The Effect of Nurses' Job Characteristics on Missed Nursing Care in Medical and Surgical Departments in Selected Slovenian Hospitals-A Cross-Sectional Study

Aim The aim was to examine the extent of missed nursing care (MNC), the reasons behind it and the contribution of nurses' job characteristics to MNC in Slovenian hospitals.Methods A cross-sectional explorative research was conducted. The BERNCA-R and part B of the MISSCARE questionnaire were used. A total of 880 nurses from 10 hospitals in Slovenia participated with completed questionnaires; of those, 57.6% were healthcare assistants and 42.4% were registered nurses. Univariate, bivariate and multivariate analyses were performed.Results In the five-component solution of the MNC, the activities of 'Monitoring' (M=2.09; SD=0.909) and 'Caring, support, activation, education' (M=2.03; SD=0.822) were the most frequently missed, with the leading item being 'Conversation with a patient or their family' (M=2.45; SD=0.940). Labour resources (M=3.44; SD=0.642) were the most common reason for MNC, with inadequate number of staff (M=3.75; SD=0.660) as the leading item. The stepwise multiple regression model showed that the more significant the labour resources are, the more frequently MNC occurs in all five dimensions (p=0.000-0.002). Most job characteristics proved to be significant; however, as satisfaction with wages, years of employment and assessment of the quality of nursing care increase, MNC decreases in all five dimensions.Conclusions This study enables healthcare decision makers and managers at the national level and in healthcare organisations to understand the problem of missed nursing care and to plan and implement changes accordingly. Namen Namen je bil preu & ccaron;iti obseg neizvedene zdravstvene nege (NZN), vzroke in vpliv zna & ccaron;ilnosti dela medicinskih sester na NZN v slovenskih bolni & scaron;nicah.Metode Izvedena je bila prese & ccaron;na raziskava. Uporabljena sta bila BERNCA-R in MISSCARE (del B) vpra & scaron;alnika. S popolno izpolnjenimi vpra & scaron;alniki je sodelovalo 880 medicinskih sester iz 10 bolni & scaron;nic v Sloveniji, od tega 57,6 % tehnikov zdravstvene nege in 42,4 % diplomiranih medicinskih sester. Izvedene so bile univariatne, bivariatne in multivariatne analize.Rezultati V pet-komponentnem modelu NZN sta bili najpogosteje neizvedeni aktivnosti >> Nadzor << (PV = 2,09; SO = 0,909) in >> Skrb, & ccaron;ustvena podpora, aktivacija, edukacija << (P = 2,03; SO = 0,822), najpogosteje neizveden je bil pogovor s pacientom ali njegovo dru & zcaron;ino (PV = 2,45; SO = 0,940). Kadrovski viri (PV = 3,44; SO = 0,642) so bili najpogostej & scaron;i razlog za NZN, pri & ccaron;emer je bilo neustrezno & scaron;tevilo zaposlenih (PV = 3,75; SO = 0,660) najpogosteje izbrana trditev. Model postopne multiple regresije je pokazal, da pomembnej & scaron;i, kot so kadrovski viri, pogosteje se NZN pojavlja v vseh 5 dimenzijah (p = 0,000-0,002). Ve & ccaron;ina zna & ccaron;ilnosti se je izkazala za pomembne; toda, ko se pove & ccaron;a zadovoljstvo s pla & ccaron;ami, delovna doba in oceno kakovosti zdravstvene nege, se NZN zmanj & scaron;a v vseh petih dimenzijah.Zaklju & ccaron;ki Ta raziskava omogo & ccaron;a odlo & ccaron;evalcem in managerjem v zdravstvu na nacionalni ravni in v zdravstvenih organizacijah, da razumejo problem ter na & ccaron;rtujejo in uvedejo spremembe.