REVIEW
Unmet nursing care needs on medical and surgical wards: A scoping review of patients’ perspectives
Annamaria Bagnasco PhD, MEdSc, MSN, RN,
Nicoletta Dasso RN, MSN,
Silvia Rossi MSN, RN,
Carolina Galanti MSN, RN,
Gloria Varone MSN, RN,
Gianluca Catania PhD, MSN, RN,
Milko Zanini PhD, MSN, MSoc, RN,
Giuseppe Aleo PhD, MA,
Roger Watson PhD, RN, FRCP, FAAN,
Mark Hayter PhD, RN, MMed. Sci., BA (Hons) Cert. Ed, FAAN,
Loredana Sasso MEdSc, MSN, RN, FAAN,
Annamaria Bagnasco PhD, MEdSc, MSN, RN
Associate Professor of Nursing
Department of Health Sciences, University of Genoa, Genoa, Italy
Search for more papers by this authorNicoletta Dasso RN, MSN
PhD Student
Department of Health Sciences, University of Genoa, Genoa, Italy
Search for more papers by this authorSilvia Rossi MSN, RN
PhD Student
Department of Health Sciences, University of Genoa, Genoa, Italy
Search for more papers by this authorCarolina Galanti MSN, RN
PhD Student
Department of Health Sciences, University of Genoa, Genoa, Italy
Search for more papers by this authorGloria Varone MSN, RN
Staff Nurse
Department of Interventional Radiology, IRCCS Ospedale Policlinico San Martino, Genoa, Italy
Search for more papers by this authorGianluca Catania PhD, MSN, RN
Assistant Professor, Researcher
Department of Health Sciences, University of Genoa, Genoa, Italy
Search for more papers by this authorMilko Zanini PhD, MSN, MSoc, RN
Assistant Professor, Researcher
Department of Health Sciences, University of Genoa, Genoa, Italy
Search for more papers by this authorCorresponding Author
Giuseppe Aleo PhD, MA
Research Fellow Lecturer of Scientfic English
Department of Health Sciences, University of Genoa, Genoa, Italy
Correspondence
Giuseppe Aleo, Department of Health Sciences, University of Genoa, Via Pastore, 1, 16132 Genoa, Italy.
Email: [email protected]
Search for more papers by this authorRoger Watson PhD, RN, FRCP, FAAN
Professor of Nursing
Faculty of Health and Social Care, University of Hull, Hull, UK
Search for more papers by this authorMark Hayter PhD, RN, MMed. Sci., BA (Hons) Cert. Ed, FAAN
Associate Dean of Research
Faculty of Health and Social Care, University of Hull, Hull, UK
Search for more papers by this authorLoredana Sasso MEdSc, MSN, RN, FAAN
Professor of Nursing
Department of Health Sciences, University of Genoa, Genoa, Italy
Search for more papers by this authorAnnamaria Bagnasco PhD, MEdSc, MSN, RN,
Nicoletta Dasso RN, MSN,
Silvia Rossi MSN, RN,
Carolina Galanti MSN, RN,
Gloria Varone MSN, RN,
Gianluca Catania PhD, MSN, RN,
Milko Zanini PhD, MSN, MSoc, RN,
Giuseppe Aleo PhD, MA,
Roger Watson PhD, RN, FRCP, FAAN,
Mark Hayter PhD, RN, MMed. Sci., BA (Hons) Cert. Ed, FAAN,
Loredana Sasso MEdSc, MSN, RN, FAAN,
Annamaria Bagnasco PhD, MEdSc, MSN, RN
Associate Professor of Nursing
Department of Health Sciences, University of Genoa, Genoa, Italy
Search for more papers by this authorNicoletta Dasso RN, MSN
PhD Student
Department of Health Sciences, University of Genoa, Genoa, Italy
Search for more papers by this authorSilvia Rossi MSN, RN
PhD Student
Department of Health Sciences, University of Genoa, Genoa, Italy
Search for more papers by this authorCarolina Galanti MSN, RN
PhD Student
Department of Health Sciences, University of Genoa, Genoa, Italy
Search for more papers by this authorGloria Varone MSN, RN
Staff Nurse
Department of Interventional Radiology, IRCCS Ospedale Policlinico San Martino, Genoa, Italy
Search for more papers by this authorGianluca Catania PhD, MSN, RN
Assistant Professor, Researcher
Department of Health Sciences, University of Genoa, Genoa, Italy
Search for more papers by this authorMilko Zanini PhD, MSN, MSoc, RN
Assistant Professor, Researcher
Department of Health Sciences, University of Genoa, Genoa, Italy
Search for more papers by this authorCorresponding Author
Giuseppe Aleo PhD, MA
Research Fellow Lecturer of Scientfic English
Department of Health Sciences, University of Genoa, Genoa, Italy
Correspondence
Giuseppe Aleo, Department of Health Sciences, University of Genoa, Via Pastore, 1, 16132 Genoa, Italy.
Email: [email protected]
Search for more papers by this authorRoger Watson PhD, RN, FRCP, FAAN
Professor of Nursing
Faculty of Health and Social Care, University of Hull, Hull, UK
Search for more papers by this authorMark Hayter PhD, RN, MMed. Sci., BA (Hons) Cert. Ed, FAAN
Associate Dean of Research
Faculty of Health and Social Care, University of Hull, Hull, UK
Search for more papers by this authorLoredana Sasso MEdSc, MSN, RN, FAAN
Professor of Nursing
Department of Health Sciences, University of Genoa, Genoa, Italy
Search for more papers by this authorAbstract
Aims and objectives
To review and synthesise research studies on surgical and medical inpatients’ perceptions on unmet nursing care needs.
Background
Missed nursing care is a growing phenomenon that has been shown to adversely affect care outcomes—mainly in adult medical and surgical care settings. However, to date the aggregated and synthesised evidence of missed care comes from research that measures perceptions on missed care in surgical and medical settings from nurses, but not from the patients.
Design
Scoping review.
Methods
In September 2018, three databases were searched: MEDLINE/PubMed, CINAHL and SCOPUS and papers were selected using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Inclusion criteria were as follows: primary studies; published in peer-reviewed journals; in English or Italian; and regarding routine care provided to adult inpatients. Quality appraisal and a thematic analysis were conducted.
Results
Of the 1541 abstracts initially identified, 44 papers were included. Five themes emerged: “communication,” “self-management, autonomy and education,” “personal sphere,” “essential physical care” and “emotional and psychological care.” The majority of the unmet needs were related to the “personal sphere” and “emotional and psychological care.” These unmet needs were not identified in previous literature on nurses’ perspectives of missed care. Also, physical care deficits like oral hygiene were identified.
Conclusion
It is important to take into account patients’ perspectives. The themes focusing on patients’ personal sphere, and emotional and psychological care, underline how patients need nurses to pay more attention to their cultural background, consider the person as a whole and for nursing care to be holistic and respectful of patients’ dignity.
Relevance to Clinical Practice
This study intends to raise awareness amongst nurses and policymakers about the importance of addressing missed nursing care and unmet patients’ needs in adult medical or surgical inpatient settings to ensure high-quality care and patient satisfaction.
CONFLICT OF INTEREST
The authors declare that they have no conflict of interest.
Supporting Information
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