Are data on missed nursing care useful for nursing leaders? The RN4CAST@IT cross-sectional study
Annamaria Bagnasco MNS, MEdSc, RN, PhD
Dipartimento di Scienze della Salute, Università degli Studi di Genova, Genoa, Italy
Search for more papers by this authorCorresponding Author
Gianluca Catania MNS, RN, PhD
Assistant Professor
Dipartimento di Scienze della Salute, Università degli Studi di Genova, Genoa, Italy
Correspondence
Gianluca Catania, Dipartimento di Scienze della Salute, Università degli Studi di Genova, Via A. Pastore 1, 16132 Genova, Italy.
Email: [email protected]
Search for more papers by this authorMilko Zanini MNS, MSoc, RN, PhD
Dipartimento di Scienze della Salute, Università degli Studi di Genova, Genoa, Italy
Search for more papers by this authorNicoletta Dasso MNS, RN, PhD candidate
Dipartimento di Scienze della Salute, Università degli Studi di Genova, Genoa, Italy
Search for more papers by this authorSilvia Rossi MNS, RN, PhD candidate
Dipartimento di Scienze della Salute, Università degli Studi di Genova, Genoa, Italy
Search for more papers by this authorGiuseppe Aleo MA, PhD
Dipartimento di Scienze della Salute, Università degli Studi di Genova, Genoa, Italy
Search for more papers by this authorFiona Timmins MSc, RGN, PhD
School of Nursing and Midwifery, Trinity College Dublin, Dublin, Ireland
Search for more papers by this authorWalter Sermeus RN, PhD
Department of Public Health & Primary Care, KU Leuven, Leuven, Belgium
Search for more papers by this authorFAAN, FRCN Linda H. Aiken PhD
Professor of Nursing
Center for Health Outcomes and Policy Research, School of Nursing, University of Pennsylvania, Philadelphia, PA, USA
Search for more papers by this authorFAAN, FFNMRCSI Loredana Sasso RN, MSN, MEdSc
Full Professor
Dipartimento di Scienze della Salute, Università degli Studi di Genova, Genoa, Italy
Search for more papers by this authorAnnamaria Bagnasco MNS, MEdSc, RN, PhD
Dipartimento di Scienze della Salute, Università degli Studi di Genova, Genoa, Italy
Search for more papers by this authorCorresponding Author
Gianluca Catania MNS, RN, PhD
Assistant Professor
Dipartimento di Scienze della Salute, Università degli Studi di Genova, Genoa, Italy
Correspondence
Gianluca Catania, Dipartimento di Scienze della Salute, Università degli Studi di Genova, Via A. Pastore 1, 16132 Genova, Italy.
Email: [email protected]
Search for more papers by this authorMilko Zanini MNS, MSoc, RN, PhD
Dipartimento di Scienze della Salute, Università degli Studi di Genova, Genoa, Italy
Search for more papers by this authorNicoletta Dasso MNS, RN, PhD candidate
Dipartimento di Scienze della Salute, Università degli Studi di Genova, Genoa, Italy
Search for more papers by this authorSilvia Rossi MNS, RN, PhD candidate
Dipartimento di Scienze della Salute, Università degli Studi di Genova, Genoa, Italy
Search for more papers by this authorGiuseppe Aleo MA, PhD
Dipartimento di Scienze della Salute, Università degli Studi di Genova, Genoa, Italy
Search for more papers by this authorFiona Timmins MSc, RGN, PhD
School of Nursing and Midwifery, Trinity College Dublin, Dublin, Ireland
Search for more papers by this authorWalter Sermeus RN, PhD
Department of Public Health & Primary Care, KU Leuven, Leuven, Belgium
Search for more papers by this authorFAAN, FRCN Linda H. Aiken PhD
Professor of Nursing
Center for Health Outcomes and Policy Research, School of Nursing, University of Pennsylvania, Philadelphia, PA, USA
Search for more papers by this authorFAAN, FFNMRCSI Loredana Sasso RN, MSN, MEdSc
Full Professor
Dipartimento di Scienze della Salute, Università degli Studi di Genova, Genoa, Italy
Search for more papers by this authorFunding information
This study was funded by the Ligurian Regional Government, NurSind and Associazione Nazionale Infermieri Medicina Ospedaliera (ANÌMO).
Abstract
Aim
To describe nurses' reported missed nursing care activities among hospitalized adult patients medical and surgical wards and explore gaps in service provision.
Background
In 2015, Italy replicated the RN4CAST study, which heralded the exposition of missed care as an international phenomenon. In Italy, nurse–patient workload is high, with high levels of burnout and dissatisfaction reported, all factors associated with missed care.
Methods
A cross-sectional study (n = 3,590) was conducted using the 13-item online Task Left Undone Tool aimed at collecting data on missed nursing care.
Results
The frequency of omission of activities ranged between 7% and 50%. There were significant differences between morning, afternoon and night shifts and the various clinical settings. Oral care was the most frequently missed care activity.
Conclusions
This study takes step forward in identifying and reducing missed care on medical and surgical wards, both in Italy and also internationally, which needs to take into account the specific organisational characteristics of each setting.
Implications for Nursing Management
Although more essential activities are missed less frequently, much is known about the relational deficits such as information giving, education, communication and discharge advice, which managers ought to spearhead through local initiatives to improve these practices.
CONFLICT OF INTEREST
There is no conflict of interest.
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