Department of Medical Sciences, University of Udine, Udine, Italy.
University of Tor Vergata, Rome, Italy.
J Nurs Manag. 2019 Oct;27(7):1492-1504. doi: 10.1111/jonm.12835. Epub 2019 Sep 5.
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.
支持在遗漏护理（MNC）领域制定适当的政策和行动。
国际上对 MNC 的讨论越来越多，护士认为这是为患者提供必要的干预措施，但由于各种原因，他们无法提供或被迫延迟。尽管 MNC 具有相关性，但迄今为止，尚未将其转化为政策和行动。
采用共识开发方法，涉及（a）由该领域的专家、政策制定者和区域护理专业委员会主席组成的名义小组，以及（b）主要在管理层面任命的 218 名护士。
共批准了八项共识声明，并组织成一系列子声明，旨在（1）使 MNC 的概念在意大利文化中得到认可，同意妥协护理（CNC）是该领域最适合使用的术语，作为 MNC 的同义词；（2）将 CNC 作为提高患者安全性的策略进行衡量；（3）选择适当的 CNC 测量工具；（4）优化 CNC 测量；（5）进行有效的 CNC 数据分析；（6）设计和实施干预措施以预防和/或最小化 CNC；（7）评估和传播干预措施效果的发现；（8）对前进的道路提出最终意见。
我们制定了一个将 MNC 现象引入意大利文化的过程，首先就妥协护理这一术语达成一致，根据上下文更好地反映了 MNC 的含义，并促进了该现象在专业内外的公开讨论。以下共识声明代表了一种系统的方法，从测量开始，最后在实施具体行动后重新测量 MNC 的发生情况。
批准的共识声明可以指导决策者制定具体政策和行动，通过最小化和/或预防 MNC 的发生，促进护理质量和患者安全的提高。
