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Care accommodation in the acute care setting: Missed care or not?
Claire O'Donnell1, Tom Andrews2
1Department of Nursing and Midwifery, Faculty of Education and Health Sciences, Health Research Institute, University of Limerick, Limerick, Ireland.
Journal of Nursing Management
|April 8, 2020
Summary
Nurses adapt stroke patient care in acute settings due to resource constraints, a process called care accommodation. This can lead to prioritizing care and potentially missing essential interventions.
Area of Science:
- Nursing Science
- Healthcare Management
- Stroke Care
Background:
- Healthcare systems globally face resource constraints, including staffing shortages and limited time.
- These constraints negatively impact the quality and completeness of patient care.
Purpose of the Study:
- To elucidate the process of nursing care for acute stroke patients within resource-limited environments.
- To understand how nurses navigate constraints in delivering stroke care.
Main Methods:
- A classic grounded theory approach was employed.
- Data were gathered through unstructured interviews with 32 nurses caring for stroke patients.
Main Results:
- A typology of 'care accommodation' was developed, encompassing functional caring, assisted self-caring, and ideal caring.
- Nurses prioritize care based on perceived constraints, which can result in missed care.
Conclusions:
- 'Care accommodation' explains how care delivery is affected by limited resources.
- Addressing missed care requires understanding 'care accommodation' and informing nursing management strategies.
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