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Missed, rationed or unfinished nursing care: A scoping review of patient outcomes
Author(s) -
Kalánková Dominika,
Kirwan Marcia,
Bartoníčková Daniela,
Cubelo Floro,
Žiaková Katarína,
Kurucová Radka
Publication year - 2020
Publication title -
journal of nursing management
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.925
H-Index - 76
eISSN - 1365-2834
pISSN - 0966-0429
DOI - 10.1111/jonm.12978
Subject(s) - seriousness , nursing , medicine , nursing management , harm , patient safety , nursing care , context (archaeology) , health care , medline , quality (philosophy) , nursing outcomes classification , primary nursing , medical emergency , psychology , nurse education , political science , law , social psychology , paleontology , philosophy , epistemology , economics , biology , economic growth
Aims To collate evidence about patient outcomes resulting from the phenomenon of incomplete nursing care described in the literature variously as missed, rationed, or unfinished nursing care. Background Nursing care which is not completed is known to have a negative impact on patients. However, to date, there has been no thorough exploration of the extent and potential seriousness of patient outcomes. Methods The search was performed in four scientific databases; 44 studies were included in the final content analysis. Results Missed, rationed and unfinished care negatively influence the patient outcomes in the context of patient safety and quality of nursing care. Despite the differences among concepts, the negative association with patient outcomes was significant and common for all concepts. Conclusion Awareness of potential harm of the phenomena to patient outcomes may help the management to develop preventive strategies to reduce or eliminate its actual occurrence. Implications for Nursing Management Hospital management should consider the phenomenon as an indicator of the quality of nursing care as well as establish the routine monitoring of the phenomena in the assessment of patient safety in healthcare facilities.