Ausserhofer, D., Zander, B., Busse, R., Schubert, M., De Geest, S., Rafferty, A.M., Ball, J., Scott, A., Kinnunen, J., Heinen, M., Stromseng Sjetne, I., Moreno-Casbas, T., Kozka, M., Lindqvist, R., Diomidous, M., Bruyneel, L., Sermeus, W., Aiken, L.H. and 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 and Safety, 23 (2), 126-135. (doi:10.1136/bmjqs-2013-002318).
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.
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