Cent Eur J Nurs Midw 2024, 15(2):1115-1125 | DOI: 10.15452/cejnm.2024.15.0010

Unfinished nursing care and its relationship to level of teamwork: the perspective of postgraduate nursing students

Dominika Kohanová1, Elena Gurková2
1 Department of Nursing, Faculty of Social Sciences and Health Care, Constantine the Philosopher University in Nitra, Slovakia
2 Department of Nursing, Faculty of Health Care, University of Prešov, Slovakia

Aim: To investigate the reasons for unfinished nursing care (UNC), its prevalence and patterns, and to explore its relationship to level of teamwork as perceived by Slovak postgraduate nursing students.

Design: A descriptive cross-sectional study.

Methods: The study was conducted between November 2022 and January 2023. Data collection was carried out using a set of questionnaires that involved the Unfinished Nursing Care Survey tool to measure UNC and the Nursing Teamwork Survey (NTS) to investigate level of teamwork. The sample consisted of 159 postgraduate nursing students from five public universities in different regions of the Slovak Republic.

Results: The mean composite score of UNC was 2.41 (SD = 0.71) and for the NTS, 3.25 (SD = 0.51). An overall weak association was found between UNC and Trust (r = -0.164), Backup (r = -0.157), Shared mental model (r = -0.158), and Team leader (r = -0.187). Teamwork did not predict perceptions of UNC.

Conclusion: These findings suggest that nursing students are aware of the phenomenon of UNC and reflect on reasons for its occurrence, including ineffective teamwork among nursing staff. During clinical placements, nursing students should be integrated into nursing teams and the importance of teamwork should be emphasized during nursing studies. However, there is a need for further research to better understand and address these phenomena in nursing education and practice.

Keywords: clinical placement, clinical practice, nurse educators, nursing, nursing students, teamwork, unfinished nursing care

Received: December 29, 2023; Revised: May 15, 2024; Accepted: May 15, 2024; Published: June 5, 2024  Show citation

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Kohanová D, Gurková E. Unfinished nursing care and its relationship to level of teamwork: the perspective of postgraduate nursing students. Central European Journal of Nursing and Midwifery. 2024;15(2):1115-1125. doi: 10.15452/cejnm.2024.15.0010.
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    References

    1. Alkhaqani A. L. (2022). Importance of teamwork communication in nursing practice. Nursing Communications, 15(6), 1-2. https://doi.org/10.53388/IN2022015 Go to original source...
    2. Boamah, S. A., Read, E. A., & Spence Laschinger, H. K. (2017). Factors influencing new graduate nurse burnout development, job satisfaction and patient care quality: a time-lagged study. Journal of Advanced Nursing, 73(5), 1182-1195. https://doi.org/10.1111/jan.13215 Go to original source... Go to PubMed...
    3. Bragadóttir, H., Kalisch, B. J., & Tryggvadóttir, G. B. (2017). Correlates and predictors of missed nursing care in hospitals. Journal of Clinical Nursing, 26(11-12), 1524-1534. https://doi.org/10.1111/jocn.13449 Go to original source... Go to PubMed...
    4. Buljac-Samardzic, M., Doekhie, K. D., & van Wijngaarden, J. D. H. (2020). Interventions to improve team effectiveness within health care: a systematic review of the past decade. Human Resources for Health, 18(1), 2. https://doi.org/10.1186/s12960-019-0411-3 Go to original source... Go to PubMed...
    5. Chapman, R., Rahman, A., Courtney, M., & Chalmers, C. (2017). Impact of teamwork on missed care in four Australian hospitals. Journal of Clinical Nursing, 26(1-2), 170-181. https://doi.org/10.1111/jocn.13433 Go to original source... Go to PubMed...
    6. Chiappinotto, S., & Palese, A. (2022). Unfinished nursing care reasons as perceived by nurses at different levels of nursing services: findings of a qualitative study. Journal of Nursing Management, 30(7), 3393-3405. https://doi.org/10.1111/jonm.13800 Go to original source... Go to PubMed...
    7. Costello, M., Rusell, K., & Coventry, T. (2021). Examining the average scores of nursing teamwork subscales in an acute private medical ward. BMC Nursing, 20(1), 84. https://doi.org/10.1186/s12912-021-00609-z Go to original source... Go to PubMed...
    8. Ghezeljeh, T. N., Gharasoflo, S., & Hahgani, S. (2021). The relationship between missed nursing care and teamwork in emergency nurses: a predictive correlational study. Nursing Practice Today, 8(2), 103-112. https://doi.org/10.18502/npt.v8i2.5121 Go to original source...
    9. Gibbon, B., & Crane, J. (2018). The impact of 'missed care' on the professional socialisation of nursing students: a qualitative research study. Nurse Education Today, 66, 19-24. https://doi.org/10.1016/j.nedt.2018.04.002 Go to original source... Go to PubMed...
    10. Gurková, E., Adamkovič, M., Jones, T., Kurucová, R., Kalánková, D., & Žiaková, K. (2020). Factor analysis, validity of the perceived implicit rationing of nursing care instrument and prevalence and patterns of unfinished nursing care in Slovakia. Journal of Nursing Management, 28(8), 2036-2047. https://doi.org/10.1111/jonm.12887 Go to original source... Go to PubMed...
    11. Gurková, E., Bartoníčková, D., Mikšová, Z., Labudíková, M., & Chocholková, D. (2021). Reasons for unfinished nursing care from the perspective of nurses from regional and university hospitals. Kontakt, 23(4), 281-288. https://doi.org/10.32725/kont.2021.026 Go to original source...
    12. Jones, T., Drach-Zahavy, A., Sermeus, W., Willis, E., & Zeleníková, R. (2021). Understanding missed care: definitions, measures, conceptualizations, evidence, prevalence and measurement challenges. In E. Papastavrou & R. Suhonen (Eds.), Impacts of rationing and missed nursing care: challenges and solutions. RANCARE action (1st ed., pp. 9-47). Springer. https://doi.org/10.1007/978-3-030-71073-6 Go to original source...
    13. Jones, T. L., Hamilton, P., & Murry, N. (2015). Unfinished nursing care, missed care, and implicitly rationed care: state of the science review. International Journal of Nursing Studies, 52(6), 1121-1137. https://doi.org/10.1016/j.ijnurstu.2015.02.012 Go to original source... Go to PubMed...
    14. Kakeman, E., Hajizadeh, A., Azarmi, M., Zahedi, H., Gholizadeh, M., & Roh, Y. S. (2021). Nursesʼ perception of teamwork and its relationship with the occurrence and reporting of adverse events: a questionnaire survey in teaching hospitals. Journal of Nursing Management, 29(5), 1189-1198. https://doi.org/10.1111/jonm.13257 Go to original source... Go to PubMed...
    15. Kalánková, D., Suhonen, R., Stolt, M., Kurucová, R., Katajisto, J., Žiaková, K., & Gurková, E. (2020). Psychometric testing of perceived implicit rationing of nursing care (PIRNCA). Journal of Advanced Nursing, 76(6), 1469-1482. https://doi.org/10.1111/jan.14351 Go to original source... Go to PubMed...
    16. Kalfoss, M. (2017). Student's perception of missed care: focus group results. Open Journal of Nursing, 7(7), 850-874. https://doi.org/10.4236/ojn.2017.77064 Go to original source...
    17. Kalisch, B. J., Doumit, M., Lee, K. H., & Zein, J. E. (2013). Missed nursing care, level of staffing, and job satisfaction: Lebanon versus the United States. The Journal of Nursing Administration, 43(5), 274-279. https://doi.org/10.1097/NNA.0b013e31828eebaa Go to original source... Go to PubMed...
    18. Kalisch, B. J., & Lee, K. H. (2010). The impact of teamwork on missed nursing care. Nursing Outlook, 58(5), 233-241. https://doi.org/10.1016/j.outlook.2010.06.004 Go to original source... Go to PubMed...
    19. Kalisch, B. J., Lee, H., & Salas, E. (2010). The development and testing of the nursing teamwork survey. Nursing Research, 59(1), 42-50. https://doi.org/10.1097/NNR.0b013e3181c3bd42 Go to original source... Go to PubMed...
    20. Kohanová, D., Solgajová, A., Lušňáková, M., & Bartoníčková, D. (2023). The level of teamwork and associated factors in the selected hospitals from the nurses' perspective: a cross-sectional study. Nursing Practice Today, 10(4), 364-373. https://doi.org/10.18502/npt.v10i4.14082 Go to original source...
    21. Levett-Jones, T., Lathlean, J., Higgins, I., & McMillan, M. (2009). Staff-student relationships and their impact on nursing studentsʼ belongingness and learning. Journal of Advanced Nursing, 65(2), 316-324. https://doi.org/10.1111/j.1365-2648.2008.04865.x Go to original source... Go to PubMed...
    22. OECD / European Observatory on Health Systems and Policies. (2021). Slovakia: country health profile 2021. State of Health in the EU. OECD Publishing.
    23. Palese, A., Chiappinotto, S., Bayram, A., Sermeus, W., Suhonen, R., & Papastavrou, E. (2023). Exploring unfinished nursing care among nursing students: a discussion paper. BMC Nursing, 22(1), 272. https://doi.org/10.1186/s12912-023-01445-z Go to original source... Go to PubMed...
    24. Palese, A., Chiappinotto, S., Canino, E., Martinenghi, G., Sist, R., Milani, L., Marcomini, I., Grassetti, L., & Destrebecq, A. (2021). Unfinished Nursing Care Survey for Students (UNCS4S): a multicentric validation study. Nurse Education Today, 102, 104908. https://doi.org/10.1016/j.nedt.2021.104908 Go to original source... Go to PubMed...
    25. Papastavrou, E., & Suhonen, R. (Eds.). (2021). Impacts of rationing and missed nursing care: challenges and solutions. Springer. Go to original source...
    26. Recio-Saucedo, A., DallʼOra, C., Maruotti, A., Ball, J., Briggs, J., Meredith, P., Redfern, O. C., Kovacs, C., Prytherch, D., Smith, G. B., & Griffiths, P. (2018). What impact does nursing care left undone have on patient outcomes? Review of the literature. Journal of Clinical Nursing, 27(11-12), 2248-2259. https://doi.org/10.1111/jocn.14058 Go to original source... Go to PubMed...
    27. Scott, P. A., Harvey, C., Felzmann, H., Suhonen, R., Habermann, M., Halvorsen, K., Christiansen, K., Toffoli, L., & Papastavrou, E. (2019). Resource allocation and rationing in nursing care: a discussion paper. Nursing Ethics, 26(5), 1528-1539. https://doi.org/10.1177/0969733018759831 Go to original source... Go to PubMed...
    28. Taskiran Eskici, G., & Baykal, U. (2021). The Turkish version of the Nursing Teamwork Survey: a validity and reliability study. International Journal of Nursing Practice, 27(3), e12887. https://doi.org/10.1111/ijn.12887 Go to original source... Go to PubMed...
    29. Taskiran Eskici, G., & Baykal, U. (2022). Frequency, reasons, correlates and predictors of missed nursing care in Turkey: a multi-hospital cross-sectional study. International Journal of Nursing Practice, 28(5), e13050. https://doi.org/10.1111/ijn.13050 Go to original source... Go to PubMed...
    30. von Elm, E., Altman, D. G., Egger, M., Pocock, S. J., Gøtzsche, P. C., Vandenbroucke, J. P., & STROBE Initiative (2007). Strengthening the reporting of observational studies in epidemiology (STROBE) statement: guidelines for reporting observational studies. BMJ, 335, 806-808. https://doi.org/10.1136/bmj.39335.541782.AD Go to original source... Go to PubMed...
    31. Witczak, I., Kołtuniuk, A., Rypicz, Ł., Panczyk, M., Grzebieluch, W., Młynarska, A., & Uchmanowicz, I. (2022). Self-assessment of rationing and quality of nursing care. Journal of Nursing Care Quality, 37(3), E48-E53. https://doi.org/10.1097/NCQ.0000000000000607 Go to original source... Go to PubMed...
    32. Witczak, I., Rypicz, Ł., Karniej, P., Młynarska, A., Kubielas, G., & Uchmanowicz, I. (2021). Rationing of nursing care and patient safety. Frontiers in Psychology, 12, 676970. https://doi.org/10.3389/fpsyg.2021.676970 Go to original source... Go to PubMed...
    33. Xu, X., Jia, S., Zhang, S., Mai, X., Mao, Z., & Han, B. (2022). Analysis of the factors influencing teamwork among oncology nurses based on multigroup structural equation model. Annals of Translational Medicine, 10(18), 1015. https://doi.org/10.21037/atm-22-4217 Go to original source... Go to PubMed...
    34. Zeleníková, R., Jarošová, D., Mynaříková, E., Janíková, E., & Plevová, I. (2023). Inadequate number of staff and other reasons for implicit rationing of nursing care across hospital types and units. Nursing Open, 10(8), 5589-5596. https://doi.org/10.1002/nop2.1802 Go to original source... Go to PubMed...

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