Nursing Science (INS), University of Basel, Basel, Switzerland.
University Psychiatric Clinics Basel, Basel, Switzerland.
J Psychiatr Ment Health Nurs. 2024 Apr;31(2):215-227. doi: 10.1111/jpm.12978. Epub 2023 Sep 12.
Nursing care left undone occurs when nurses omit activities because of resource shortfalls. Higher levels of nursing care left undone are associated with worse nurse staffing and organizational factors. Plentiful evidence from acute, long-term and community care supports such associations; however, mental healthcare settings are under-studied.
The aim of the study was to describe nursing care left undone's frequency in mental health inpatient settings and explore its association with nurse staffing levels.
As part of the multi-centre cross-sectional Match Psychiatry study, data were collected by questionnaire from 114 units in 13 Swiss psychiatric hospitals. Nursing care left undone was analysed describing frequencies descriptively and used linear mixed models to assess its association with staffing.
Data from 994 nurses were analysed. The most commonly omitted activities were evaluating nursing processes (30.5%), formulating nursing diagnoses (27.4%) and defining care objectives (22.7%). Nursing care left undone was higher in units with low staffing levels.
As in somatic care settings, in psychiatric hospitals, 'indirect' care activities are most commonly omitted.
This study highlights factors affecting the frequency of nursing care left undone, including staffing levels and perceived leadership. The findings emphasize the importance of nurse managers taking action to improve work environment factors.
护理未完成是指护士因资源短缺而省略活动。护理未完成的程度越高，与护士人员配备和组织因素越差相关。大量来自急性、长期和社区护理的证据支持这种关联；然而，精神卫生保健机构的研究还不够充分。
本研究旨在描述精神科住院患者护理未完成的频率，并探讨其与护士人员配备水平的关系。
作为多中心横断面 Match Psychiatry 研究的一部分，通过问卷从瑞士 13 家精神病院的 114 个单位收集数据。通过描述性分析来分析护理未完成的频率，并使用线性混合模型评估其与人员配备的关系。
对 994 名护士的数据进行了分析。最常被省略的活动是评估护理过程（30.5%）、制定护理诊断（27.4%）和确定护理目标（22.7%）。人员配备水平较低的单位护理未完成的情况更为严重。
与躯体护理环境一样，在精神病院，“间接”护理活动最常被省略。
本研究强调了影响护理未完成频率的因素，包括人员配备水平和感知到的领导力。这些发现强调了护士管理人员采取行动改善工作环境因素的重要性。
