Unfinished nursing care in nursing homes

The Reasons for Unfinished Nursing Care during the COVID-19 Pandemic: An Integrative Review

“…A total of 171 studies were identified and four were included [ 16 ] ( Figure 1 ). These were all primary studies ( Supplementary Material Table S4 )—three based on a qualitative design [ 20 , 21 , 22 ] and one based on a cross-sectional design with an open-ended final question [ 23 ]. The studies were conducted in Italy [ 20 , 21 ], Finland [ 22 ] and Iran [ 23 ] in acute hospital settings [ 20 , 21 , 22 ].…”

“…These were all primary studies ( Supplementary Material Table S4 )—three based on a qualitative design [ 20 , 21 , 22 ] and one based on a cross-sectional design with an open-ended final question [ 23 ]. The studies were conducted in Italy [ 20 , 21 ], Finland [ 22 ] and Iran [ 23 ] in acute hospital settings [ 20 , 21 , 22 ]. The perspectives investigated were those of both healthcare professionals [ 20 , 22 , 23 ] and patients [ 21 ] involving from 14 [ 22 ] to 29 [ 20 ] participants in the qualitative studies and 462 [ 23 ] in the quantitative one.…”

“…The studies were conducted in Italy [ 20 , 21 ], Finland [ 22 ] and Iran [ 23 ] in acute hospital settings [ 20 , 21 , 22 ]. The perspectives investigated were those of both healthcare professionals [ 20 , 22 , 23 ] and patients [ 21 ] involving from 14 [ 22 ] to 29 [ 20 ] participants in the qualitative studies and 462 [ 23 ] in the quantitative one. All studies were intended to explore the reasons for UNC as perceived during the pandemic, in the first months of 2021 [ 20 , 22 , 23 ] and between April and July 2022 [ 21 ], with well-designed and -conducted research methodologies.…”

“…Moreover, those systems not considering appropriately the early signs of poor-quality care (e.g., by analysing incident reports) have been perceived as insensitive towards UNC issues, neglecting its relevance and consequently strategies aimed at preventing it. In addition, some systems perpetuated some UNC factors when they did not invest in technologies facilitating nursing care [ 20 ]: the high level of bureaucratisation increased further during the pandemic (e.g., the need to collect certifications and to check issues) and led to time being wasted on administrative tasks leading nurses to postpone care [ 20 , 23 ]. Increased challenges in leading nursing care.…”

“… Increased challenges in leading nursing care. The fragmentation in the community of nurses as a profession and as a system has been reported as affecting its capacity to effectively address changes and policies, as an independent body, both at the political and institutional levels [ 22 , 23 ]. Similarly, the increased nursing turnover [ 23 ] has been reported as triggering UNC.…”