Comparison of reports of missed nursing care: Registered Nurses vs. practical nurses in hospitals

Bragadóttir, Helga; Kalisch, Beatrice J.

doi:10.1111/scs.12570

Cited by 48 publications

(67 citation statements)

References 36 publications

(67 reference statements)

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“…Nurses differ in relation to nursing technicians as to the reasons for the missed care since they attributed more reasons to explain the missed care, specifically in the areas of labor resources, material resources, ethical dimension, and institutional management/leadership. It should be noted that these results were similar to those of a study conducted in Iceland, where higher education professionals reported higher frequency of care neglect and attributed labor and material resources as the main reasons for the omission (8) . Another aspect in common with the present study was that the communication domain also did not differ in the perception between professional categories (8) .…”

Section: Discussionsupporting

confidence: 86%

“…It should be noted that these results were similar to those of a study conducted in Iceland, where higher education professionals reported higher frequency of care neglect and attributed labor and material resources as the main reasons for the omission (8) . Another aspect in common with the present study was that the communication domain also did not differ in the perception between professional categories (8) .…”

Section: Discussionsupporting

confidence: 86%

“…Work environments with a lack of material and technological resources, insufficiently qualified professionals, and communication problems between teams are associated with missed nursing care (3,(8)(9) . Among the main situations are care with ambulation, patient education, oral hygiene care, pressure injury prevention and emotional support (3,(9)(10)(11) .…”

Section: Introductionmentioning

confidence: 99%

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Situações e razões para a omissão do cuidado de enfermagem em unidades de clínica médica e cirúrgica

Dutra

Salles

Guirardello

2019

Rev. esc. enferm. USP

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RESUMO Objetivo Avaliar a frequência e as razões da omissão do cuidado de enfermagem e verificar se as razões de omissão diferem entre categorias profissionais. Método Estudo quantitativo e transversal realizado nas unidades de internação adulto de hospital público de uma instituição de ensino. A coleta de dados foi realizada no período de fevereiro a abril de 2017, por meio de uma ficha de caracterização pessoal e profissional e pelo instrumento MISSCARE-BRASIL. Resultados Participaram do estudo 58 profissionais de enfermagem responsáveis pela assistência direta ao paciente, dos quais 74,1% relataram pelo menos uma atividade de enfermagem omitida no turno de trabalho. As principais razões atribuídas à omissão do cuidado foram o dimensionamento inadequado dos profissionais, as situações de urgência com os pacientes durante o turno de trabalho e a não disponibilidade de medicamentos, materiais ou equipamentos quando necessário. Conclusão A maioria dos cuidados foi “sempre” ou “frequentemente” realizada, e as razões atribuídas para a omissão do cuidado estão relacionadas aos recursos laborais, materiais e estilo de gestão. Os enfermeiros diferem dos técnicos quanto às razões para a não realização dos cuidados.

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Section: Discussionsupporting

confidence: 86%

Section: Discussionsupporting

confidence: 86%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Situações e razões para a omissão do cuidado de enfermagem em unidades de clínica médica e cirúrgica

Dutra

Salles

Guirardello

2019

Rev. esc. enferm. USP

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“…Mutual trust and respect are fundamental principles to ensure effective communication of patient information. However, the RNs in a previous study reported that practical nurses and nursing assistants failed to communicate missed episodes of care (Bragadóttir & Kalisch, 2018). The asymmetrical power relationship that operates between the different levels of nurses could have contributed to this lack of communication.…”

Section: Discussionmentioning

confidence: 99%

Nursing teamwork in general ward settings: A mixed‐methods exploratory study among enrolled and registered nurses

Goh

Ser

Cooper

et al. 2020

Journal of Clinical Nursing

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Aim To examine the perceived level of nursing teamwork and factors influencing teamwork among enrolled nurses (ENs) and registered nurses (RNs) in general ward settings. Background The nursing care delivery model includes RNs, ENs and others who work as a team to deliver patient care. The potential impact of teamwork on nursing care highlights the need to explore the work of nursing teams. Design A mixed‐methods exploratory study. Method Quantitative and qualitative data were collected concurrently from ENs and RNs in 2018. Two hundred and forty‐eight (n = 248) nurses completed the Nursing Teamwork Survey. Sixteen nurses participated in focus group discussions. Qualitative data were reported following COREQ guidelines, while quantitative data followed the STROBE guidelines. Results Both ENs and RNs scored highest for the shared mental model subscale but lowest for the team orientation subscale. Factors including qualification level, years of working experience, perceived job staffing adequacy and job satisfaction were found to influence teamwork. Three themes emerged from the qualitative findings: expectations of each other's role, delegation practices and interpersonal relationships. ENs and RNs differed in their expectations of their role in basic patient care activities and faced power struggles related to delegation practices. Open and structured communication was deemed essential in building interpersonal relationships. Conclusion The ENs and RNs have clear understanding of their personal roles and responsibilities towards achieving a common goal. However, teamwork may be improved with a shared mental model in performing basic nursing care tasks, mutual support for workload management, better delegation practices, effective communication, enhanced interpersonal relationships and better team orientation. Relevance to clinical practice Nurse managers and educators need to work collaboratively to foster positive delegation practices in clinical practice supported by applicable team training that enhances mutual trust, backup behaviours and collective orientation in nursing teams.

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“…required by a patient, to an extent depending on the patient's condition as determined in the Nursing Diagnosis Process. 1 Sadly, multiple studies on nursing conducted in recent years [2][3][4][5][6][7][8][9][10][11][12] demonstrated the occurrence of the phenomenon of the non-performance or incomplete or delayed performance of tasks involved in providing holistic care for a hospitalised patient.…”

Section: Introductionmentioning

confidence: 99%

Polish adaptation and validation of the Perceived Implicit Rationing of Nursing Care (PIRNCA) questionnaire: a cross-sectional validation study

et al. 2020

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ObjectivesTo develop a Polish adaptation of the Perceived Implicit Rationing of Nursing Care (PIRNCA)questionnaire.DesignCross-sectional validation study.SettingsNurses working in surgical and cancer wards in Poland.ParticipantsA sample of 513 professionally active nurses was enrolled in the study.InterventionTo complete a Polish translation of the full original PIRNCA questionnaire.Primary and secondary outcome measuresThe primary outcome was translation and adaptation of the full original PIRNCA tool and its validation to the Polish conditions. The secondary outcome was determination of relationships between sociodemographic variables, nurses’ assessment of patient care quality and their overall job satisfaction on the one hand, and PIRNCA scores on the other.ResultsThe respondents’ mean score was 1.27 points (SD=0.68) on a scale from 0 to 3. Cronbach’s alpha for the entire instrument was 0.957. All items of the questionnaire were found to have a positive item-total correlation. The developed linear regression model showed that nurses’ assessment of patient care quality and their overall job satisfaction were independent predictors of PIRNCA scores (p<0.05). 94.15% of nurses reported rationing at least one of the 31 care activities.ConclusionsThe present findings indicate a high level of reliability and validity of the translated PIRNCA questionnaire, fully comparable to that of the original. The questionnaire can be used for the assessment of PIRNCA in Polish hospitals.

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Comparison of reports of missed nursing care: Registered Nurses vs. practical nurses in hospitals

Abstract: The findings of this study point to the need to acknowledge certain aspects of missed nursing care and the different roles within nursing. They indicate a need to improve open, sincere and structured communication and mutual respect and trust within healthcare teams in Icelandic hospitals.

Cited by 48 publications

References 36 publications

Situações e razões para a omissão do cuidado de enfermagem em unidades de clínica médica e cirúrgica

Situações e razões para a omissão do cuidado de enfermagem em unidades de clínica médica e cirúrgica

Nursing teamwork in general ward settings: A mixed‐methods exploratory study among enrolled and registered nurses

Polish adaptation and validation of the Perceived Implicit Rationing of Nursing Care (PIRNCA) questionnaire: a cross-sectional validation study

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