The influence of selected work characteristics on missed and unfinished nursing care in hospitals: Evidence from the Czech Republic
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Author(s)Radka ProkešováLink to ORCID Index: https://orcid.org/0000-0002-8602-8463
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Martin ČervenýLink to ORCID Index: https://orcid.org/0000-0001-5612-158X
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Valérie TóthováLink to ORCID Index: https://orcid.org/0000-0002-7119-8419
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Iva BrabcováLink to ORCID Index: https://orcid.org/0000-0002-8707-8091
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Jiří VlčekLink to ORCID Index: https://orcid.org/0000-0002-8431-8897
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DOIhttp://dx.doi.org/10.21511/ppm.22(1).2024.39
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Article InfoVolume 22 2024, Issue #1, pp. 491-499
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Creative Commons Attribution 4.0 International License
Missed and unfinished nursing care in hospitals depends on the quality of human resources. This paper aims to analyze the influence of selected work characteristics on missing and incomplete nursing care in inpatient wards of Czech hospitals. The relationship between the rate of missed and unfinished nursing care and selected work characteristics was studied using the Czech version of the standardized questionnaire, the MISSCARE Survey. The study was conducted from September 26, 2021, to October 15, 2021. Controlled interviews with 1,205 nurses working in ward blocks in Czech hospitals were used. The research results showed statistically significant connections between selected work characteristics and missed and unfinished nursing care. Nurses with the highest level of education (Master, Ph.D.), nurses with specialized education, nurses with the lowest number of working hours (less than 30 hours per week), and nurses with the highest number of years of work experience (21 years and over) show a significantly lower rate of missed nursing care. Nurses from surgical departments, specialist nurses, and nurses with the highest education (Master, Ph.D.) report statistically significantly lower unfinished care levels. In contrast, nurses from regional/district hospitals, practical nurses/nursing assistants, and nurses with the lowest education (secondary school of nursing) report significantly higher unfinished nursing care levels. The information obtained can be used to improve nursing processes in the identified weak parts, strategic planning of nursing care, and sufficient personnel.
Acknowledgments
I would like to express my gratitude to co-authors and other members of the research team – Hana Hajduchová, Chloubová Ivana, Hana Kubešová, Josef Malý, Martin Doseděl, Ondřej Tesař, and Kateřina Malá-Ládová, without whose support the article could not have been published.
Supported by the Ministry of Health of the Czech Republic, grant no. NU20-09-00257. All rights reserved.
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JEL Classification (Paper profile tab)M10, M12, M19
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References39
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Tables5
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Figures0
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- Table 1. General characteristics of the sample group
- Table 2. Other socio-demographic characteristics of the sample group
- Table 3. Work characteristics of the sample group
- Table 4. Connection between selected work characteristics and the degree of missed nursing care
- Table 5. The relationship between selected work characteristics and unfinished nursing care level
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- Aiken, L. H., Sloane, D. M., Ball, J., Bruyneel, L., Rafferty, A. M., & Griffiths, P. (2018). Patient satisfaction with hospital care and nurses in England: An observational study. BMJ Open, 8(1), e019189.
- Alanazi, F. K., Lapkin, S., Molloy, L., & Sim, J. (2023). The impact of safety culture, quality of care, missed care and nurse staffing on patient falls: A multisource association study. Journal of Clinical Nursing, 32(19-20), 7260-7272.
- Ausserhofer, D., Zander, B., Busse, R., Schubert, M., De Geest, S., Rafferty, A. M., Ball, J., Scott, A., Kinnunen, J., Heinen, M., Sjetne, I. S., Moreno-Casbas, T., Kózka, M., Lindqvist, R., Diomidous, M., Bruyneel, L., Sermeus, W., Aiken, L. H., & Schwendimann, R. (2014). Prevalence, patterns, and predictors of nursing care left undone in European hospitals: Results from the multicountry cross-sectional RN4CAST study. BMJ Quality & Safety, 23(2), 126-135.
- Bagnasco, A., Aleo, G., Timmins, F., Begley, T., Parissopoulos, S., & Sasso, L. (2017). The need for consistent family-centred support for family and parents of children admitted to paediatric intensive care unit. Nursing in Critical Care, 22(6), 327-328.
- Ball, J. E., Bruyneel, L., Aiken, L. H., Sermeus, W., Sloane, D. M., Rafferty, A. M., Lindqvist, R., Tishelman, C., & RN4Cast Consortium. (2018). Post-operative mortality, missed care and nurse staffing in nine countries: A cross-sectional study. International Journal of Nursing Studies, 78, 10-15.
- Bittner, N. P., & Gravlin, G. (2009). Critical thinking, delegation, and missed care in nursing practice. Journal of Nursing Administration, 39(3), 142-146.
- Brabcová, I., Prokešová, R., Tóthová, V., Hajduchová, H., Chloubová, I., Neugebauer, J., Slabáková, K., Velimská, D., Klavíková, E., & Kubešová, H. (2021). Využití analýzy FMEA v řízení rizik ošetřovatelské péče [Use of FMEA analysis in nursing care risk management]. Onkologie, 15(4), 197-203. (In Czech).
- Bragadóttir, H., & Kalisch, B. J. (2018). Comparison of reports of missed nursing care: registered nurses vs. practical nurses in hospitals. Scandinavian Journal of Caring Sciences, 32(3), 1227-1236.
- Carter, D. (2014). Nursing care left undone in European hospitals. American Journal of Nursing, 114(2).
- Ceballos-Vásquez, P., Rolo-González, G., Hernández-Fernaud, E., Díaz-Cabrera, D., Paravic-Klijn, T., & Burgos-Moreno, M. (2015). Psychosocial factors and mental workload: A reality perceived by nurses in intensive care units. Revista Latino-americana De Enfermagem, 23(2), 315-322.
- Chaboyer, W., Harbeck, E., Lee, B. O., & Grealish, L. (2021). Missed nursing care: An overview of reviews. Kaohsiung Journal of Medical Sciences, 37(2), 82-91.
- Chapman, R., Rahman, A., Courtney, M., & Chalmers, C. (2017). Impact of teamwork on missed care in four Australian hospitals. Journal of Clinical Nursing, 26(1-2), 170-181.
- Cho, E., Lee, N-J., Kim, E-Y., Kim, S., Lee, K., Park, K-O., & Sung, Y. H. (2016). Nurse staffing level and overtime associated with patient safety, quality of care, and care left undone in hospitals: A cross-sectional study. International Journal of Nursing Studies, 60, 263-271.
- Cho, S-H., Kim, Y-S., Yeon, K. N., You, S-J., & Lee, I. D. (2015). Effects of increasing nurse staffing on missed nursing care. International Nursing Review, 62(2), 267-274.
- Griffiths, P., Recio-Saucedo, A., Briggs, J., Maruotti, A., Meredith, P., Smith, G. B., & Ball, J. (2018). The association between nurse staffing and omissions in nursing care: A systematic review. Journal of Advanced Nursing, 74(7), 1474-1487.
- Hernández-Cruz, R., Moreno-Monsiváis, M. G., Cheverría-Rivera, S., & Díaz-Oviedo, A. (2017). Factors influencing the missed nursing care in patients from a private hospital. Revista Latino-Americana de Enfermagem, 25, e2877.
- Jarošová, D., & Zeleníková, R. (2019). Unfinished nursing care – The first pilot study in the Czech Republic. Kontakt, 21(4), 388-394.
- Jones, T. L., Hamilton, P., & Murry, N. (2015). Unfinished nursing care, missed care, and implicitly rationed care: State of the science review. International Journal of Nursing Studies, 52(6), 1121-1137.
- Kalánková, D., Bartoníčková, K. D., & Žiaková, K. (2019). Reasons for missed, rationed and unfinished nursing care. Ošetrovateľstvo: Teória, Výskum, Vzdelávanie, 9(2), 62-69.
- Kalisch, B. J. (2006). Missed nursing care: A qualitative study. Journal of Nursing Care Quality, 21(4), 306-313.
- Kalisch, B. J., & Lee, K. H. (2012). Missed nursing care: Magnet versus non-magnet hospitals. Nursing Outlook, 60(5), e32-e39.
- Kalisch, B. J., & Williams, R. A. (2009). Development and psychometric testing of a tool to measure missed nursing care. Journal of Nursing Administration, 39(5), 211-219.
- Kalisch, B. J., Landstrom, G. L., & Hinshaw, A. S. (2009a). Missed nursing care: A concept analysis. Journal of Advanced Nursing, 65(7), 1509-1517.
- Kalisch, B. J., Landstrom, G. L., & Williams, R. A. (2009b). Missed nursing care: Errors of omission. Nursing Outlook, 57(1), 3-9.
- Kalisch, B. J., Tschannen, D., & Lee, K. H. (2011a). Do staffing levels predict missed nursing care? International Journal for Quality in Health Care, 23(3), 302-308.
- Kalisch, B., Tschanen, D., & Lee, H. (2011b). Does missed nursing care predict job satisfaction? Journal of Healthcare Management, 56(2), 117-131.
- Monteiro, C., Machado, A. F., & Gonçalves, P. M. (2015). Interruptions of nurses’ activities and patient safety: An integrative literature review. Revista Latino-americana De Enfermagem, 23(1), 169-179.
- Nantsupawat, A., Poghosyan, L., Wichaikhum, O. A., Kunaviktikul, W., Fang, Y., Kueakomoldej, S., Thienthong, H., & Turale, S. (2022). Nurse staffing, missed care, quality of care and adverse events: A cross-sectional study. Journal of Nursing Management, 30(2), 447-454.
- Prokešová, R., Brabcová, I., Tóthová, V., Hajduchová, H., Chloubová, I., Neugebauer, J., Filka, J., Kubešová, H., Klavíková, E., Slabáková, K., & Velimská, D. (2022). Use of SWOT analysis to optimize and reduce the risks of the process of administering drugs by nurses in selected departments of South Bohemian hospitals. KONTAKT – Journal of Nursing & Social Sciences related to Health & Illness, 24(1), 20-28.
- Radojicic, M., Jeremic, V., & Savic, G. (2020). Going beyond health efficiency: What really matters? The International Journal of Health Planning and Management, 35(1), 318-338.
- Ravaghi, H., Alidoost, S., Mannion, R., & Bélorgeot, D. V. (2020). Models and methods for determining the optimal number of beds in hospitals and regions: A systematic scoping review. BMC Health Services Research, 20.
- Shin, S., Park, J. H., & Bae, S. H. (2019). Nurse staffing and hospital-acquired conditions: A systematic review. Journal of Clinical Nursing, 28(23-24), 4264-4275.
- Srulovici, E., & Drach-Zahavy, A. (2017). Nurses’ personal and ward accountability and missed nursing care: A cross-sectional study. International Journal of Nursing Studies, 75, 163-171.
- Twigg, D. E., Whitehead, L., Doleman, G., & El-Zaemey, S. (2021). The impact of nurse staffing methodologies on nurse and patient outcomes: A systematic review. Journal of Advanced Nursing, 77(12), 4599-4611.
- Vaňková, I., & Vrabková, I. (2022). Productivity analysis of regional-level hospital care in the Czech republic and Slovak Republic. BMC Health Services Research, 22(1).
- Vincelette, C., Thivierge-Southidara, M., & Rochefort, C. M. (2019). Conceptual and methodological challenges of studies examining the determinants and outcomes of omitted nursing care: A narrative review of the literature. International Journal of Nursing Studies, 100, 103403.
- Vryonides, S., Papastavrou, E., Charalambous, A., Andreou, P., & Merkouris, A. (2015). The ethical dimension of nursing care rationing: A thematic synthesis of qualitative studies. Nursing Ethics, 22(8), 881-900.
- Zeleníková, R., Gurková, E., & Jarošová, D. (2019). Missed nursing care measured by MISSCARE Survey – The first pilot study in the Czech Republic and Slovakia. Central European Journal of Nursing and Midwifery, 10(1), 958-966.
- Zeleníková, R., Jarošová, D., Mynaříková, E., Janíková, E., & Plevová, I. (2023). Inadequate number of staff and other reasons for implicit rationing of nursing care across hospital types and units. Nursing Open, 10(3), 5589-5596.
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