Erschienen in:
Journal of Advanced Nursing, 77 (2021) 2, Seite 550-564
Sprache:
Englisch
DOI:
10.1111/jan.14596
ISSN:
0309-2402;
1365-2648
Entstehung:
Anmerkungen:
Beschreibung:
AbstractAimsTo collate and synthesize published research on interventions developed and tested to prevent or reduce the rates of rationed or missed nursing care in healthcare institutions.BackgroundRationed and missed nursing care has been widely studied, including its predictors and associations with patient and nurse outcomes.DesignScoping review.Data sourcesWe searched for eligible studies, published between 1980–2019, in six electronic databases.Review methodsResearchers independently screened the abstracts of the retrieved studies using the inclusion and exclusion criteria. The decision of whether or not to include any given study was consensus‐based.ResultsThe search yielded 1,815 records, of which 13 were included. Three studies reported structural interventions, namely increased nurse staffing and improved nursing teamwork, both resulted in significant reductions in the rates of rationed or missed nursing care. The remaining 10 studies reported on process interventions: four concerned reminders (via technology or designated persons) and seven described interventions to change or optimize the relevant care processes. All 10 process interventions contributed to significant reductions in the rates of missed nursing care.ConclusionsThe results of the scoping review indicate that specific interventions can positively influence the performance of a selected nursing care activity, for example fall prevention. There is no evidence of a global reduction of rationed and missed nursing care through these interventions.ImpactClinicians, managers and researchers can use the results for adapting and implementing interventions to reduce rationed and missed nursing care.