing of Nursing Care (PIRNCA) instrument. Nurs Forum. 2014; 49(2):77-87. DOI: 10.1111/nuf.12076. View

12.

Aiken L, Clarke S, Sloane D, Sochalski J, Busse R, Clarke H . Nurses' reports on hospital care in five countries. Health Aff (Millwood). 2001; 20(3):43-53. DOI: 10.1377/hlthaff.20.3.43. View

13.

Dhaini S, Zuniga F, Ausserhofer D, Simon M, Kunz R, de Geest S . Are nursing home care workers' health and presenteeism associated with implicit rationing of care? A cross-sectional multi-site study. Geriatr Nurs. 2016; 38(1):33-38. DOI: 10.1016/j.gerinurse.2016.07.003. View

14.

Bekker M, Coetzee S, Klopper H, Ellis S . Non-nursing tasks, nursing tasks left undone and job satisfaction among professional nurses in South African hospitals. J Nurs Manag. 2014; 23(8):1115-25. DOI: 10.1111/jonm.12261. View

15.

Kalisch B, Kalisch B, Tschannen D, Tschanen D, Lee H . Does missed nursing care predict job satisfaction?. J Healthc Manag. 2011; 56(2):117-31. View

16.

Papastavrou E, Andreou P, Tsangari H, Merkouris A . Linking patient satisfaction with nursing care: the case of care rationing - a correlational study. BMC Nurs. 2014; 13:26. PMC: 4184047. DOI: 10.1186/1472-6955-13-26. View

17.

Jones T, Gemeinhardt G, Thompson J, Hamilton P . Measuring Unfinished Nursing Care: What to Consider When Choosing and Scoring Surveys. J Nurs Care Qual. 2015; 31(1):90-7. DOI: 10.1097/NCQ.0000000000000143. View

18.

Ball J, Murrells T, Rafferty A, Morrow E, Griffiths P . 'Care left undone' during nursing shifts: associations with workload and perceived quality of care. BMJ Qual Saf. 2013; 23(2):116-25. PMC: 3913111. DOI: 10.1136/bmjqs-2012-001767. View

19.

Schubert M, Ausserhofer D, Desmedt M, Schwendimann R, Lesaffre E, Li B . Levels and correlates of implicit rationing of nursing care in Swiss acute care hospitals--a cross sectional study. Int J Nurs Stud. 2012; 50(2):230-9. DOI: 10.1016/j.ijnurstu.2012.09.016. View

20.

Bragadottir H, Kalisch B . Comparison of reports of missed nursing care: Registered Nurses vs. practical nurses in hospitals. Scand J Caring Sci. 2018; 32(3):1227-1236. DOI: 10.1111/scs.12570. View