Dejavniki neizvedene zdravstvene nege

sistematični pregled literature

  • Mateja Bahun Fakulteta za zdravstvo Angele Boškin, Spodnji Plavž 3, 4270 Jesenice, Slovenija
  • Brigita Skela-Savič Fakulteta za zdravstvo Angele Boškin, Spodnji Plavž 3, 4270 Jesenice, Slovenija https://orcid.org/0000-0002-1028-5383
Ključne besede: neizvedena zdravstvena nega, racionalizacija, medicinske sestre

Povzetek

Uvod: Neizvedena zdravstvena nega je koncept, ki se pojavlja v zdravstveni oskrbi pacientov po vsem svetu. Namen sistematičnega pregleda literature je opisati neizvedeno zdravstveno nego in pridobiti razumevanje povezanosti koncepta z dejavniki za njen nastanek.
Metode: Uporabljen je bil sistematični pregled literature, izveden v podatkovnih bazah PubMed, CINAHL, Wiley library online, COBISS.SI februarja in marca 2020. Iskalni pojmi so bili: neizvedena zdravstvena nega, zamujena oskrba; v angleškem jeziku pa unfinished nursing care, missed nursing care, implicit rationing, care left undone. Iskalna strategija je temeljila na vključitvenih kriterijih: znanstvena revija, recenzirana publikacija, dostopnost v polnem besedilu, slovenski ali angleški jezik, obdobje 2015–2020. Rezultati so bili analizirani s tematsko analizo.
Rezultati: Skupaj je bilo identificiranih 1.667 in v končno analizo vključenih 16 zadetkov: dva sistematična pregleda literature, dvanajst presečnih raziskav in dve opisni kvalitativni raziskavi, kar skupaj združuje rezultate 88.294 zaposlenih v zdravstveni negi iz 21 držav. Rezultati so pokazali tri skupine dejavnikov za neizvedeno zdravstveno nego: kadrovske značilnosti, značilnosti delovnega okolja in timsko delo s komunikacijo.
Diskusija in zaključek: Rezultati kažejo, da so vzroki za neizvedeno zdravstveno nego kompleksni in nekonsistentni. Med državami se razlikujejo tudi zaradi različnih izobraževalnih sistemov v zdravstveni negi. Povezani so z dejavniki v zdravstveni organizaciji in značilnostmi medicinskih sester. Če želimo na nacionalni ravni ugotoviti količino in obseg neizvedene zdravstvene nege, potrebujemo lastne podatke o stanju na tem področju v Sloveniji.

Prenosi

Podatki o prenosih še niso na voljo.

Literatura

Aiken, L. H., Cimiotti, J. P., Sloane, D. M., Smith, H. L., Flynn, L., & Neff, D. F. (2011). Effects of nurse staffing and nurse education on patient deaths in hospitals with different nurse work environments. Medical Care, 49(12), 1047–1053. https://doi.org/10.1097/MLR.0b013e3182330b6e PMid:21945978; PMCid:PMC3217062

Aiken, L. H., Clarke, S. P., Sloane, D. M., Lake, E. T., & Cheney, T. (2008). Effects of hospital care environment on patient mortality and nurse outcomes. The Journal of Nursing Administration, 38(5), 223–229. https://doi.org/10.1097/01.NNA.0000312773.42352.d7 PMid:18469615; PMCid:PMC2586978

Aiken, L. H., Sermeus, W., Van den Heede, K., Sloane, D. M., Busse, R., McKee, M. ... Kutney-Lee, A. (2012). Patient safety, satisfaction, and quality of hospital care: Cross sectional surveys of nurses and patients in 12 countries in Europe and the United States. British Medical Journal, 344, Article e1717. https://doi.org/10.1136/bmj.e1717 PMid:22434089; PMCid:PMC3308724

Aiken, L. H., Sloane, D., Griffiths, P., Rafferty, A. M., Bruyneel, L., McHugh, M. ... Sermeu, W. (2017). Nursing skill mix in European hospitals: Cross-sectional study of the association with mortality, patient ratings, and quality of care. BMJ Quality & Safety, 26(7), 559–568. https://doi.org/10.1136/bmjqs-2016-005567 PMid:28626086; PMCid:PMC5477662

Ausserhofer, D., Zander, B., Busse, R., Schubert, M., De Geest, S., Rafferty, A. M. ... 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. https://doi.org/10.1136/bmjqs-2013-002318 PMid:24214796

Ball, J. E., Murrells, T., Rafferty, A. M., Morrow, E., & Griffiths, P. (2014). 'Care left undone' during nursing shifts: Associations with workload and perceived quality of care. BMJ Quality & Safety, 23(2), 116–125. https://doi.org/10.1136/bmjqs-2012-001767 PMid:23898215; PMCid:PMC3913111

Ball, J. E., Griffiths, P., Rafferty, A. M., Lindqvist, R., Murrells, T., & Tishelman, C. (2016). A cross-sectional study of 'care left undone' on nursing shifts in hospitals. Journal of Advanced Nursing, 72(9), 2086–2097. https://doi.org/10.1111/jan.12976 PMid:27095463

Blackman, I., Lye, C. Y., Darmawan, I. G. N., Henderson. J., Giles, T, Willis, E. ... Verrall, C. (2018). Modeling missed care: Implications for evidence-based Practice. Worldviews on Evidence-Based Nursing, 15(3), 1–11. https://doi.org/10.1111/wvn.12285 PMid:29569380

Booth, A., Papaioannou, D., & Sutton. A. (2012). Systematic approaches to a successful literature review. Thousand Oaks: SAGE Publications.

Bragadóttir, H., Kalisch, B. J., & Tryggvadóttir, G. B. (2016). Correlates and predictors of missed nursing care in hospitals. Journal of Clinical Nursing, 26(11/12), 1524–1534. https://doi.org/10.1111/jocn.13449 PMid:27325454

Bragadóttir, H., & Kalisch, B. J. (2018). Comparison of reports of missed nursing care: Registered Nurses vs. practical nurses in hospitals. Scandinavian Journal of Caring Science, 32(3), 1227–1236. https://doi.org/10.1111/scs.12570 PMid:29603312

Campbell, C. M., Prapanjaroensin, A., Anusiewicz, C. V., Baernholdt, M., Jones, T., & Patrician, P. A. (2020). Variables associated with missed nursing care in Alabama: A crosssectional analysis. Journal of Nursing Management, 28(8), 2174–2184. https://doi.org/10.1111/jonm.12979 PMid:32072688

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. https://doi.org/10.1111/jocn.13433 PMid:27322941

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. https://doi.org/10.1016/j.ijnurstu.2016.05.009 PMid:27297386

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. https://doi.org/10.1111/inr.12173 PMid:25762430

Cho, S.-H., Lee, J.-Y., You, S. J., Song, K. J., & Hong, K. J. (2020). Nurse staffing, nurses prioritization, missed care, quality of nursing care, and nurse outcomes. International Journal of Nursing Practice, 26(1), Article e12803. https://doi.org/10.1111/ijn.12803 PMid:31850645

Griffiths, P., Recio-Saucedo, A., Dall'Ora, C., Briggs, J., Maruotti A., Meredith, P. … Ball, J. (2018). The association between nurse staffing and omissions in nursing care: A systematic review. Journal of Advanced Nursing, 74(7), 1474–1487. https://doi.org/10.1111/jan.13564 PMid:29517813; PMCid:PMC6033178

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. https://doi.org/10.1016/j.ijnurstu.2015.02.012 PMid:25794946

Kalisch, B. J., Landstrom, G. L., & Hinshaw, A. S. (2009). Missed nursing care: A concept analysis. Journal of Advanced Nursing, 65(7), 1509–1517. https://doi.org/10.1111/j.1365-2648.2009.05027.x PMid:19456994

Kalisch, B. J., & Lee, K. H. (2010). The impact of teamwork on missed nursing care. Nursing Outlook, 58(5), 233–241. https://doi.org/10.1016/j.outlook.2010.06.004 PMid:20934078

Kalisch, B. J., & Xie, B. (2014). Errors of omission: Missed nursing care. Western Journal of Nursing Research, 36(7), 875–890. https://doi.org/10.1177/0193945914531859 PMid:24782432

Lippincott Nursing Education. (2016). The importance of the optimal nurse-to-patient ratio. Retrieved April 20, 2020 from http://nursingeducation.lww.com/blog.entry.html/2016/11/10/the_importance_ofth-GCAE.html

Maloney, S., Fenci, J. L., & Hardin, S. R. (2015). Is nursing care missed: A comparative study of three North Carolina hospitals. Medsurg nursing, 24(4), 229–235. PMid:26434035

Mandal, L., Seethalakshmi, A., & Rajendrababu, A. (2019). Rationing of nursing care, a deviation from holistic nursing: A systematic review. Nursing Philosophy, 21(1), Article e12288. https://doi.org/10.1111/nup.12257 PMid:31429179

Mariani, B. (2012). The effect of mentoring on career satisfaction of registered nurses and intent to stay in the nursing profession. Nursing Research and Practice, 2012, Article 168278. https://doi.org/10.1155/2012/168278 PMid:22645673; PMCid:PMC3356736

Moher, D., Liberati, A., Tetzlaff, J., Altman, D.G., & The PRISMA Group. (2009). Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. PLoS Medicine, 6(7), Article e1000097. https://doi.org/10.1371/journal.pmed.1000097 PMid:19621072; PMCid:PMC2707599

Needleman, J., Buerhaus, P., Pankratz, V. S., Leibson, C. L., Stevens, S. R., & Harris, M. (2011). Nurse staffing and inpatient hospital mortality. The New England Journal of Medicine, 364(11), 1037–1045. https://doi.org/10.1056/NEJMsa1001025 PMid:21410372

Palese, A., Ambrosi, E., Prosperi, L., Guarnier, A., Barelli, P., Zambiasi, P. ... Saiani, L. (2015). Missed nursing care and predicting factors in the Italian medical care setting. Internal and Emergency Medicine, 10(6), 693–702. https://doi.org/10.1007/s11739-015-1232-6 PMid:25840678

Papastavrou, E., Andreou, P., & Efstathiou, G. (2013). Rationing of nursing care and nurse-patient outcomes: A systematic review of quantitative studies. The International Journal of Health Planning and Management, 29(1), 3–25. https://doi.org/10.1002/hpm.2160 PMid:23296644

Park, S. H., Hanchett, M., & Ma, C. (2018). Practice environment characteristics associated with missed nursing care. Journal of Nursing Scholarship, 50(6), 722–730. https://doi.org/10.1002/hpm.2160 PMid:23296644

Polit, D. F., & Beck, C.T. (2018). Esentials of nursing research: Appraising evidence for nursing practice (9th ed.). Philadelphia: Lippincott Williams & Wilkins.

Price, S. L., McGillis Hall, L., Angus, J. E., & Peter, E. (2013). Choosing nursing as a career: A narrative analysis of millennial nurses' career choice of virtue. Nursing Inquiry, 20(4), 305–316. https://doi.org/10.1111/nin.12027 PMid:23551958

Recio-Saucedo, A., Dall'Ora, C., Maruotti, A., Ball, J., Briggs, J., Meredith, P. … Griffits, P. (2018). What impact does nursing care left undone have on patient outcomes: Review of the literature. Journal of Clinical Nursing, 27(11/12), 2248–2259. https://doi.org/10.1111/jocn.14058 PMid:28859254; PMCid:PMC6001747

Saqer, T. J., & AbuAlRub, R. F. (2018). Missed nursing care and its relationship with confidence in delegation among hospital nurses. Journal of Clinical Nursing, 27(13/14), 2887–2895. https://doi.org/10.1111/jocn.14380 PMid:29633416

Schuckhart, M. C. (2010). "The MISSCARE Nursing Survey: A secondary data analysis« Fort Worth, Tx: University of North Texas Health Science Center. Retrieved January 20, 2020 from https://digitalcommons.hsc.unt.edu/theses/155

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. https://doi.org/10.1016/j.ijnurstu.2017.08.003 PMid:28829974

VanFosson, C. A., Jones, T. L., & Yoder, L. H. (2016). Unfinished nursing care: An important performance measure for nursing care systems. Nursing Outlook, 64(2), 124–136. https://doi.org/10.1016/j.outlook.2015.12.010 PMid:26850334

Zeleníková, R., Gurková, E., Friganovic, A., Uchmanowicz, I., Jarošová, D., Žiaková, K. ... Papstavrou, E. (2019). Unfinished nursing care in four central European countries. Journal of Nursing Management, 28(8), 1888–1900. https://doi.org/10.1111/jonm.12896 PMid:31680373; PMCid:PMC7754486

Objavljeno
2021-03-19
Kako citirati
Bahun, M., & Skela-Savič, B. (2021). Dejavniki neizvedene zdravstvene nege. Obzornik Zdravstvene Nege, 55(1), 42-51. https://doi.org/10.14528/snr.2021.55.1.3061
Rubrike
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