Understanding the concept of missed nursing care from a cross‐cultural perspective

Abstract

Aims To investigate how nursing experts and experts from other health professions understand the concept of rationing/missed/unfinished nursing care and how this is compared at a cross‐cultural level. Design The mixed methods descriptive study. Methods The semi‐structured questionnaires were sent to the sample of 45 scholars and practitioners from 26 countries. Data were collected from November 2017–February 2018. Results Assigning average cultural values to participants from each country revealed three cultural groups: high individualism‐high masculinity, high individualism‐low masculinity and low individualism‐medium masculinity. Content analysis of the findings revealed three main themes, which were identified across cultural clusters: (a) projecting blame for the phenomenon: Blaming the nurse versus blaming the system; (b) intentionality versus unintentionality; and (c) focus on nurses in comparison to focus on patients. Conclusion Consistent differences in the understanding of missed nursing care can be understood in line with the nation's standing on two main cultural values: individualism and masculinity. Impact The findings call for scholars' caution in interpreting missed nursing care from different cultures, or in comparing levels and types of missed nursing tasks across nations. The findings further indicated that mimicking interventions to limit missed nursing care from one cultural context to the other might be ineffective. Interventions to mitigate the phenomenon should be implemented thoughtfully, considering the cultural aspects.

Arabic version of the Missed Nursing Care Survey: Validity and reliability

“…The current study found that the Arabic version of the MISSCARE Survey exhibited construct validity and sample adequacy; the KMO for the activities and reasons subscales, respectively, was 0.94 and 0.91, with a significant Bartlett's test of sphericity. These results were consistent with those obtained from the Slovak (0.92) and Czech (0.93) versions, both of which were statistically significant ( p < 0.001) for Bartlett's test of sphericity (Zeleníková et al, 2019).…”

“…A forward-backward translation was conducted to ensure that the Arabic version measured the same features as the English version. The current study found that the Arabic version of the MISSCARE Survey exhibited construct validity and sample adequacy; the KMO for the activities and reasons subscales, respectively, was 0.94 and 0.91, with a significant Bartlett's test of sphericity.These results were consistent with those obtained from the Slovak (0.92) and Czech (0.93) versions, both of which were statistically significant (p < 0.001) for Bartlett's test of sphericity(Zeleníková et al, 2019).The CFA revealed an adequate fit between the proposed MIS-SCARE Survey model and the observed data. Subscale 2 (reasons for missing care) of the Arabic version of the MISSCARE Survey was crossvalidated using the CFA and other psychometric tests.…”

Performed and missed nursing care in Swiss acute care hospitals: Conceptual considerations and psychometric evaluation of the German MISSCARE questionnaire

“…At least three notable limitations apply to this methodological study; first, as the studied concept and its operationalization are highly context‐dependent, comparisons can only be made conditionally (Zeleníková et al., 2019); second, purposive sampling and voluntary participation may have led to selection bias; that is, only persons particularly interested in the studied phenomenon may have participated. In combination with the complex design, this could partly explain the low response rate and the results may not reflect the experience of non‐participants (Vincelette, Thivierge‐Southidara, & Rochefort, 2019); and third, we relied on self‐reporting, which is prone to recall bias and social desirability.…”

“…Numerous articles focus on these approaches, but few distinguish clearly between them (Jones et al., 2015; Palese et al., 2019). Yet, attempts for international collaboration are underway to develop standard terminology (Jones, Hamilton, Carryer, Sportsman, & Gemeinhardt, June 2014; Jones, Willis, Amorim‐Lopes, & Drach‐Zahavy, 2019; Zeleníková et al, 2019). Astonishingly, the reviewed literature focuses conceptually mainly on unfinished nursing care and does only implicitly include performed care.…”

Nurses' perceptions and practices regarding oral care in hospitalized patients: a qualitative study on missed nursing care

“…The main reason is the fact that missed nursing care is considered a sensitive issue [21] which may raise feelings of possible self-defense. Therefore, focus groups would give the opportunity to nurses to express their opinions and feelings in more safe and non-blaming environment within the group.…”