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 Satellites, airport visibility readings shed light on troops' exposure to air pollution
09.12.2016 | Veterans Affairs Research Communications

nachricht Oxygen can wake up dormant bacteria for antibiotic attacks
08.12.2016 | Penn State

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: Electron highway inside crystal

Physicists of the University of Würzburg have made an astonishing discovery in a specific type of topological insulators. The effect is due to the structure of the materials used. The researchers have now published their work in the journal Science.

Topological insulators are currently the hot topic in physics according to the newspaper Neue Zürcher Zeitung. Only a few weeks ago, their importance was...

Im Focus: Significantly more productivity in USP lasers

In recent years, lasers with ultrashort pulses (USP) down to the femtosecond range have become established on an industrial scale. They could advance some applications with the much-lauded “cold ablation” – if that meant they would then achieve more throughput. A new generation of process engineering that will address this issue in particular will be discussed at the “4th UKP Workshop – Ultrafast Laser Technology” in April 2017.

Even back in the 1990s, scientists were comparing materials processing with nanosecond, picosecond and femtosesecond pulses. The result was surprising:...

Im Focus: Shape matters when light meets atom

Mapping the interaction of a single atom with a single photon may inform design of quantum devices

Have you ever wondered how you see the world? Vision is about photons of light, which are packets of energy, interacting with the atoms or molecules in what...

Im Focus: Novel silicon etching technique crafts 3-D gradient refractive index micro-optics

A multi-institutional research collaboration has created a novel approach for fabricating three-dimensional micro-optics through the shape-defined formation of porous silicon (PSi), with broad impacts in integrated optoelectronics, imaging, and photovoltaics.

Working with colleagues at Stanford and The Dow Chemical Company, researchers at the University of Illinois at Urbana-Champaign fabricated 3-D birefringent...

Im Focus: Quantum Particles Form Droplets

In experiments with magnetic atoms conducted at extremely low temperatures, scientists have demonstrated a unique phase of matter: The atoms form a new type of quantum liquid or quantum droplet state. These so called quantum droplets may preserve their form in absence of external confinement because of quantum effects. The joint team of experimental physicists from Innsbruck and theoretical physicists from Hannover report on their findings in the journal Physical Review X.

“Our Quantum droplets are in the gas phase but they still drop like a rock,” explains experimental physicist Francesca Ferlaino when talking about the...

All Focus news of the innovation-report >>>

Anzeige

Anzeige

Event News

ICTM Conference 2017: Production technology for turbomachine manufacturing of the future

16.11.2016 | Event News

Innovation Day Laser Technology – Laser Additive Manufacturing

01.11.2016 | Event News

#IC2S2: When Social Science meets Computer Science - GESIS will host the IC2S2 conference 2017

14.10.2016 | Event News

 
Latest News

Researchers identify potentially druggable mutant p53 proteins that promote cancer growth

09.12.2016 | Life Sciences

Scientists produce a new roadmap for guiding development & conservation in the Amazon

09.12.2016 | Ecology, The Environment and Conservation

Satellites, airport visibility readings shed light on troops' exposure to air pollution

09.12.2016 | Health and Medicine

VideoLinks
B2B-VideoLinks
More VideoLinks >>>