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Main Title: Prevalence, patterns and predictors of nursing care left undone in European hospitals: results from the multicountry cross-sectional RN4CAST study
Author(s): Ausserhofer, Dietmar
Zander, Britta
Busse, Reinhard
Schubert, Maria
Geest, Sabina de
Rafferty, Anne Marie
Ball, Jane
Scott, Anne
Kinnunen, Juha
Heinen, Maud
Strømseng Sjetne, Ingeborg
Moreno-Casbas, Teresa
Kózka, Maria
Lindqvist, Rikard
Diomidous, Marianna
Bruyneel, Luk
Sermeus, Walter
Aiken, Linda H
Schwendimann, René
Type: Article
Language Code: en
Abstract: BACKGROUND: Little is known of the extent to which nursing-care tasks are left undone as an international phenomenon. AIM: The aim of this study is to describe the prevalence and patterns of nursing care left undone across European hospitals and explore its associations with nurse-related organisational factors. METHODS: Data were collected from 33 659 nurses in 488 hospitals across 12 European countries for a large multicountry cross-sectional study. RESULTS: Across European hospitals, the most frequent nursing care activities left undone included 'Comfort/talk with patients' (53%), 'Developing or updating nursing care plans/care pathways' (42%) and 'Educating patients and families' (41%). In hospitals with more favourable work environments (B=-2.19; p<0.0001), lower patient to nurse ratios (B=0.09; p<0.0001), and lower proportions of nurses carrying out non-nursing tasks frequently (B=2.18; p<0.0001), fewer nurses reported leaving nursing care undone. CONCLUSIONS: Nursing care left undone was prevalent across all European countries and was associated with nurse-related organisational factors. We discovered similar patterns of nursing care left undone across a cross-section of European hospitals, suggesting that nurses develop informal task hierarchies to facilitate important patient-care decisions. Further research on the impact of nursing care left undone for patient outcomes and nurse well-being is required.
Issue Date: 2013
Date Available: 26-Oct-2017
DDC Class: 610 Medizin und Gesundheit
Sponsor/Funder: EC/FP7/223468/EU/Nurse Forecasting: Human Resources Planning in Nursing/RN4CAST
Journal Title: BMJ Quality and Safety
Publisher: BMJ Publishing Group
Publisher Place: London
Volume: 23
Issue: 2
Publisher DOI: 10.1136/bmjqs-2013-002318
Page Start: 126
Page End: 135
EISSN: 2044-5423
ISSN: 2044-5415
Notes: Dieser Beitrag ist mit Zustimmung des Rechteinhabers aufgrund einer (DFG geförderten) Allianz- bzw. Nationallizenz frei zugänglich.
This publication is with permission of the rights owner freely accessible due to an Alliance licence and a national licence (funded by the DFG, German Research Foundation) respectively.
Appears in Collections:FG Management im Gesundheitswesen » Publications

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