Levels and correlates of implicit rationing of nursing care in Swiss acute care hospitals—A cross sectional study

The relationship of staffing and work environment with implicit rationing of nursing care in Swiss nursing homes – A cross-sectional study

“…In this study, teamwork and safety climate were measured by a single score, since they were closely related based on psychometric analysis. Our finding that a better safety climate was associated with less rationing of care corroborates the finding by Schubert et al (2013). Interestingly, better teamwork and safety climate was related to less rationing in the ADL, caring, and documentation subscale, but more rationing of social care.…”

“…The relationship between care worker characteristics and rationing of care remains unclear: mixed results were found concerning gender, age, employment percentage, educational background, professional tenure, usual shift, or absenteeism (Ausserhofer et al, 2014;Kalisch et al, 2009Kalisch et al, , 2011Schubert et al, 2013). Overall, care worker characteristics seemed less important factors associated with rationing of care.…”

“…Excellent work environment ratings are a distinguishing characteristic of Magnet hospitals. Several studies showed that perceptions of a poor work environment, teamwork, communication, and safety climate were related to higher rationing of care (Ausserhofer et al, 2014;Ball et al, 2014;Kalisch and Lee, 2010;Papastavrou et al, 2013;Rochefort and Clarke, 2010;Schubert et al, 2013). Accordingly, the search for factors influencing rationing of care should include staffing as well as work environment aspects.…”

Prevalence, patterns and predictors of nursing care left undone in European hospitals: results from the multicountry cross-sectional RN4CAST study

“…The most common nursing care omissions recorded were: ‘Comforting/talking with patients’ and ‘Developing or updating nursing care plans’ 16. Other national studies reported frequent omissions of ‘Offering emotional or psychosocial support’, ‘Assessment of newly admitted patients’, and ‘Documentation of nursing care’,11 17 as well as ‘assessing the effectiveness of medications’, ‘turning patients’ and ‘mouth care’ 10 18. Reasons for higher levels of omitted nursing care can often be traced to organisational factors, such as inadequate staffing levels, poor nursing teamwork and weaker hospitals’ safety climate 16 17 19–22.…”

Older, in hospital and confused – The value of nursing care in preventing falls in older people with cognitive impairment

“…The rise of health technology means that nurses are increasingly focused on delivering medical treatments and therapies and managing health equipment. This privileging of the medically related care means that tasks associated with medically related care are rarely missed (Schubert et al, 2013) but less 'technical', some would say essential, nursing care tasks are consistently missed.…”