Forum for Science, Industry and Business

Sponsored by:     3M 
Search our Site:

 

When Care is omitted – new Research on a Taboo Topic

11.11.2013
Registered nurses in hospitals often lack the time for nursing care activities, such as comfort or talk with patients or educating patients and relatives.

A study by the Institute of Nursing Sciences at the University of Basel shows that all European countries are affected, but variability in these and other important aspects of nursing care between and within countries was found. The results have been published in the journal "BMJ Quality & Safety".

Due to Budget constraints registered nurses are often confronted with difficult decisions: They have to decide which care activities they can offer to their patients and which to omit. Recent studies have analyzed this international phenomenon and revealed a correlation between omitted nursing care and increased patient mortality.

The Institute of Nursing Sciences at the University of Basel has for the first time conducted a study on the prevalence and nature of omitted nursing activities on general medical/surgical wards in acute care hospitals across Europe. Data analysis included responses of 33’659 nurses in 488 hospitals across twelve European countries, namely Belgium, England, Finland, Germany, Greece, Ireland, the Netherlands, Norway, Poland, Spain and Switzerland. These survey data were originally collected for the international RN4CAST study (Nurse forecasting in Europe), which was funded within the European Union’s Seventh Framework Program.

Four out of thirteen care activities are left undone
Across Europe four out of thirteen nursing activities were omitted by healthcare professionals on average. However, high between-country and within-country variability was observed. The results show a similar pattern across Europe: Psychoeducational care (for example talking with patients or the education of patients and their relatives) were more often omitted than activities, such as the documenting and planning of care, patient monitoring, the turning of patients or administering medications on time.

"Although psychoeducational care activities have always been part of the core tasks of nursing our study demonstrates that they are often left undone due to limited resources and lack of time. Nurses give them lower priority, because they are time-consuming and the required time-effort is difficult to estimate", explains Dr. René Schwendimann, head of the Swiss research group.

Negative Influence on job satisfaction
Leaving nursing care undone is a taboo topic among healthcare professionals, since it potentially creates situations of moral and role conflict, which may erode job satisfaction and even increase job-related burnout. Thus, according to the authors, an open and honest discourse on this topic would be of great importance for health policy-makers and providers of health services to have.
Good management required
The study also showed that nursing care activities are omitted less often in hospitals with more favorable nurse work environments irrespective of national jurisdiction. The quality of the work environment is significantly influenced by aspects, such as the leadership skills of the nursing management, the teamwork between physicians and nurses and the amount nurses carry out non-nursing duties, such as cleaning.

"By optimizing the nurse work environment, the hospital management can help nurses avoid having to leave nursing care undone", says Schwendimann. However, current financial constraints on healthcare in many European countries could lead to greater prevalence of nursing care left undone. Regular surveys among the nurses could serve as a warning system to identify deficits early in the care process.

Original Citation
Ausserhofer, D., Zander, B., Busse, R., Schubert, M., De Geest, S., Rafferty, A., Ball, J., Scott, A., Kinnunen, J., Heinen, M., Strømseng, S., Moreno-Casbas, T., Kózka, N., Lindqvist, R., Diomidous, M., Bruyneel, L., Sermeus, W., Aiken, L., Schwendimann, R., on behalf of the RN4CAST consortium
Prevalence, patterns and predictors of nursing care left undone in European hospitals: Results from the multi-country cross-sectional RN4CAST study

BMJ Quality & Safety (2013) | doi: 10.1136/bmjqs-2013-002318

Further Information
Dr. René Schwendimann, University of Basel, Institute of Nursing Science, Tel. +41 61 267 09 19, Email: rene.schwendimann@unibas.ch
Weitere Informationen:
http://www.unibas.ch/index.cfm?uuid=77DAF9DFDE56ADD471CF5C2D04D3E4DD&type=search&show_long=1

Reto Caluori | Universität Basel
Further information:
http://www.unibas.ch

Further reports about: BMJ Nursing Topic Maps healthcare professionals nursing care work environment

More articles from Health and Medicine:

nachricht Nanoparticles as a Solution against Antibiotic Resistance?
15.12.2017 | Friedrich-Schiller-Universität Jena

nachricht Plasmonic biosensors enable development of new easy-to-use health tests
14.12.2017 | Aalto University

All articles from Health and Medicine >>>

The most recent press releases about innovation >>>

Die letzten 5 Focus-News des innovations-reports im Überblick:

Im Focus: First-of-its-kind chemical oscillator offers new level of molecular control

DNA molecules that follow specific instructions could offer more precise molecular control of synthetic chemical systems, a discovery that opens the door for engineers to create molecular machines with new and complex behaviors.

Researchers have created chemical amplifiers and a chemical oscillator using a systematic method that has the potential to embed sophisticated circuit...

Im Focus: Long-lived storage of a photonic qubit for worldwide teleportation

MPQ scientists achieve long storage times for photonic quantum bits which break the lower bound for direct teleportation in a global quantum network.

Concerning the development of quantum memories for the realization of global quantum networks, scientists of the Quantum Dynamics Division led by Professor...

Im Focus: Electromagnetic water cloak eliminates drag and wake

Detailed calculations show water cloaks are feasible with today's technology

Researchers have developed a water cloaking concept based on electromagnetic forces that could eliminate an object's wake, greatly reducing its drag while...

Im Focus: Scientists channel graphene to understand filtration and ion transport into cells

Tiny pores at a cell's entryway act as miniature bouncers, letting in some electrically charged atoms--ions--but blocking others. Operating as exquisitely sensitive filters, these "ion channels" play a critical role in biological functions such as muscle contraction and the firing of brain cells.

To rapidly transport the right ions through the cell membrane, the tiny channels rely on a complex interplay between the ions and surrounding molecules,...

Im Focus: Towards data storage at the single molecule level

The miniaturization of the current technology of storage media is hindered by fundamental limits of quantum mechanics. A new approach consists in using so-called spin-crossover molecules as the smallest possible storage unit. Similar to normal hard drives, these special molecules can save information via their magnetic state. A research team from Kiel University has now managed to successfully place a new class of spin-crossover molecules onto a surface and to improve the molecule’s storage capacity. The storage density of conventional hard drives could therefore theoretically be increased by more than one hundred fold. The study has been published in the scientific journal Nano Letters.

Over the past few years, the building blocks of storage media have gotten ever smaller. But further miniaturization of the current technology is hindered by...

All Focus news of the innovation-report >>>

Anzeige

Anzeige

Event News

See, understand and experience the work of the future

11.12.2017 | Event News

Innovative strategies to tackle parasitic worms

08.12.2017 | Event News

AKL’18: The opportunities and challenges of digitalization in the laser industry

07.12.2017 | Event News

 
Latest News

Engineers program tiny robots to move, think like insects

15.12.2017 | Power and Electrical Engineering

One in 5 materials chemistry papers may be wrong, study suggests

15.12.2017 | Materials Sciences

New antbird species discovered in Peru by LSU ornithologists

15.12.2017 | Life Sciences

VideoLinks
B2B-VideoLinks
More VideoLinks >>>