Factor analysis, validity of the perceived implicit rationing of nursing care instrument and prevalence and patterns of unfinished nursing care in Slovakia

Abstract

Unfinished nursing care (UNC) is a well-recognized global problem often discussed within health professionals concerning the patient safety and quality of care. The phenomenon is referred to other related and interchangeably concepts emerging from contemporary nursing research (such as missed nursing care and implicit rationing). A great deal of international research groups (e.g., RN4CAST; RANCARE; MISSCARE STUDY GROUP) investigating the prevalence, predictors and outcomes of this phenomenon has been increasing extensively in the last decade. The terminology used by research teams varies with instruments implemented in the studies, and this fact might have substantial contributions to the inconsistencies in the terminology and measurement.

Nurses' perception of implicit nursing care rationing in Croatia—A cross‐sectional multicentre study

“…periodically measuring unfinished care, which should be undertaken as a key strategy to increase patient safety and nursing care quality (Gurková et al, 2019); improving the work environment, supporting stress management and reducing nursing intake, which can be intervention points to promote high quality of care (Zúñiga et al, 2015); nursing leaders' efforts to improve the nursing work environment, which should include improving nurses' perceptions of the adequacy of staff and resources; and improving teamwork to reduce physician treatment and improve nurse outcomes and quality (Zhao et al, 2019). (Rascu et al, 2019).…”

“…Another study also states the negative link between implicit care and patient‐centred care, revealing that the lower the implicit rationalization of health care, the more the patients have a better understanding of nurses, feel well informed and admit to receiving high‐quality patient‐centred care (Bachnick Ausserhofer, Baernholdt, & Simon, 2018). According to other studies, strategies that may be undertaken to reduce or eliminate implicit nursing care rationing are as follows: periodically measuring unfinished care, which should be undertaken as a key strategy to increase patient safety and nursing care quality (Gurková et al, 2019); improving the work environment, supporting stress management and reducing nursing intake, which can be intervention points to promote high quality of care (Zúñiga et al, 2015); nursing leaders’ efforts to improve the nursing work environment, which should include improving nurses’ perceptions of the adequacy of staff and resources; and improving teamwork to reduce physician treatment and improve nurse outcomes and quality (Zhao et al, 2019).…”

Unfinished Nursing Care Survey: A development and validation study

“…In previous studies (e.g. Gurková et al., 2019), the Principal Component Analysis was used to extract factors and assess the internal structure of the tool. The one‐factor solution accounted for most of the variance highlighting the unidimensional nature of the concept investigated in part A.…”

Psychometric testing of perceived implicit rationing of nursing care (PIRNCA)

“…In the Slovak Republic, the PIRNCA instrument was translated as a part of a research project conducted by authors (Gurková, Žiaková, 2017, unpublished personal communication) using the method of forward‐backwards translation and was further piloted in acute care settings on a study group of 264 RNs (Gurková et al, 2018). The psychometric testing of the instrument was previously performed in the national study (Gurková et al, 2019) but only with using one approach. We used a specific sample of RNs and two particular methods of testing the multidimensionality of the PIRNCA instrument.…”