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.

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

Vloženo: 29. prosinec 2023; Revidováno: 15. květen 2024; Přijato: 15. květen 2024; Zveřejněno: 5. červen 2024  Zobrazit citaci

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
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.
Sdílet...
Stáhnout citaci
  • BibTeX (.bib)
  • Bookends (.ris)
  • EasyBib (.ris)
  • EndNote (.enw)
  • EndNote 8 (.xml)
  • ISI WoS (.isi)
  • Medlars (.medlars)
  • Mendeley (.ris)
  • MODS (.xml)
  • Papers (.ris)
  • RefWorks (.txt)
  • RefManager (.ris)
  • RIS (.ris)
  • MS Word (.xml)
  • Zotero (.ris)
    • Zobrazit celý článek

    Reference

    1. Alkhaqani A. L. (2022). Importance of teamwork communication in nursing practice. Nursing Communications, 15(6), 1-2. https://doi.org/10.53388/IN2022015 Přejít k původnímu zdroji...
    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 Přejít k původnímu zdroji... Přejít na 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 Přejít k původnímu zdroji... Přejít na 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 Přejít k původnímu zdroji... Přejít na 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 Přejít k původnímu zdroji... Přejít na 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 Přejít k původnímu zdroji... Přejít na 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 Přejít k původnímu zdroji... Přejít na 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 Přejít k původnímu zdroji...
    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 Přejít k původnímu zdroji... Přejít na 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 Přejít k původnímu zdroji... Přejít na 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 Přejít k původnímu zdroji...
    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 Přejít k původnímu zdroji...
    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 Přejít k původnímu zdroji... Přejít na 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 Přejít k původnímu zdroji... Přejít na 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 Přejít k původnímu zdroji... Přejít na 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 Přejít k původnímu zdroji...
    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 Přejít k původnímu zdroji... Přejít na 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 Přejít k původnímu zdroji... Přejít na 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 Přejít k původnímu zdroji... Přejít na 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 Přejít k původnímu zdroji...
    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 Přejít k původnímu zdroji... Přejít na 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 Přejít k původnímu zdroji... Přejít na 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 Přejít k původnímu zdroji... Přejít na PubMed...
    25. Papastavrou, E., & Suhonen, R. (Eds.). (2021). Impacts of rationing and missed nursing care: challenges and solutions. Springer. Přejít k původnímu zdroji...
    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 Přejít k původnímu zdroji... Přejít na 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 Přejít k původnímu zdroji... Přejít na 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 Přejít k původnímu zdroji... Přejít na 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 Přejít k původnímu zdroji... Přejít na 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 Přejít k původnímu zdroji... Přejít na 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 Přejít k původnímu zdroji... Přejít na 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 Přejít k původnímu zdroji... Přejít na 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 Přejít k původnímu zdroji... Přejít na 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 Přejít k původnímu zdroji... Přejít na PubMed...

    Tento článek je publikován v režimu tzv. otevřeného přístupu k vědeckým informacím (Open Access), který je distribuován pod licencí Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC 4.0), která umožňuje nekomerční distribuci, reprodukci a změny, pokud je původní dílo řádně ocitováno. Není povolena distribuce, reprodukce nebo změna, která není v souladu s podmínkami této licence.


    Zpět na obsah