Dejavniki neizvedene zdravstvene nege
sistematični pregled literature
DOI:
https://doi.org/10.14528/snr.2021.55.1.3061Ključne besede:
neizvedena zdravstvena nega, racionalizacija, medicinske sestrePovzetek
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
Metrike
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
Prenosi
Objavljeno
Kako citirati
Številka
Rubrike
Licenca
Na Obzornik zdravstvene nege, Ob železnici 30A, 1000 Ljubljana, prenašam naslednje materialne avtorske pravice: pravico reproduciranja v neomejeni količini, in sicer v vseh poznanih oblikah reproduciranja, kar obsega tudi pravico shranitve in reproduciranja v kakršnikoli elektronski obliki (23. čl. Zakona o avtorski in sorodnih pravicah – v nadaljevanju ZASP); pravico distribuiranja (24. čl. ZASP); pravico dajanja na voljo javnosti vključno z dajanjem na voljo javnosti prek svetovnega spleta oz. računalniške mreže (32.a čl. ZASP); pravico predelave, zlasti za namen prevoda (33. čl. ZASP). Prenos pravic velja za članek v celoti (vključno s slikami, razpredelnicami in morebitnimi prilogami). Prenos je izključen ter prostorsko in časovno neomejen.