Smith Sarah, Lapkin Sam, Sim Jenny, Halcomb Elizabeth
School of Nursing, University of Wollongong, Wollongong, NSW, Australia.
J Nurs Manag. 2020 Nov;28(8):2166-2173. doi: 10.1111/jonm.12975. Epub 2020 Mar 10.
To examine nursing care left undone and its relationship with the nursing practice environment and perceived quality of nursing care in small Australian rural hospitals.
Nurses in small rural hospitals often work with few resources, limited backup and staff shortages. The relationship between this rural practice environment and care left undone has not been fully explored.
A descriptive cross-sectional survey.
Over half participants (n = 241, 62.9%) reported having left some activities undone on their most recent shift. There were moderately significant correlations between care left undone and nursing practice environment and overall quality of care. Nurses who reported leaving care left undone had statistically significant lower perceptions of the nursing practice environment than those who had no care left undone.
Nursing care activities are being left undone in rural hospitals. Both care left undone and quality of nursing care may be affected by the nursing practice environment.
To maximize care quality, rural hospital managers must consider the prevalence of care left undone and may use this information as a predictor of both patient outcomes and staffing and resource requirements. Given the challenges of rural hospitals, rural nurse managers can use this evidence to support their requests for increased staffing and resources.
研究澳大利亚农村小型医院中未完成的护理工作及其与护理实践环境和感知护理质量的关系。
农村小型医院的护士通常在资源稀缺、后援有限和人员短缺的情况下工作。这种农村实践环境与未完成的护理工作之间的关系尚未得到充分探讨。
一项描述性横断面调查。
超过半数的参与者（n = 241，62.9%）报告称在最近一次轮班中有一些活动未完成。未完成的护理工作与护理实践环境和整体护理质量之间存在中度显著相关性。报告有未完成护理工作的护士对护理实践环境的认知在统计学上显著低于没有未完成护理工作的护士。
农村医院存在未完成护理活动的情况。未完成的护理工作和护理质量可能都受到护理实践环境的影响。
为了使护理质量最大化，农村医院管理者必须考虑未完成护理工作的普遍性，并可将此信息用作患者结局以及人员配备和资源需求的预测指标。鉴于农村医院面临的挑战，农村护士管理者可以利用这一证据来支持他们增加人员配备和资源的请求。
