JNSS 2024, 15(1-2):54-65 | DOI: 10.32725/jnss.2024.005
Unfinished nursing care as indicator of adverse events in hospitalized patients
- Slovak Medical University in Bratislava, Faculty of Nursing and Professional Health Studies, Bratislava, Slovak Republic
Introduction: The collective term 'unfinished care' refers to the factor of impact on the safety of health care. Nurses prioritise certain activities, leaving others unfinished. The risk of patient harm increases. Goal: Identify the relationships between unfinished nursing actions and adverse events.
Design: A descriptive cross-sectional study.
Methods: The research sample was formed by 251 nurses from the clinics of the University Hospital in Prague. The PIRNCA self-assessment instrument was used. Data collection and processing took place in 2022.
Results: Significant differences were found in all areas of assistance in terms of the incidence of adverse events. Significant differences existed for walking (p = 0.005), mobilisation and positioning (p = 0.003), and defecation (p = 0.001). Decubitus (63.3%) and falls (53.4%) were the most frequent outcomes.
Conclusion: Unfinished care increases the occurrence of adverse events in hospitalized patients. These findings are consistent with the results of studies conducted to date. Effective interventions are found in the area of resource management and increasing the relevant professional awareness of general nurses.
Keywords: Adverse event; Patient assistance; Rationed nursing care; Unfinished care; Unfinished nursing work
Published: December 1, 2024 Show citation
ACS | AIP | APA | ASA | Harvard | Chicago | Chicago Notes | IEEE | ISO690 | MLA | NLM | Turabian | Vancouver |
References
- Aiken LH, Clarke SP, Sloane DM, Sochalski JA, Busse R, Clarke H, et al. (2001). Nurses' reports on hospital care in five countries. Health Aff 20(3): 43-53. DOI: 10.1377/hlthaff.
Go to original source...
- Bail K, Grealish L (2016). 'Failure to Maintain': A theoretical proposition for a new quality indicator of nurse care rationing for complex older people in hospital. Int J Nurs Stud 63: 146-161. DOI: 10.1016/j.ijnurstu.2016.08.001.
Go to original source...
Go to PubMed...
- Gurková E, Bartoníčková D, Mikšová Z, Labudíková M, Chocholková D (2021). Reasons for unfinished nursing care from the perspective of nurses from regional and university hospitals. Kontakt 23(4): 281-288. DOI: 10.32725/kont.2021.026.
Go to original source...
- Gustafsson N, Leino-Kilpi H, Prga I, Suhonen R, Stolt M, RANCARE consortium COST Action - CA15208 (2020). Missed Care from the Patient's Perspective - A Scoping Review. Patient Prefer Adherence 14: 383-400. DOI: 10.2147/PPA.S238024.
Go to original source...
Go to PubMed...
- Jarošová D, Marková I (2023). Rationing of nursing care and nurses' perception in acute inpatient care in selected regions of the Czech Republic. Kontakt 25(2): 93-99. DOI: 10.32725/kont.2023.011.
Go to original source...
- Jarošová D, Zeleníková R (2019). Unfinished nursing care - the first pilot study in the Czech Republic. Kontakt 21(4): 388-394. DOI: 10.32725/kont.2019.048.
Go to original source...
- Jarošová D, Gurková E, Zeleníková R, Plevová I, Janíková E (2021). Hospital and unit variables of missed nursing care in acute care hospitals: A cross-sectional study. J Clin Nurs 30(7-8): 1099-1110. DOI: 10.1111/jocn.15655.
Go to original source...
Go to PubMed...
- Jarošová D, Zeleníková R, Plevová I, Mynaříková E, Kachlová M (2022). Differences in the Incidence of Adverse Events in Acute Care Hospitals: Results of a Multicentre Study. Int J Environ Res Public Health 19(9): 5238. DOI: 10.3390/ijerph19095238.
Go to original source...
Go to PubMed...
- Jones TL (2014). Validation of the Perceived Implicit Rationing of Nursing Care (PIRNCA) instrument. Nurs Forum 49(2): 77-87. DOI: 10.1111/nuf.12076.
Go to original source...
Go to PubMed...
- Jones TL, Hamilton P, Murry N (2015). Unfinished nursing care, missed care, and implicitly rationed care: State of the science review. Int J Nurs Stud 52(6): 1121-1137. DOI: 10.1016/j.ijnurstu.2015.02.012.
Go to original source...
Go to PubMed...
- Kalánková D, Bartoníčková D, Žiaková K (2019a). Predictors of missed, rationed and unfinished nursing care. Ošetrovateľstvo: teória, výskum, vzdelávanie 9(2): 43-48.
- Kalánková D, Gurková E, Zeleníková, R, Žiaková K (2019b). Application of measuring tools in the assessment of the phenomenon of rationing/missed/unfinished care. Kontakt 21(1): 65-73. DOI: 10.32725/kont.2018.001.
Go to original source...
- Kalánková D, Kirwan M, Bartoníčková D, Cubelo F, Žiaková K, Kurucová R (2020). Missed, rationed or unfinished nursing care: A scoping review of patient outcomes. J Nurs Manag 28(8): 1783-1797. DOI: 10.1111/jonm.12978.
Go to original source...
Go to PubMed...
- Kalánková D, Žiaková K, Kurucová R (2019c). Approaches to understanding the phenomenon of missed/rationed/unfinished care - a literature review. Cent Eur J Nurs Midw 10(1): 1005-1016. DOI: 10.15452/CEJNM.2019.10.0007.
Go to original source...
- Kalisch BJ (2006). Missed nursing care: A qualitative study. J Nurs Care Qual 21(4): 306-313. DOI: 10.1097/00001786-200610000-00006.
Go to original source...
Go to PubMed...
- Kalisch BJ, Landstrom GL, Hinshaw AS (2009). Missed nursing care: a concept analysis. J Adv Nurs 65(7): 1509-1517. DOI: 10.1111/j.1365-2648.
Go to original source...
- Kalisch BJ, Tschannen D, Lee H, Friese CR (2011). Hospital variation in missed nursing care. Am J Med Qual 26(4): 291-299. DOI: 10.1177/1062860610395929.
Go to original source...
Go to PubMed...
- Mandal L, Seethalakshmi A, Rajendrababu A (2020). Rationing of nursing care, a deviation from holistic nursing: A systematic review. Nurs Philos 21(1): e12257. DOI: 10.1111/nup.12257.
Go to original source...
Go to PubMed...
- Neugebauer J, Tóthová V, Chloubová I, Hajduchová H, Brabcová I, Prokešová R (2021). Příčiny a intervence medikačního pochybení ve zdravotnických zařízeních [Causes and interventions of medication errors in healthcare facilities]. Čes Slov Farm 70: 43-50. DOI: 10.5817/CSF2021-2-43 (Czech).
Go to original source...
- Plevová I, Jarošová D, Janíková E, Zeleníková R, Mynaříková E, Polanská A (2020). Přidělovaná ošetřovatelská péče jako jeden z indikátorů výskytu medikačního pochybení [Rationed nursing care as one of the indicators of the occurrence of medication errors]. Vnitr Lek 66(7): e31-e38. DOI: 10.36290/vnl.2020.137 (Czech).
Go to original source...
- Plevová I, Zeleníková R, Jarošová D, Janíková E (2021). The relationship between nurse's job satisfaction and missed nursing care. Med Pr 72(3): 231-237. DOI: 10.13075/mp.5893.01035.
Go to original source...
Go to PubMed...
- Pokorná A, Škrombachová V, Kučerová J, Búřilová P, Dolanová D, Pospíšil M (2023). Taxonomický - definiční slovník pro Systém hlášení nežádoucích událostí [Taxonomic - definition dictionary for Adverse Event Reporting System]. Prague: Institute of Health Information and Statistics of the Czech Republic, 78 p. (Czech).
- Pokorná A, Štrombachová V, Mužík J, Dolanová D, Búřilová P, Macková D, et al. (2016). Národní portál Systém hlášení nežádoucích událostí. Povinné sledování nežádoucích událostí za rok 2023 [National portal Adverse event reporting system. Mandatory monitoring of adverse events for 2023]. Prague: Institute of Health Information and Statistics of the Czech Republic. [online] [cit. 2023-11-14]. Available from: https://shnu.uzis.cz (Czech).
- Schubert M, Glass TR, Clarke SP, Aiken LH, Schaffert-Witvliet B, Sloane DM, De Geest S (2008). Rationing of nursing care and its relationship to patient outcomes: the Swiss extension of the International Hospital Outcomes Study. Int J Qual Health Care 20(4): 227-237. DOI: 10.1093/intqhc/mzn017.
Go to original source...
Go to PubMed...
- Schubert M, Glass TR, Clarke SP, Schaffert-Witvliet B, De Geest S (2007). Validation of the Basel Extent of Rationing of Nursing Care instrument. Nurs Res 56(6): 416-424. DOI: 10.1097/01.NNR.0000299853.52429.62.
Go to original source...
Go to PubMed...
- Witczak I, Rypicz Ł, Karniej P, Młynarska A, Kubielas G, Uchmanowicz I (2021). Rationing of Nursing Care and Patient Safety. Front Psychol 12: 676970. DOI: 10.3389/fpsyg.2021.676970.
Go to original source...
Go to PubMed...
- Zeleníková R, Gurková E, Friganovic A, Uchmanowicz I, Jarošová D, Žiaková K, et al. (2020). Unfinished nursing care in four central European countries. J Nurs Manag 28(8): 1888-1900. DOI: 10.1111/jonm.12896.
Go to original source...
Go to PubMed...
- Zeleníková R, Gurková E, Jarošová D (2019). Missed nursing care measured by MISSCARE survey - the first pilot study in Czech Republic and Slovakia. Cent Eur J Nurs Midw 10(1): 958-966. DOI: 10.15452/CEJNM.2019.10.0002.
Go to original source...
This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC BY 4.0), which permits use, distribution, and reproduction in any medium, provided the original publication is properly cited. No use, distribution or reproduction is permitted which does not comply with these terms.