Developing policies and actions in response to missed nursing care: A consensus process.
consensus development process
implementation process
missed nursing care
policy
rationing of nursing care
tasks left undone
Journal
Journal of nursing management
ISSN: 1365-2834
Titre abrégé: J Nurs Manag
Pays: England
ID NLM: 9306050
Informations de publication
Date de publication:
Oct 2019
Oct 2019
Historique:
received:
26
02
2019
revised:
20
07
2019
accepted:
21
07
2019
pubmed:
28
7
2019
medline:
14
4
2020
entrez:
27
7
2019
Statut:
ppublish
Résumé
To support the development of appropriate policies and actions in the field of missed nursing care (MNC). 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. 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. 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. 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. 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.
Sections du résumé
AIM
OBJECTIVE
To support the development of appropriate policies and actions in the field of missed nursing care (MNC).
BACKGROUND
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
METHODS
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
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
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
CONCLUSIONS
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.
Types de publication
Journal Article
Langues
eng
Pagination
1492-1504Subventions
Organisme : COST Action RANCARE CA15208, supported by COST (European Cooperation in Science and Technology)
ID : COST Action RANCARE CA15208
Organisme : European Cooperation in Science and Technology
Informations de copyright
© 2019 John Wiley & Sons Ltd.
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