Unfinished nursing care in four central European countries

Abstract

Aim: The main aim of the research was to describe and compare unfinished nursing care in selected European countries. Background: The high prevalence of unfinished nursing care reported in recently published studies, as well as its connection to negative effects on nurse and patient outcomes, has made unfinished care an important phenomenon and a quality indicator for nursing activities. Methods: A cross-sectional descriptive study was undertaken. Unfinished nursing care was measured using the Perceived Implicit Rationing of Nursing Care questionnaire (PIRNCA). The sample included 1,353 nurses from four European countries (Croatia, the Czech Republic, Poland and Slovakia). Results: The percentage of nurses leaving one or more nursing activities unfinished ranged from 95.2% (Slovakia) to 97.8% (Czech Republic). Mean item scores on the 31 items of the PIRNCA in the total sample ranged from 1.13 to 1.92. Unfinished care was significantly associated with the type of hospital and quality of care. Conclusion: The research results confirmed the prevalence of unfinished nursing care in the countries surveyed. Implications for Nursing Management: The results are a useful tool for enabling nurse managers to look deeper into nurse staffing and other organizational issues that may influence patient safety and quality of care.

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

“…In this study, the correlation between PIRNCA results and nursing evaluation of the quality of patient care (r=−0.492, p<0.005) and job satisfaction evaluation (r=−0.375, p<0.001) was also shown, which is also confirmed by the results obtained by Jones 24 and Zeleniková et al 31 Although the level of care rationing is statistically significant, it revealed a fair relationship with the nursing evaluation of the quality of patient care and the evaluation of job satisfaction. 42 The main strength to be drawn from this study is that the PIRNCA is a very useful tool when monitoring the phenomenon of rationing nursing care, including the identification of care activities that are more often omitted.…”

“…Tschannen et al 30 reported that nurses who more frequent missed care were more tend to leave and turnover. Zeleniková et al 31 shown that unfinished care correlated with overall job satisfaction and intention to leave the actual workplace.…”

Psychometric testing of perceived implicit rationing of nursing care (PIRNCA)

“…Withholding of these activities results in adverse patient outcomes, such as falls and pressure ulcers (Schubert, Clarke, Glass, Schaffert‐Witvliet, & Geest, 2009; Schubert et al, 2008), patient mortality (Schubert, Clarke, Aiken, & De Geest, 2012) and relates to the healthcare concerns such as quality of provided care and patient safety (Cho et al, 2016). Only a few studies have explored the prevalence of rationed care in an American context (Jones, 2014; Jones, Gemeinhardt, Thompson, & Hamilton, 2016; VanFosson, Jones, & Yoder, 2018; Zeleníková et al, 2019). According to Jones et al (2016), the prevalence of rationed nursing care varied from 55% to 98% when taking into account one or more nursing care activities being rationed by nurses.…”

“…These results were similar compared with the parent BERNCA instrument where five factors emerged but only one was confirmed to have a stable structure (Schubert et al, 2007). Zeleníková et al (2019) have recently explored the psychometric properties of the PIRNCA instrument in four central European countries – Slovak Republic (note – general hospitals), Czech Republic, Poland, and Croatia. The authors followed the original study of Jones (2014) and applied the same procedures that revealed a six‐factor solution for the Czech version, a four‐factor solution for the Slovak and Polish versions and a five‐factor solution for the Croatian version.…”

Dignity, privacy, respect and choice—A scoping review of measurement of these concepts within acute healthcare practice

“…In recent years, there has also been an increasing focus on missed care , much of which could be addressed by an increased focus on the practice of and research about the fundamentals of care. The widespread international missed care literature reveals that the omission of care by nurses internationally is common (Zeleníková et al, 2019), and it is often the essentials and fundamentals of care that are often compromised in the context of limited resources (Kim et al, 2019, Recio‐Sausedo et al, 2018). The international literature shows that nurses omit some fundamentals of care because they give priority to other ones, for example urgent situations, or technical activities (such as venipuncture), or because the consequences of neglecting fundamentals often have more long‐term effects that are not always immediately obvious (Feo & Kitson, 2016; Heaven, Bamford, May, & Moynihan, 2013).…”