Approaches to understanding the phenomenon of missed/rationed/unfinished care - a literature review

Abstract

Aim: This literature review aims to describe, analyze and compare approaches to the phenomenon of missed/rationed/unfinished nursing care, in order to better our understanding of it. Design: A narrative literature review. Methods: A method of content analysis of studies published in the scientific databases PubMed, ScienceDirect, ProQuest, and Wiley Library Online was used. Studies were selected using a set of criteria and keywords for the period 2000-2018. Twentyone studies were analyzed in the processing of the literature review. Results: We identified the four most common approaches or conceptual frameworks used to describe the phenomenon from the available literature -Missed Care, Implicit Rationing of Nursing Care, Task Undone and the theoretical proposition, Failure to Maintain, each of which explicitly describes a particular aspect of the phenomenon, and provides us with a theoretical framework and structure. Conclusion: This review contributes to the overview of particular approaches or theoretical frameworks used to understand the phenomenon. It is necessary to understand the terminology, and to use it appropriately. All approaches identified associations between the phenomenon and negative outcomes for patients as a quality-of-care indicator.

Missed nursing care: An overview of reviews

“…Review characteristics are presented in Table 1. Authors came from a wide variety of countries with four from Europe, 7,26–28 two from North America, 23,29 and one from South East Asia 30 . Three reviews only searched two English language databases, 23,27,28 and only two reviews included the Cochrane Library in their search 7,29 .…”

<p>Missed Care from the Patient’s Perspective – A Scoping Review</p>

“…14 Missed care occurs when any aspect of required patient care is omitted (in part or whole) or delayed, 15 including all aspects of clinical, emotional and administrative nursing care. 3 There are some conceptualization of missed care 16 including the Missed Nursing Care Model, which is a middle-range theory developed by Kalisch (2009). 15 This model identifies external antecedents for missed care, such as resources and communication and relationships among staff, that have an effect on the nursing process.…”

Polish adaptation and validation of the Perceived Implicit Rationing of Nursing Care (PIRNCA) questionnaire: a cross-sectional validation study

“…22 All of them describe the situation when patients do not get enough care and attention which they require so in consequence, we observe that the overall process of care has adverse outcomes for patients. 23 In this study, we want to validate the Perceived Implicit Rationing of Nursing Care (PIRNCA)-a tool that assesses the care rationing in nursing practice. The first time phenomenon of implicitly of care rationing was developed by Schubert from Switzerland in 2007.…”