Kontakt 2019, 21(1):65-73 | DOI: 10.32725/kont.2018.001

Application of measuring tools in the assessment of the phenomenon of rationing/missed/unfinished careNursing - Review article

Dominika Kalánková1,*, Elena Gurková2, Renáta Zeleníková3, Katarína Žiaková1
1 Comenius University in Bratislava, Jessenius Faculty of Medicine in Martin, Department of Nursing, Martin, Slovak Republic
2 The University of Bielsko-Biała, Faculty of Health Sciences, Department of Nursing and Emergency Medicine, Bielsko-Biała, Poland
3 University of Ostrava in Ostrava, Faculty of Medicine, Department of Nursing and Midwifery, Ostrava, Czech Republic

Introduction: The phenomenon of rationing/missed/unfinished care is a current subject of foreign research in nursing. Its quantification can be achieved only through specific measuring tools. With their use, it is possible to identify not only the nursing activities that nurses do not perform during their shift, but also the reasons which lead to the occurrence of this phenomenon.

Aim: The aim of our contribution is to analyze approaches to the operationalization of the concept of rationing/missed/unfinished care and to provide an overview of tools to measure it.

Methods: The method of content analysis of research studies published in the scientific databases PubMed, ScienceDirect, and ProQuest was used in the processing of paper.

Results: In our contribution, we analyzed three approaches and measuring tools which were developed for measuring the phenomenon - MISSCARE Survey, BERNCA/PIRNCA, and TU instruments. We identified differences in the range of activities, time period, scoring and evaluation.

Conclusion: We conclude that the phenomenon is mostly related to independent nursing activities and the most frequent reason for its occurrence is the insufficient number of nursing staff. Based on the analysis, we note that the phenomenon not only significantly influences patient satisfaction but also the job satisfaction of nurses - and this is reflected in the quality of provided care. We emphasize the need to be concerned about the mentioned phenomenon using specific measuring tools in studies conducted in the Slovak Republic.

Keywords: Care; Measuring tools; Missed; Nursing; Rationing; Unfinished

Received: April 25, 2018; Accepted: October 24, 2018; Prepublished online: January 10, 2019; Published: March 27, 2019  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Kalánková D, Gurková E, Zeleníková R, Žiaková K. Application of measuring tools in the assessment of the phenomenon of rationing/missed/unfinished care. Kontakt. 2019;21(1):65-73. doi: 10.32725/kont.2018.001.
Share...
Download citation
  • BibTeX (.bib)
  • Bookends (.ris)
  • EasyBib (.ris)
  • EndNote (.enw)
  • EndNote 8 (.xml)
  • ISI WoS (.isi)
  • Medlars (.medlars)
  • Mendeley (.ris)
  • MODS (.xml)
  • Papers (.ris)
  • RefWorks (.txt)
  • RefManager (.ris)
  • RIS (.ris)
  • MS Word (.xml)
  • Zotero (.ris)
    • Open full article

    References

    1. Aiken LH, Clarke SP, Sloane DM, Sochalski JA, Busse R, Clarke H, et al. (2001). Nurses' reports on hospital care in five countries. Health Aff (Millwood) 20(3): 43-53. DOI: 10.1377/hlthaff.20.3.43. Go to original source... Go to PubMed...
    2. Aiken LH, Sloane DM, Ball J, Bruyneel L, Rafferty AM, Griffiths P (2018). Patient satisfaction with hospital care and nurses in England: an observational study. BMJ Open 11(8): e019189. DOI: 10.1136/bmjopen-2017-019189. Go to original source... Go to PubMed...
    3. Aiken LH, Sloane DM, Bruyneel L, Van den Heede K, Griffiths P, Busse R, et al. (2014). Nurse staffing and education and hospital mortality in nine European countries: a retrospective observational study. Lancet 383(9931): 1824-1830. DOI: 10.1016/S0140-6736(13)62631-8. Go to original source... Go to PubMed...
    4. Aiken LH, Sloane DM, Bruyneel L, Van den Heede K, Sermeus W (2013). Nurses' reports of working conditions and hospital quality of care in 12 countries in Europe. Int J Nurs Stud 50(2): 143-153. DOI: 10.1016/j.ijnurstu.2012.11.009. Go to original source... Go to PubMed...
    5. Aiken LH, Sloane DM, Griffiths P, Rafferty AM, Bruyneel L, McHugh M, et al. (2017). Nursing skill mix in European hospitals: cross-sectional study of the association with mortality, patient ratings, and quality of care. BMJ Qual Saf 26(7): 559-568. DOI: 10.1136/bmjqs-2016-005567. Go to original source... Go to PubMed...
    6. Al-Kandari F, Thomas D (2009). Factors contributing to nursing task incompletion as perceived by nurses working in Kuwait general hospitals. J Clin Nurs 18(24): 3430-3440. DOI: 10.1111/j.1365-2702.2009.02795.x. Go to original source... Go to PubMed...
    7. Ausserhofer D, Zander B, Busse R, Schubert M, DeGeest S, Rafferty AM, et al. (2014). Prevalence, patterns and predictors of nursing care left undone in European hospitals: results from the multicountry cross-sectional RN4CAST study. BMJ Qual Saf 23(2): 126-135. DOI: 10.1136/bmjqs-2013-002318. Go to original source... Go to PubMed...
    8. Bail K, Grealish L (2016). 'Failure to Maintain': A theoretical proposition for a new quality indicator of nurse care rationing for complex older people in hospital. Int J Nurs Stud 63: 146-161. DOI: 10.1016/j.ijnurstu.2016.08.001. Go to original source... Go to PubMed...
    9. Ball JE, Griffiths P, Rafferty AM, Lindqvist R, Murrells T, Tishelman C (2016). A cross-sectional study of 'care left undone' on nursing shifts in hospitals. J. Adv Nurs 72(9): 2086-2097. DOI: 10.1111/jan.12976. Go to original source... Go to PubMed...
    10. Ball JE, Murrells T, Rafferty AM, Morrow E, Griffiths P (2014). 'Care left undone' during nursing shifts: Associations with workload and perceived quality of care. BMJ Qual Saf 23(2): 116-125. DOI: 10.1136/bmjqs-2012-001767. Go to original source... Go to PubMed...
    11. Bragadóttir H, Kalisch BK, Smáradóttir SB, Jónsdóttir HH (2014). Translation and psychometric testing of the Icelandic version of the MISSCARE Survey. Scand J Caring Sci 29(3): 563-572. DOI: 10.1111/scs.12150. Go to original source... Go to PubMed...
    12. Castner J, Dean-Baar S (2014). Measuring nursing error: psychometrics of MISSCARE and practice and professional issues items. J Nurs Meas 22(3): 421-437. DOI: 10.1891/1061-3749.22.3.421. Go to original source... Go to PubMed...
    13. Cho E, Sloane DM, Kim EY, Kim S, Choi M, Yoo, IY, et al. (2015). Effects of nurse staffing, work environments, and education on patient mortality: An observational study. Int J Nurs Stud 52(2): 535-542. DOI: 10.1016/j.ijnurstu.2014.08.006. Go to original source... Go to PubMed...
    14. Dhaini SR, Zúñiga F, Ausserhofer D, Simon M, Kunz R, De Geest S, Shwendimann R (2017). Are nursing home care workers' health and presenteeism associated with implicit rationing of care? A cross-sectional multi-site study. Geriatr Nurs 38(1): 33-38. DOI: 10.1016/j.gerinurse.2016.07.003. Go to original source... Go to PubMed...
    15. Friese CR, Kalisch BJ, Lee KH (2013). Patterns and correlates of missed nursing care in inpatient oncology units. Cancer Nurs 36(6): 51-57. DOI: 10.1097/NCC.0b013e318275f552. Go to original source... Go to PubMed...
    16. Gurková E, Jakubcová V (2017). Nedokončená ošetrovateľská starostlivosť - výsledky pilotného výskumu na Slovensku. In: Zborník abstraktov: Quo vadis zdravotníctvo III. Fakulta zdravotnických odborov, Prešovská univerzita v Prešove, pp. 26-27.
    17. Halvorsen K, Førde R, Nortvedt P (2008). Professional Challenges of Bedside Rationing in Intensive Care. Nurs Ethics 15(6): 715-728. DOI: 10.1177/0969733008095383. Go to original source... Go to PubMed...
    18. Halvorsen K, Førde R, Nortvedt P (2009). The principle of justice in patient priorities in the intensive care unit: the role of significant others. J Med Ethics 35(8): 483-487. DOI: 10.1136/jme.2008.028183. Go to original source... Go to PubMed...
    19. Harvey C, Buckley C, Forrest R, Roberts J, Searle J, Meyer A, et al. (2015). Aberrant Work Environments, Rationed Care as System Failure or Missed Care as Skills Failure? GSTF Journal of Nursing and Health Care 2(1): 72-80. DOI: 10.5176/2345-718X_2.1.66. Go to original source...
    20. Henderson J, Willis E, Xia L, Blackman I (2017). Missed care in residential aged care in Australia: An exploratory study. Collegian 24(5):411-416. DOI: 10.1016/j.colegn.2016.09.001. Go to original source...
    21. Hernández-Cruz R, Moreno-Monsiváis MG, Cheverria-Rivera S, Díaz-Oviedo A (2017). Factors influencing the missed nursing care in patients from a private hospital. Rev Lat Am Enfermagem 25: e2877. DOI: 10.1590/1518-8345.1227.2877. Go to original source... Go to PubMed...
    22. Hessels AJ, Flynn L, Cimiotti JP, Cadmus E, Gershon RRM (2015). The impact of the nursing practice environment on missed nursing care. Clin Nurs Stud 3(4): 60-65. DOI: 10.5430/cns.v3n4p60. Go to original source... Go to PubMed...
    23. Jones TL (2014). Validation of the Perceived Implicit Rationing of Nursing Care (PIRNCA) Instrument. Nurs Forum 49(2): 77-87. DOI: 10.1111/nuf.12076. Go to original source... Go to PubMed...
    24. Jones TL (2015). A descriptive analysis of implicit rationing of nursing care: Frequency and patterns in Texas. Nurs Econ 33(3): 144-154.
    25. Jones TL, Hamilton P, Murry N (2015). Unfinished nursing care, missed care, and implicitly rationed care: State of the science review. Int J Nurs Stud 52(6): 1121-1137. DOI: 10.1016/j.ijnurstu.2015.02.012. Go to original source... Go to PubMed...
    26. Kalisch BJ (2006). Missed nursing care: A qualitative study. J Nurs Care Qual 21(4): 306-313. Go to original source... Go to PubMed...
    27. Kalisch BJ, Landstrom GL, Hinshaw AS (2009b). Missed nursing care: a concept analysis. J Adv Nurs 65: 1509-1517. DOI: 10.1111/j.1365-2648.2009.05027.x. Go to original source... Go to PubMed...
    28. Kalisch BJ, Landstrom G, Williams RA (2009a). Missed nursing care: errors of omission. Nurs Outlook 57(1): 3-9. DOI: 10.1016/j.outlook.2008.05.007. Go to original source... Go to PubMed...
    29. Kalisch BJ, Lee KH (2012). Missed nursing care: Magnet versus non-Magnet hospitals. Nurs Outlook 60(5): E32-E39. DOI: 10.1016/j.outlook.2012.04.006. Go to original source... Go to PubMed...
    30. Kalisch BJ, Tschannen D, Lee KH, Friese CR (2011). Hospital variation in missed nursing care. Am J Med Qual 26(4): 291-299. DOI: 10.1177/1062860610395929. Go to original source... Go to PubMed...
    31. Kalisch BJ, Williams RA (2009). Development and psychometric testing of a tool to measure missed nursing care. J Nurs Admin 39(5): 211-219. DOI: 10.1097/NNA.0b013e3181a23cf5. Go to original source... Go to PubMed...
    32. Kalisch BJ, Xie, B, Dabney BW (2014). Patient-reported missed nursing care correlated with adverse events. Am J Med Qual 29(5): 415-422. DOI: 10.1177/1062860613501715. Go to original source... Go to PubMed...
    33. Leary A, White J, Yarnell L (2014). The work left undone. Understanding the challenge of providing holistic lung cancernursing care in the UK. Eur J Oncol Nurs 18(1): 23-28. DOI: 10.1016/j.ejon.2013.10.002. Go to original source... Go to PubMed...
    34. Lucero RJ, Lake ET, Aiken LH (2009). Variations in nursing care quality across hospitals. J Adv Nurs 65(11): 2299-2310. DOI: 10.1111/j.1365-2702.2010.03250.x. Go to original source... Go to PubMed...
    35. Lucero RJ, Lake ET, Aiken LH (2010). Nursing care quality and adverse events in US hospitals. J Clin Nurs 19(15-16): 2185-2195. DOI: 10.1111/j.1365-2702.2010.03250.x. Go to original source... Go to PubMed...
    36. Moreno-Monsiváis MG, Moreno-Rodríguez C, Interial-Guzmán MG (2015). Missed Nursing Care in Hospitalized Patients. Aquichan 15(3): 318-328. DOI: 10.5294/aqui.2015.15.3.2. Go to original source...
    37. Palese A, Ambrosi E, Prosperi L, Guarnier A, Barelli P, Zambiasi P, et al. (2015). Missed nursing care and predicting factors in the Italian medical care setting. Intern Emerg Med 10(6): 693-702. DOI: 10.1007/s11739-015-1232-6. Go to original source... Go to PubMed...
    38. Papastavrou E, Andreou P, Efstathiou G (2014). Rationing of nursing care and nurse patient outcomes: a systematic review of quantitative studies. Int J Health Plann Manage 29(1): 3-25. DOI: 10.1002/hpm.2160. Go to original source... Go to PubMed...
    39. Papastavrou E, Andreou P, Vryonides S (2014). The hidden ethical element of nursing care rationing. Nurs Ethics 21(5): 583-593. DOI: 10.1177/0969733013513210. Go to original source... Go to PubMed...
    40. Papastavrou E, Charalambous A, Vryonides S, Eleftheriou C, Merkouris A (2016). To what extent are patients' needs met on oncology units? The phenomenon of care rationing. Eur J Oncol Nurs 21: 48-56. DOI: 10.1177/0969733016664979. Go to original source... Go to PubMed...
    41. Phelan A, McCarthy S, Adams E (2017). Examining missed care in community nursing: A cross section survey design. J Adv Nurs 74(3): 1-11. DOI: 10.1111/jan.13466. Go to original source... Go to PubMed...
    42. Rehem M, Elhamid MA, Elsalam YAE (2017). Missed Nursing Care: Observation versus Perception in Selected Medical Intensive Care Units, Egypt. Int J Health Wellness Soc 7(1): 31-47 Go to original source...
    43. Rochefort CM, Clarke SP (2010). Nurses' work environments, care rationing, job outcomes, and quality of care on neonatal units. J Adv Nurs 66(10): 2213-2224. DOI: 10.1111/j.1365-2648.2010.05376.x. Go to original source... Go to PubMed...
    44. Rochefort CM, Rathwell BA, Clarke SP (2016). Rationing of nursing care interventions and its association with nurse-reported outcomes in the neonatal intensive care unit: a cross-sectional survey. BMC Nurs 15(46). DOI: 10.1186/s12912-016-0169-z. Go to original source... Go to PubMed...
    45. Schubert M, Clarke SP, Aiken LH, De Geest S (2012). Associations between rationing of nursing care and inpatient mortality in Swiss hospitals. Int J Qual Health Care 24(3): 230-238. DOI: 10.1093/intqhc/mzs009. Go to original source... Go to PubMed...
    46. Schubert M, Clarke SP, Glass TR, Schaffert-Witvliet B, De Geest S (2009). Identifying thresholds for relationships between impacts of rationing of nursing care and nurse- and patient-reported outcomes in Swiss hospitals: a correlational study. Int J Nurs Stud 46(7): 884-893. DOI: 10.1016/j.ijnurstu.2008.10.008. Go to original source... Go to PubMed...
    47. Schubert M, Glass TR, Clarke SP, Aiken LH, Schaffert-Witvliet B, Sloane DM, De Geest S (2008). Rationing of nursing care and its relationship to patient outcomes: the Swiss extension of the International Hospital Outcomes Study. Int J Qual Health Care 20(4): 227-237. DOI: 10.1093/intqhc/mzn017. Go to original source... Go to PubMed...
    48. Schubert M, Glass TR, Clarke SP, Schaffert-Witvliet B, DeGeest S (2007). Validation of the Basel extent of rationing of nursing care instrument. Nurs Res 56(6): 416-424. DOI: 10.1097/01.NNR.0000299853.52429.62. Go to original source... Go to PubMed...
    49. Sochalski J (2004). Is more better? The relationship between nurse staffing and the quality of nursing care in hospitals. Med Care 42(Suppl. 2): 67-73. DOI: 10.1097/01.mlr.0000109127.76128.aa. Go to original source... Go to PubMed...
    50. Srulovici E, Drach-Zahavy A (2017). Nurses' personal and ward accountability and missed nursing care: A cross-sectional study. Int J Nurs Stud 16(75): 163-171. DOI: 10.1016/j.ijnurstu.2017.08.003. Go to original source... Go to PubMed...
    51. Valles JH, Moreno-Monsiváis MG, Interial-Guzmán MG, Arreola LV (2016). Nursing care missed in patients at risk of or having pressure ulcers. Rev Lat Am Enfermagem 24: e2817. DOI: 10.1590/1518-8345.1462.2817. Go to original source... Go to PubMed...
    52. VanFosson CA, Yoder LH, Jones TL (2017). Monthly Variation of Unfinished Nursing Care at the US Army Burn Center. Ph.D. The University of Texas at Austin. DOI: 10.1016/j.burns.2018.03.008. Go to original source... Go to PubMed...
    53. Zeleníková R, Gurková E, Jarošová D (2017). Prideľovaná-chýbajúca starostlivosť: konceptuálne a metodologické aspekty. In: Zborník abstraktov: Quo vadis zdravotníctvo III. Fakulta zdravotnických odborov, Prešovská univerzita v Prešove, pp. 56-57.
    54. Zhu XW, You LM, Zheng J, Liu K, Fang JB, Hou SX, Zhang LF (2012). Nurse staffing levels make a difference on patient outcomes: A multisite study in Chinese hospitals. J Nurs Scholarship 44(3): 266-273. DOI: 10.1111/j.1547-5069.2012.01454.x. Go to original source... Go to PubMed...
    55. Zúñiga F, Ausserhofer D, Hamers JP, Engberg S, Simon M, Schwendimann R (2015). The relationship of staffing and work environment with implicit rationing of nursing care in Swiss nursing homes - A cross-sectional study. Int J Nurs Stud 52(9): 1463-1474. DOI: 10.1016/j.ijnurstu.2015.05.005. Go to original source... Go to PubMed...

    This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND 4.0), which permits non-comercial use, distribution, and reproduction in any medium, provided the original publication is properly cited. No use, distribution or reproduction is permitted which does not comply with these terms.


    Return to the content