Background Studies performed in Central European countries showed a high prevalence of missed nursing care in various clinical settings before the COVID‐19 pandemic. Aims The aim of the study was to investigate which domains of the work environment were significant predictors of missed nursing care activities in Czech hospitals during the COVID‐19 pandemic. Methods A cross‐sectional study was used. The RANCARE guideline and STROBE checklist were followed for reporting in the study. The sample consisted of 371 nurses from four acute care hospitals. The MISSCARE Survey and the Practice Environment Scale of the Nursing Work Index questionnaires were used to collect data. The data were analyzed using multiple linear and logistic regression analyses. Results Nurses reporting unfavorable environments consistently describe a higher frequency of episodes of missed care. Prevalence estimates of missed care in Czech acute care hospitals during the COVID‐19 pandemic was predicted from the overtime work, the nurses’ perception of the “Nursing foundations for the quality of care,” and their satisfaction with their current position. Conclusions Missed nursing care could be mitigated by improving the nurses’ work environment. Domains of the nurse work environment are known as structural modifiable factors and their refinement could be a cornerstone for interventions to reduce the prevalence of missed nursing care. Implications for nursing policy Monitoring the conditions and aspects of the nurse work environment in hospitals and considering nurses’ concerns about the work environment on an ongoing basis are important strategies for nurse supervision as well as for policymakers.

Assessment of nursing activities implemented in the care of dying patients in the ICU may help identify issues specific to nursing practice.

Aim: The main aim of the paper is to examine the differences in reasons for unfinished nursing care according to the type of hospitals and wards. The work also intends to investigate the relationship between the reasons for unfinished nursing care and nurses' job satisfaction. Design: Cross-sectional correlation study. Methods: The sample consisted of 371 nurses working in internal medicine and surgical disciplines of four selected hospitals in the Olomouc region. The Czech version of the MISSCARE Survey questionnaire was used to collect data, containing 61 items divided into three areas -work-related factors, activities of unfinished care and reasons for unfinished care. The reasons for unfinished nursing care were operationalized in the MISSCARE Survey by domains, such as human resources, material resources and communication. The data collection was held between May and September 2020. ANOVA test and Pearson correlation coefficient were used to analyse the data. Results: Human resources and staffing were rated as the most important reasons for unfinished nursing care. Significant differences between university and regional hospitals were found in the human and material resources. A positive correlation was found between the number of patients in the last shift and the significance of reasons in human and material sources and communication. A negative correlation was found between the nurses' satisfaction with their current position, with the role as a nurse, with the teamwork, and reasons for unfinished nursing care. Conclusions: A deeper analysis of processes contributing to the prevalence of missed nursing care can help better understand the barriers in providing a complex nursing care and can implement effective interventions into practice.

kých zařízení. Výzkumné šetření bylo realizováno s využitím kvantitativní výzkumné metody s aplikací techniky dotazníku vlastní konstrukce. Jednotlivé položky byly formulovány na základě právně stanovených kompetencí nelékařských zdravotnických pracovníků a doporučení odborníků, čímž byla zajištěna obsahová validita dotazníku. Výsledky šetření ukázaly, že u všech členů ošetřovatelského týmu dochází k překračování či nenaplňování "vnějších" i "vnitřních" kompetencí. Rozdíly mezi jednotlivými typy zdravotnických zařízení v realizaci činností ošetřovatelského procesu, hodnocení soběstačnosti a edukace pacienta nebyly prokázány. Činnosti, které jsou výhradně v kompetenci všeobecné sestry, zajišťují i jiní zdravotničtí pracovníci (zdravotnický asistent, ošetřovatel i sanitář). Naproti tomu sestra se výraznou měrou podílí na méně kvalifikovaných výkonech péče. Tento stav nejen že nesplňuje požadavky bezpečné a kvalitní ošetřovatelské péče, ale přímo se dotýká i práva pacientů na poskytování zdravotních služeb na náležité odborné úrovni a povinnosti poskytovatelů zajistit kvalitní zdravotní služby. Nevyužívání managementu kompetencí členy ošetřovatelského týmu představuje neefektivní proces v rámci personálního řízení zdravotnických institucí.

The research aimed to demonstrate a broader context in the assessment of patient safety culture and its subsequent application to the selected sample of nurses. Foreign research shows that there is a relationship between the evaluation of particular patient safety culture dimensions and socio-demographic data. It was found that between the dependent (overall perception of patient safety and frequency of events reported) and independent variables of patient safety culture dimensions it is possible to ratify the statistically significant relationship. To reveal the predicted context, the standardized questionnaire of Agency for Healthcare Research and Quality (AHRQ) was used and also validated in the Czech language. 207 respondents participated in the research study. The whole questionnaire was evaluated for reliability using Cronbach α with a score of 0.877. The composite score required to determine the particular dimensions was first calculated using AHRQ's methodological procedures. Within our research, we have demonstrated by computed dimensions the correlation between socio-demographic data (i.e., length of the practice in the hospital, length of practice in the current hospital work area/unit and length of practice in the current profession or specialist field) and some dimensions of patient safety culture. The results showed that, in proportion to the length of practice, the level in some dimensions also increased. Through the multidimensional linear regression it was confirmed that dependent variables in dimensions of patient safety culture (overall perception of patient safety and frequency of events reported) are significantly associated with other independent variables of dimensions. The quality of the model used was assessed by determination coefficient, which confirmed this relationship as causative. The results are beneficial to the hospital management from the perspective of targeted activities leading to the improvement of overall perception of patient safety and the frequency of events reported.