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Prevalence, patterns and predictors of nursing care left undone in European hospitals: results from the multicountry cross-sectional RN4CAST study

Ausserhofer, Dietmar and Zander, Britta and Busse, Reinhard and Schubert, Maria and De Geest, Sabina and Rafferty, Anne Marie and Ball, Jane and Scott, Anne and Kinnunen, Juha and Heinen, Maud and Sjetne, Ingeborg Strømseng and Moreno-Casbas, Teresa and Kózka, Maria and Lindqvist, Rikard and Diomidous, Marianna and Bruyneel, Luk and Sermeus, Walter and Aiken, Linda H. and Schwendimann, René. (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). pp. 126-135.

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Official URL: http://edoc.unibas.ch/57378/

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Abstract

Little is known of the extent to which nursing-care tasks are left undone as an international phenomenon.; 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.; Data were collected from 33 659 nurses in 488 hospitals across 12 European countries for a large multicountry cross-sectional study.; 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.; 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.
Faculties and Departments:03 Faculty of Medicine > Departement Public Health > Institut für Pflegewissenschaft
UniBasel Contributors:Ausserhofer, Dietmar and De Geest, Sabina M. and Schwendimann, René
Item Type:Article, refereed
Article Subtype:Research Article
Publisher:BMJ Publishing Group
ISSN:0963-8172
e-ISSN:1470-7934
Note:Publication type according to Uni Basel Research Database: Journal article
Identification Number:
Last Modified:04 Dec 2017 08:33
Deposited On:04 Dec 2017 08:33

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