AIM: To support the development of appropriate policies and actions in the field of Missed Nursing Care (MNC). 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: A Consensus Development Method was employed involving (1) a Nominal Group composed of experts in the field, policymakers, and the President of the Regional Nursing Professional Boards, and (2) 218 nurses appointed primarily at the managerial levels. RESULTS: A total of eight Consensus Statements were approved and organised 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) Optimise CNC measurement; (5) Conduct effective CNC data analysis; (6) Design and implement interventions to prevent and/or minimise CNC; (7) Assess and disseminate findings on interventions' effectiveness, and (8) provide final remarks on the way to move forward. 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: 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 minimising and/or preventing MNC's occurrence.

Developing Policies and Actions in Response to Missed Nursing Care: A Consensus Process

Sanson, Gianfranco;
2019

Abstract

AIM: To support the development of appropriate policies and actions in the field of Missed Nursing Care (MNC). 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: A Consensus Development Method was employed involving (1) a Nominal Group composed of experts in the field, policymakers, and the President of the Regional Nursing Professional Boards, and (2) 218 nurses appointed primarily at the managerial levels. RESULTS: A total of eight Consensus Statements were approved and organised 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) Optimise CNC measurement; (5) Conduct effective CNC data analysis; (6) Design and implement interventions to prevent and/or minimise CNC; (7) Assess and disseminate findings on interventions' effectiveness, and (8) provide final remarks on the way to move forward. 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: 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 minimising and/or preventing MNC's occurrence.
Pubblicato
https://onlinelibrary.wiley.com/doi/full/10.1111/jonm.12835
File in questo prodotto:
File Dimensione Formato  
Journal of Nursing Management 2019.pdf

embargo fino al 26/07/2020

Descrizione: Accepted manuscript
Tipologia: Bozza finale post-referaggio (post-print)
Licenza: Copyright Editore
Dimensione 465.85 kB
Formato Adobe PDF
465.85 kB Adobe PDF Visualizza/Apri
Palese_et_al-2019-Journal_of_Nursing_Management.pdf

non disponibili

Tipologia: Documento in Versione Editoriale
Licenza: Copyright Editore
Dimensione 449.03 kB
Formato Adobe PDF
449.03 kB Adobe PDF   Visualizza/Apri   Richiedi una copia

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/11368/2948409
Citazioni
  • ???jsp.display-item.citation.pmc??? 3
  • Scopus 9
  • ???jsp.display-item.citation.isi??? 9
social impact