Kontakt 2019, 21(4):388-394 | DOI: 10.32725/kont.2019.048

Unfinished nursing care - the first pilot study in the Czech RepublicNursing - Original article

Darja Jarošová, Renáta Zeleníková *
University of Ostrava, Faculty of Medicine, Department of Nursing and Midwifery, Ostrava, Czech Republic

Aim: The main aim of this pilot study was to investigate the amount, type and reasons for unfinished nursing care among Czech hospital nurses. The other aim was to compare the differences in the level of unfinished nursing care according to age, perceived lack of staffing and job satisfaction of nurses.

Design: A descriptive cross-sectional study.

Methods: A self-reported PIRNCA (Perceived Implicit Rationing of Nursing Care) instrument was used to measure unfinished nursing care. A sample included 100 hospital bedside nurses from two different hospitals in the Moravian-Silesian Region, Czech Republic. Data were collected in 2017.

Results: Elements of care most frequently left unfinished were: Timely response to patient/family request, Provide adequate supervision, Emotional or psychological support, Monitoring a patient's behavior, and Reviewing multidisciplinary patient documentation. Nurses reported the most common reasons for unfinished nursing care to be: inadequate number of nursing staff. The most differences in the level of unfinished nursing care were found to be dependent on perceived lack of staffing.

Conclusions: This pilot study also revealed the existence of hidden phenomenon in Czech clinical practice. According to the results of this pilot study there are differences in the level of unfinished nursing care according to age, perceived lack of staffing and job satisfaction of nurses.

Keywords: Hospital nurses; Lack of staffing; Survey; Unfinished nursing care

Received: March 18, 2019; Accepted: September 17, 2019; Prepublished online: October 7, 2019; Published: December 13, 2019  Show citation

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Jarošová D, Zeleníková R. Unfinished nursing care - the first pilot study in the Czech Republic. Kontakt. 2019;21(4):388-394. doi: 10.32725/kont.2019.048.
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