Developing policies and actions in response to missed nursing care: A consensus process

被引：13

作者：

Palese, Alvisa ^{[1
]}

Bassi, Erika ^{[2
]}

Tommasini, Cristina ^{[1
]}

Vesca, Roberta ^{[3
]}

Di Falco, Achille ^{[4
]}

De Lucia, Paola ^{[5
]}

Mulloni, Giovanna ^{[3
]}

Paoletti, Flavio ^{[6
,7
]}

Rissolo, Raffaela ^{[8
]}

Sist, Luisa ^{[9
]}

Sanson, Gianfranco ^{[8
]}

Guardini, Ilario ^{[3
]}

Bressan, Valentina ^{[1
]}

Mesaglio, Maura ^{[3
]}

Papastavrou, Evridiki ^{[10
]}

Blackman, Ian ^{[11
]}

机构：

[1] Univ Udine, Dept Med Sci, Viale Ungheria 20, I-33010 Udine, Italy

[2] Univ Tor Vergata, Rome, Italy

[3] Azienda Sanit Univ Integrata Udine, Udine, Italy

[4] Azienda Zero Reg Veneto, Padua, Italy

[5] Azienda Assistenza Sanitaria 5 Friuli Occidentale, Pordenone, Italy

[6] Coordinamento Reg Ordine Profess Infermierist, Trieste, Italy

[7] Azienda Sanitaria Univ Integrata Trieste, Trieste, Italy

[8] Univ Trieste, Trieste, Italy

[9] Univ Bologna, Bologna, Italy

[10] Cyprus Univ Technol, Chair RANCARE Consortium COST Act CA 15208, Limassol, Cyprus

[11] Flinders Univ S Australia, Adelaide, SA, Australia

来源：

JOURNAL OF NURSING MANAGEMENT | 2019年 / 27卷 / 07期

关键词：

consensus development process; implementation process; missed nursing care; policy; rationing of nursing care; tasks left undone; QUALITY; NURSES; TRANSLATION; VALIDATION;

D O I：

10.1111/jonm.12835

中图分类号：

C93 [管理学];

学科分类号：

12 ; 1201 ; 1202 ; 120202 ;

摘要：

Aim To support the development of appropriate policies and actions in the field of missed nursing care (MNC). Background There has been an ever-growing international debate on MNC, interventions that nurses have identified as necessary for their patients, but which for various reasons they are unable to provide or are forced to delay. Despite MNC's relevance, its translation into policies and actions has not been documented to date. Method A consensus development method was employed involving (a) a nominal group composed of experts in the field, policymakers and the President of the Regional Nursing Professional Boards, and (b) 218 nurses appointed primarily at the managerial levels. Results A total of eight consensus statements were approved and organized in a series of sub-statements designed to (1) render the concept of MNC culturally acceptable in the Italian context, with the agreement that compromised nursing care (CNC) is the best term to be used in this field, as a synonym for MNC; (2) measure CNC as a strategy to increase patient safety; (3) select an appropriate CNC measurement tool; (4) optimize CNC measurement; (5) conduct effective CNC data analysis; (6) design and implement interventions to prevent and/or minimize CNC; (7) assess and disseminate findings on interventions' effectiveness; and (8) provide final remarks on the way to move forward. Conclusions We developed a process to introduce the phenomenon of MNC in the Italian culture and agreed firstly on the term compromised nursing care, which better reflects MNC's meaning according to the context and facilitates an open discussion on the phenomenon both within and outside the profession. The following consensus statements emerged represent a systematic approach, starting from the measurement and finishing with the re-measurement of the occurrence of MNC after having implemented concrete actions. Implications for Nursing Management The approved consensus statements can guide decision-makers to develop concrete policies and actions that promote the improvement of quality of care and patients' safety by minimizing and/or preventing MNC's occurrence.

引用

页码：1492 / 1504

页数：13

共 56 条

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