OBJECTIVE: To examine nurse managers' perspectives on missed nursing care (MNC) on surgical units. BACKGROUND: The phenomenon of MNC is an important concern for nurse researchers. However, the reality of how it is experienced by clinical nurse managers is largely unexplored. Understanding nurse managers' experiences with MNC could help develop useful approaches to reducing levels of MNC. METHODS: A descriptive qualitative study was conducted between December and June 2020, using face-to-face semistructured interviews with 10 nurse managers. RESULTS: Five themes were identified: 1) awareness of MNC; 2) rationale for MNC; 3) consequences of MNC; 4) questions of reporting; and 5) management of MNC. CONCLUSIONS: Nurse managers must use their positions and leadership skills to expect appropriate staffing approaches and material resources for surgical units, effective process for newly hired nurses, and the establishment of a reporting system for MNC to reduce the phenomenon in practice.
- MeSH
- kvalitativní výzkum MeSH
- lidé MeSH
- ošetřovatelská péče * MeSH
- vůdcovství MeSH
- zdravotní sestry v řízení a kontrole * MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
BACKGROUND: Nursing students are required to spend a significant portion of their educational preparation in clinical practice. Because of the prevalence of missed or rationed care, it seems irrefutable that students are exposed to rationed care during their practice placement, or that they contribute to its prevalence either actively or passively. OBJECTIVES: The study aimed to discover how nursing students interpret the concept of rationed care, and their experiences of rationing in practice. DESIGN: A descriptive qualitative study. PARTICIPANTS: Eighteen final year nursing students from three universities within the Slovak Republic. METHODS: Semistructured face-to-face interviews were conducted (n = 18). Data were analyzed using thematic analysis which resulted in the development of themes and subthemes. RESULTS: We identified three meaningful themes focused on the phenomenon of rationed care from the perspective of nursing students, namely Incomplete care is normalized; Provision of impersonal patient care; and the Existence of a hidden curriculum for practice placements. CONCLUSIONS: Student nurses were quite demanding about the learning experience during their clinical training. They are often frustrated by inconsistencies between their theoretical preparation and the realities of practice. They recognise difficulties for registered nurses in providing safe, high quality care in constrained circumstances, and although they are critical of this, they acknowledge their own acceptance of the situation. Based on this, students must establish an understanding of the theory behind, and reasons for rationed care before commencing clinical placement. A greater understanding would enable students to develop strategies for coping with inconsistencies and voicing concerns.
- MeSH
- kvalitativní výzkum MeSH
- lidé MeSH
- ošetřovatelská péče * MeSH
- přidělování zdravotní péče MeSH
- studenti ošetřovatelství * MeSH
- studium ošetřovatelství bakalářské * MeSH
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- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- Geografické názvy
- Slovenská republika MeSH
Cieľ: Preskúmať postupy hlásenia nežiaducich udalostí sestrami na Slovensku. Dizajn: Prierezová štúdia. Metódy: Údaje boli zbierané prostredníctvom nástroja Hospital Survey on Patient Safety Culture medzi decembrom 2017 a júlom 2018. Do súboru boli zaradené registrované sestry ((n = 1073) z verejných aj súkromných nemocníc z celej Slovenskej republiky. Údaje boli analyzované pomocou deskriptívnej a induktívnej štatistiky s použitím programu SPSS 25.0. Výsledky: Vzťah bol preukázaný medzi sestrami hláseným stupňom bezpečnosti pacientov a rôznymi typmi oddelení, spolu s počtom nadčasových hodín. Signifikantný vzťah bol potvrdený medzi počtom sestrami hlásených udalostí a vzdelaním sestier, dĺžkou klinickej praxe, veľkosťou nemocnice a typom oddelenia a nemocnice. Súčasne bol verifikovaný vzťah medzi hlásením takmer-pochybení a typom a veľkosťou nemocnice a počtom nadčasových hodín. Záver: Sestry sú zodpovedné za zlepšovanie bezpečnosti pacientov, čo zahŕňa hlásenie nežiaducich udalostí a takmer-pochybení. Boli identifikované konkrétne faktory na strane sestier a organizačné faktory, ktoré zlepšujú postupy hlásenia ako aj bezpečnosť pacientov. Zváženie daných faktorov pri plánovaní pracovnej záťaže sestier môže ovplyvniť celkovú bezpečnosť pacientov.
Objective: To examine the adverse events reporting practices of nurses in Slovakia. Design: A cross-sectional study. Methods: Data were collected using the Hospital Survey on Patient Safety Culture between December 2017 and July 2018. Registered nurses (n = 1073) from both public and private hospitals across the Slovak Republic were included in the sample. Data were analyzed through descriptive and inductive statistics using SPSS 25.0. Results: A relationship was established between nurse-reported patient safety levels and different unit types, along with nurse overtime levels. A significant relationship was confirmed between the number of events reported by a nurse and nurse education levels, length of clinical practice, hospital size, and both hospital and unit type. Likewise, a significant relationship was verified between the reporting of near-misses and the hospital type, the hospital size and overtime hours. Conclusions: Nurses have a responsibility to advance patient safety, and this includes adverse event and near-miss reporting. Particular nurse and organizational factors have been identified which enhance reporting patterns and patient safety. Consideration of these factors when planning the nurse workforce can affect overall patient safety.
AIMS: To collate evidence about patient outcomes resulting from the phenomenon of incomplete nursing care described in the literature variously as missed, rationed, or unfinished nursing care. BACKGROUND: Nursing care which is not completed is known to have a negative impact on patients. However, to date, there has been no thorough exploration of the extent and potential seriousness of patient outcomes. METHODS: The search was performed in four scientific databases; 44 studies were included in the final content analysis. RESULTS: Missed, rationed and unfinished care negatively influence the patient outcomes in the context of patient safety and quality of nursing care. Despite the differences among concepts, the negative association with patient outcomes was significant and common for all concepts. CONCLUSION: Awareness of potential harm of the phenomena to patient outcomes may help the management to develop preventive strategies to reduce or eliminate its actual occurrence. IMPLICATIONS FOR NURSING MANAGEMENT: Hospital management should consider the phenomenon as an indicator of the quality of nursing care as well as establish the routine monitoring of the phenomena in the assessment of patient safety in healthcare facilities.
- MeSH
- bezpečnost pacientů * MeSH
- lidé MeSH
- ošetřovatelská péče * MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- přehledy MeSH
