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Unfinished nursing care in nursing homes
Pauliina Hackman1, Marja Hult1, Arja Häggman-Laitila1
1Department of Nursing Science, University of Eastern Finland, Yliopistonranta 1, Kuopio 70210, Finland.
Geriatric Nursing (New York, N.Y.)
|March 6, 2023
Summary
Many nursing care activities remain unfinished in nursing homes, particularly social care and documentation. Factors like resources and staff experience influence this, impacting resident quality of life.
Area of Science:
- Gerontology
- Nursing Science
- Healthcare Management
Background:
- Unfinished nursing care is a significant issue in long-term care facilities.
- Understanding the scope and factors contributing to unfinished care in nursing homes is crucial for quality improvement.
Purpose of the Study:
- To describe the extent and nature of unfinished nursing care activities in nursing homes.
- To identify factors associated with unfinished nursing care among care workers.
Main Methods:
- Cross-sectional survey design involving 486 care workers in nursing homes.
- Utilized the Behavior and Events of Residents in Nursing Home Care-Nursing Home (BERNCA-NH) instrument and an open-ended question.
- Quantitative analysis of reported unfinished care activities and associated factors.
Main Results:
- An average of 7.3 out of 20 nursing care activities were unfinished per respondent.
- Unfinished care predominantly involved residents' social needs and care documentation.
- Female gender, older age, and greater professional experience correlated with increased unfinished care.
Conclusions:
- A substantial proportion of essential nursing care activities are not completed in nursing homes.
- Unfinished nursing care poses risks to residents' quality of life and the visibility of nursing services.
- Nursing home leadership is vital in mitigating and preventing unfinished care; further research is recommended.
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