Understanding the concept of missed nursing care from a cross-cultural perspective

RANCARE Consortium COST

doi:10.1111/jan.14189

Understanding the concept of missed nursing care from a cross-cultural perspective

RANCARE Consortium COST

Department of Nursing

Research output: Contribution to journal › Article › peer-review

Abstract

Aims: To investigate how nursing experts and experts from other health professions understand the concept of rationing/missed/unfinished nursing care and how this is compared at a cross-cultural level. Design: The mixed methods descriptive study. Methods: The semi-structured questionnaires were sent to the sample of 45 scholars and practitioners from 26 countries. Data were collected from November 2017–February 2018. Results: Assigning average cultural values to participants from each country revealed three cultural groups: high individualism-high masculinity, high individualism-low masculinity and low individualism-medium masculinity. Content analysis of the findings revealed three main themes, which were identified across cultural clusters: (a) projecting blame for the phenomenon: Blaming the nurse versus blaming the system; (b) intentionality versus unintentionality; and (c) focus on nurses in comparison to focus on patients. Conclusion: Consistent differences in the understanding of missed nursing care can be understood in line with the nation's standing on two main cultural values: individualism and masculinity. Impact: The findings call for scholars' caution in interpreting missed nursing care from different cultures, or in comparing levels and types of missed nursing tasks across nations. The findings further indicated that mimicking interventions to limit missed nursing care from one cultural context to the other might be ineffective. Interventions to mitigate the phenomenon should be implemented thoughtfully, considering the cultural aspects.

Original language	English
Pages (from-to)	2995-3005
Number of pages	11
Journal	Journal of Advanced Nursing
Volume	75
Issue number	11
DOIs	https://doi.org/10.1111/jan.14189
State	Published - 1 Nov 2019

Bibliographical note

Funding Information:
Funding information This article is based on work from COST Action RANCARE CA15208, supported by COST (European Cooperation in Science and Technology). *RANCARE Consortium COST Action?CA 15208: Chair: Evridiki Papastavrou (Cyprus, Cyprus University of Technology); Vice Chair: Chryssoula Lemonidou (Greece, University of Athens); WG Leaders: Walter Sermeus (Belgium, Leuven Institute for Healthcare) Maria Schubert (Switzerland, University of Basel); Riitta Suhonen (Finland, University of Turku); Olga Riklikiene (Lithuania, Lithuanian University of Health Sciences); Rengin Acaroglu (Istanbul University, Turkey); Panayiota Andreou (Cyprus, Cyprus University of Technology); Darijana Antonic (Bosnia & Herzegoviva, Public Health Institute, Banja Luka, Republic of Srpska); Dietmar Ausserhofer (Italy Landesfachhochschule fur GesundheitsberufeClaudiana); Christophe Baret (France, CNRS, LEST); Helen Bosch-Leertouwer (Netherlands, Windesheim University of Applied Sciences); Helga Bragadottir (Iceland, University of Iceland); Luk Bruyneel (Belgium, KatholiekeUniversiteit Leuven); Karin Christiansen (Denmark, VIA University College); R?ta ?iutien? (Lithuania, Kaunas University of Technology); Raul Cordeiro (Portugal, Instituto Politecnico de Portalegre); Liana Deklava (Latvia, Riga Stradins University); Suzanne Dhaini (Lebanon, American University of Beirut); Anat Drach-Zahavy (Israel, University of Haifa); Georgios Eftathiou (Cyprus, Cyprus University of Technology); Sigal Ezra (Israel, Sheba Hospital, Sheba Medical Center); Fuster Pilan (Spain, UniversitatInternacional de Catalunya); Joanna Gotlib (Poland, Medical University of Warsaw); Elena Gurkova (Slovakia, University of Presov); Monika Habermann (Germany, Hochschule Bremen Neustadtswall); Kristin Halovsen (Norway, Oslo and Akershus University College Applied Sciences); Patti Hamilton (USA, Texas Woman's University); Clare Harvey (Australia, CQUniversity Australia); Saima Hinno (Estonia, Tartu Health Care College); Ingibjorg Hjaltadottir (Iceland, University of Iceland); Darja Jarosova (Czech Republic, University of Ostrava); Terry Jones (USA, Virginia Commonwealth University); Raphaela Kane (UK, Liverpool John Moore University); Marcia Kirwan (Ireland, Dublin City University, School of Nursing and Human Sciences); Helena Leino-Kilpi (Finland, University of Turku); Marcel Lepp?e (Croatia, Institute for Healthy Ageing, Slovenska); Mario A. Lopes (Portugal, INESC-TEC); Inga Millere (Latvia, Riga Stradins University); Aysel Ozsaban (Turkey, Istanbul University); Alvisa Palese, (Italy, Udine University); Elisabeth Patiraki (Greece, University of Athens); Katina Pavloska (FYR Macedonia, Institute for mental health for children and youth); Amanda Phelan (Ireland, University College Dublin, School of Nursing, Midwifery & Health Systems); Paraschiva Postolache (Romania, "Grigore T. Popa" University of Medicine and Pharmacy of Iasi); Ivana Prga (Croatia, Andrija Stampar Teaching Institute of Public Health); Agripina Rasch (Romania, University of Medicine and Pharmacy Carol Davila); Cristobal R. Diaz (Spain, Hospital Universitario Virgen de la Victoria de Malaga, Campus Universitario de Teatinos); Christian Rochefort (Canada, University of Sheebrook); Anne Scott (Ireland, National University of Ireland, Galway); Michael Simon (Switzerland, University of Basel); Renate Stemmer (Germany, Catholic University of Applied Sciences Mainz); Erna Tichelaar (Netherlands, Windesheim University of Applied Sciences); Luisa Toffoli (Australia, University of South Australia); Siri Tonnessen (Norway, University College of Southeast Norway); Izabella Uchmanowicz (Poland, Wroclaw Medical University); Jasminka Vuckovic (Bosnia & Herzegovina, Ministry of Health and Social Welfare Republic of Srpska); Eileen Willis (Australia, Flinders University); Lily Xiao (Australia, Flinders University); Ren?ta Zelen?kov? (Czech Republic, University of Ostrava); Tatjana Zorcec (FYR Macedonia, University Children's Hospital Faculty of Medicine University of Skopje).

Publisher Copyright:
© 2019 John Wiley & Sons Ltd

Keywords

cultural issues
missed nursing care
nursing
unfinished nursing care

ASJC Scopus subject areas

General Nursing

Access to Document

10.1111/jan.14189

Cite this

@article{bef229da60da48908fdc0fec92e3c337,

title = "Understanding the concept of missed nursing care from a cross-cultural perspective",

abstract = "Aims: To investigate how nursing experts and experts from other health professions understand the concept of rationing/missed/unfinished nursing care and how this is compared at a cross-cultural level. Design: The mixed methods descriptive study. Methods: The semi-structured questionnaires were sent to the sample of 45 scholars and practitioners from 26 countries. Data were collected from November 2017–February 2018. Results: Assigning average cultural values to participants from each country revealed three cultural groups: high individualism-high masculinity, high individualism-low masculinity and low individualism-medium masculinity. Content analysis of the findings revealed three main themes, which were identified across cultural clusters: (a) projecting blame for the phenomenon: Blaming the nurse versus blaming the system; (b) intentionality versus unintentionality; and (c) focus on nurses in comparison to focus on patients. Conclusion: Consistent differences in the understanding of missed nursing care can be understood in line with the nation's standing on two main cultural values: individualism and masculinity. Impact: The findings call for scholars' caution in interpreting missed nursing care from different cultures, or in comparing levels and types of missed nursing tasks across nations. The findings further indicated that mimicking interventions to limit missed nursing care from one cultural context to the other might be ineffective. Interventions to mitigate the phenomenon should be implemented thoughtfully, considering the cultural aspects.",

keywords = "cultural issues, missed nursing care, nursing, unfinished nursing care",

author = "{RANCARE Consortium COST} and Ren{\'a}ta Zelen{\'i}kov{\'a} and Anat Drach-Zahavy and Elena Gurkov{\'a} and Evridiki Papastavrou and Evridiki Papastavrou and Chryssoula Lemonidou and Walter Sermeus and Maria Schubert and Riitta Suhonen and Olga Riklikiene and Rengin Acaroglu and Panayiota Andreou and Darijana Antonic and Dietmar Ausserhofer and Christophe Baret and Helen Bosch-Leertouwer and Helga Bragadottir and Luk Bruyneel and Karin Christiansen and Rūta {\v C}iutienė and Raul Cordeiro and Liana Deklava and Suzanne Dhaini and Anat Drach-Zahavy and Georgios Eftathiou and Sigal Ezra and Fuster Pilan and Joanna Gotlib and Elena Gurkova and Monika Habermann and Kristin Halovsen and Patti Hamilton and Clare Harvey and Saima Hinno and Ingibjorg Hjaltadottir and Darja Jarosova and Terry Jones and Raphaela Kane and Marcia Kirwan and Helena Leino-Kilpi and Marcel Lepp{\'e}e and Lopes, {Mario A.} and Inga Millere and Aysel Ozsaban and Alvisa Palese and Elisabeth Patiraki and Katina Pavloska and Amanda Phelan and Paraschiva Postolache and Ivana Prga",

note = "Funding Information: Funding information This article is based on work from COST Action RANCARE CA15208, supported by COST (European Cooperation in Science and Technology). *RANCARE Consortium COST Action?CA 15208: Chair: Evridiki Papastavrou (Cyprus, Cyprus University of Technology); Vice Chair: Chryssoula Lemonidou (Greece, University of Athens); WG Leaders: Walter Sermeus (Belgium, Leuven Institute for Healthcare) Maria Schubert (Switzerland, University of Basel); Riitta Suhonen (Finland, University of Turku); Olga Riklikiene (Lithuania, Lithuanian University of Health Sciences); Rengin Acaroglu (Istanbul University, Turkey); Panayiota Andreou (Cyprus, Cyprus University of Technology); Darijana Antonic (Bosnia & Herzegoviva, Public Health Institute, Banja Luka, Republic of Srpska); Dietmar Ausserhofer (Italy Landesfachhochschule fur GesundheitsberufeClaudiana); Christophe Baret (France, CNRS, LEST); Helen Bosch-Leertouwer (Netherlands, Windesheim University of Applied Sciences); Helga Bragadottir (Iceland, University of Iceland); Luk Bruyneel (Belgium, KatholiekeUniversiteit Leuven); Karin Christiansen (Denmark, VIA University College); R?ta ?iutien? (Lithuania, Kaunas University of Technology); Raul Cordeiro (Portugal, Instituto Politecnico de Portalegre); Liana Deklava (Latvia, Riga Stradins University); Suzanne Dhaini (Lebanon, American University of Beirut); Anat Drach-Zahavy (Israel, University of Haifa); Georgios Eftathiou (Cyprus, Cyprus University of Technology); Sigal Ezra (Israel, Sheba Hospital, Sheba Medical Center); Fuster Pilan (Spain, UniversitatInternacional de Catalunya); Joanna Gotlib (Poland, Medical University of Warsaw); Elena Gurkova (Slovakia, University of Presov); Monika Habermann (Germany, Hochschule Bremen Neustadtswall); Kristin Halovsen (Norway, Oslo and Akershus University College Applied Sciences); Patti Hamilton (USA, Texas Woman's University); Clare Harvey (Australia, CQUniversity Australia); Saima Hinno (Estonia, Tartu Health Care College); Ingibjorg Hjaltadottir (Iceland, University of Iceland); Darja Jarosova (Czech Republic, University of Ostrava); Terry Jones (USA, Virginia Commonwealth University); Raphaela Kane (UK, Liverpool John Moore University); Marcia Kirwan (Ireland, Dublin City University, School of Nursing and Human Sciences); Helena Leino-Kilpi (Finland, University of Turku); Marcel Lepp?e (Croatia, Institute for Healthy Ageing, Slovenska); Mario A. Lopes (Portugal, INESC-TEC); Inga Millere (Latvia, Riga Stradins University); Aysel Ozsaban (Turkey, Istanbul University); Alvisa Palese, (Italy, Udine University); Elisabeth Patiraki (Greece, University of Athens); Katina Pavloska (FYR Macedonia, Institute for mental health for children and youth); Amanda Phelan (Ireland, University College Dublin, School of Nursing, Midwifery & Health Systems); Paraschiva Postolache (Romania, {"}Grigore T. Popa{"} University of Medicine and Pharmacy of Iasi); Ivana Prga (Croatia, Andrija Stampar Teaching Institute of Public Health); Agripina Rasch (Romania, University of Medicine and Pharmacy Carol Davila); Cristobal R. Diaz (Spain, Hospital Universitario Virgen de la Victoria de Malaga, Campus Universitario de Teatinos); Christian Rochefort (Canada, University of Sheebrook); Anne Scott (Ireland, National University of Ireland, Galway); Michael Simon (Switzerland, University of Basel); Renate Stemmer (Germany, Catholic University of Applied Sciences Mainz); Erna Tichelaar (Netherlands, Windesheim University of Applied Sciences); Luisa Toffoli (Australia, University of South Australia); Siri Tonnessen (Norway, University College of Southeast Norway); Izabella Uchmanowicz (Poland, Wroclaw Medical University); Jasminka Vuckovic (Bosnia & Herzegovina, Ministry of Health and Social Welfare Republic of Srpska); Eileen Willis (Australia, Flinders University); Lily Xiao (Australia, Flinders University); Ren?ta Zelen?kov? (Czech Republic, University of Ostrava); Tatjana Zorcec (FYR Macedonia, University Children's Hospital Faculty of Medicine University of Skopje). Publisher Copyright: {\textcopyright} 2019 John Wiley & Sons Ltd",

year = "2019",

month = nov,

day = "1",

doi = "10.1111/jan.14189",

language = "English",

volume = "75",

pages = "2995--3005",

journal = "Journal of Advanced Nursing",

issn = "0309-2402",

publisher = "Wiley-Blackwell Publishing Ltd",

number = "11",

}

TY - JOUR

T1 - Understanding the concept of missed nursing care from a cross-cultural perspective

AU - RANCARE Consortium COST

AU - Zeleníková, Renáta

AU - Drach-Zahavy, Anat

AU - Gurková, Elena

AU - Papastavrou, Evridiki

AU - Lemonidou, Chryssoula

AU - Sermeus, Walter

AU - Schubert, Maria

AU - Suhonen, Riitta

AU - Riklikiene, Olga

AU - Acaroglu, Rengin

AU - Andreou, Panayiota

AU - Antonic, Darijana

AU - Ausserhofer, Dietmar

AU - Baret, Christophe

AU - Bosch-Leertouwer, Helen

AU - Bragadottir, Helga

AU - Bruyneel, Luk

AU - Christiansen, Karin

AU - Čiutienė, Rūta

AU - Cordeiro, Raul

AU - Deklava, Liana

AU - Dhaini, Suzanne

AU - Drach-Zahavy, Anat

AU - Eftathiou, Georgios

AU - Ezra, Sigal

AU - Pilan, Fuster

AU - Gotlib, Joanna

AU - Gurkova, Elena

AU - Habermann, Monika

AU - Halovsen, Kristin

AU - Hamilton, Patti

AU - Harvey, Clare

AU - Hinno, Saima

AU - Hjaltadottir, Ingibjorg

AU - Jarosova, Darja

AU - Jones, Terry

AU - Kane, Raphaela

AU - Kirwan, Marcia

AU - Leino-Kilpi, Helena

AU - Leppée, Marcel

AU - Lopes, Mario A.

AU - Millere, Inga

AU - Ozsaban, Aysel

AU - Palese, Alvisa

AU - Patiraki, Elisabeth

AU - Pavloska, Katina

AU - Phelan, Amanda

AU - Postolache, Paraschiva

AU - Prga, Ivana

N1 - Funding Information: Funding information This article is based on work from COST Action RANCARE CA15208, supported by COST (European Cooperation in Science and Technology). *RANCARE Consortium COST Action?CA 15208: Chair: Evridiki Papastavrou (Cyprus, Cyprus University of Technology); Vice Chair: Chryssoula Lemonidou (Greece, University of Athens); WG Leaders: Walter Sermeus (Belgium, Leuven Institute for Healthcare) Maria Schubert (Switzerland, University of Basel); Riitta Suhonen (Finland, University of Turku); Olga Riklikiene (Lithuania, Lithuanian University of Health Sciences); Rengin Acaroglu (Istanbul University, Turkey); Panayiota Andreou (Cyprus, Cyprus University of Technology); Darijana Antonic (Bosnia & Herzegoviva, Public Health Institute, Banja Luka, Republic of Srpska); Dietmar Ausserhofer (Italy Landesfachhochschule fur GesundheitsberufeClaudiana); Christophe Baret (France, CNRS, LEST); Helen Bosch-Leertouwer (Netherlands, Windesheim University of Applied Sciences); Helga Bragadottir (Iceland, University of Iceland); Luk Bruyneel (Belgium, KatholiekeUniversiteit Leuven); Karin Christiansen (Denmark, VIA University College); R?ta ?iutien? (Lithuania, Kaunas University of Technology); Raul Cordeiro (Portugal, Instituto Politecnico de Portalegre); Liana Deklava (Latvia, Riga Stradins University); Suzanne Dhaini (Lebanon, American University of Beirut); Anat Drach-Zahavy (Israel, University of Haifa); Georgios Eftathiou (Cyprus, Cyprus University of Technology); Sigal Ezra (Israel, Sheba Hospital, Sheba Medical Center); Fuster Pilan (Spain, UniversitatInternacional de Catalunya); Joanna Gotlib (Poland, Medical University of Warsaw); Elena Gurkova (Slovakia, University of Presov); Monika Habermann (Germany, Hochschule Bremen Neustadtswall); Kristin Halovsen (Norway, Oslo and Akershus University College Applied Sciences); Patti Hamilton (USA, Texas Woman's University); Clare Harvey (Australia, CQUniversity Australia); Saima Hinno (Estonia, Tartu Health Care College); Ingibjorg Hjaltadottir (Iceland, University of Iceland); Darja Jarosova (Czech Republic, University of Ostrava); Terry Jones (USA, Virginia Commonwealth University); Raphaela Kane (UK, Liverpool John Moore University); Marcia Kirwan (Ireland, Dublin City University, School of Nursing and Human Sciences); Helena Leino-Kilpi (Finland, University of Turku); Marcel Lepp?e (Croatia, Institute for Healthy Ageing, Slovenska); Mario A. Lopes (Portugal, INESC-TEC); Inga Millere (Latvia, Riga Stradins University); Aysel Ozsaban (Turkey, Istanbul University); Alvisa Palese, (Italy, Udine University); Elisabeth Patiraki (Greece, University of Athens); Katina Pavloska (FYR Macedonia, Institute for mental health for children and youth); Amanda Phelan (Ireland, University College Dublin, School of Nursing, Midwifery & Health Systems); Paraschiva Postolache (Romania, "Grigore T. Popa" University of Medicine and Pharmacy of Iasi); Ivana Prga (Croatia, Andrija Stampar Teaching Institute of Public Health); Agripina Rasch (Romania, University of Medicine and Pharmacy Carol Davila); Cristobal R. Diaz (Spain, Hospital Universitario Virgen de la Victoria de Malaga, Campus Universitario de Teatinos); Christian Rochefort (Canada, University of Sheebrook); Anne Scott (Ireland, National University of Ireland, Galway); Michael Simon (Switzerland, University of Basel); Renate Stemmer (Germany, Catholic University of Applied Sciences Mainz); Erna Tichelaar (Netherlands, Windesheim University of Applied Sciences); Luisa Toffoli (Australia, University of South Australia); Siri Tonnessen (Norway, University College of Southeast Norway); Izabella Uchmanowicz (Poland, Wroclaw Medical University); Jasminka Vuckovic (Bosnia & Herzegovina, Ministry of Health and Social Welfare Republic of Srpska); Eileen Willis (Australia, Flinders University); Lily Xiao (Australia, Flinders University); Ren?ta Zelen?kov? (Czech Republic, University of Ostrava); Tatjana Zorcec (FYR Macedonia, University Children's Hospital Faculty of Medicine University of Skopje). Publisher Copyright: © 2019 John Wiley & Sons Ltd

PY - 2019/11/1

Y1 - 2019/11/1

N2 - Aims: To investigate how nursing experts and experts from other health professions understand the concept of rationing/missed/unfinished nursing care and how this is compared at a cross-cultural level. Design: The mixed methods descriptive study. Methods: The semi-structured questionnaires were sent to the sample of 45 scholars and practitioners from 26 countries. Data were collected from November 2017–February 2018. Results: Assigning average cultural values to participants from each country revealed three cultural groups: high individualism-high masculinity, high individualism-low masculinity and low individualism-medium masculinity. Content analysis of the findings revealed three main themes, which were identified across cultural clusters: (a) projecting blame for the phenomenon: Blaming the nurse versus blaming the system; (b) intentionality versus unintentionality; and (c) focus on nurses in comparison to focus on patients. Conclusion: Consistent differences in the understanding of missed nursing care can be understood in line with the nation's standing on two main cultural values: individualism and masculinity. Impact: The findings call for scholars' caution in interpreting missed nursing care from different cultures, or in comparing levels and types of missed nursing tasks across nations. The findings further indicated that mimicking interventions to limit missed nursing care from one cultural context to the other might be ineffective. Interventions to mitigate the phenomenon should be implemented thoughtfully, considering the cultural aspects.

AB - Aims: To investigate how nursing experts and experts from other health professions understand the concept of rationing/missed/unfinished nursing care and how this is compared at a cross-cultural level. Design: The mixed methods descriptive study. Methods: The semi-structured questionnaires were sent to the sample of 45 scholars and practitioners from 26 countries. Data were collected from November 2017–February 2018. Results: Assigning average cultural values to participants from each country revealed three cultural groups: high individualism-high masculinity, high individualism-low masculinity and low individualism-medium masculinity. Content analysis of the findings revealed three main themes, which were identified across cultural clusters: (a) projecting blame for the phenomenon: Blaming the nurse versus blaming the system; (b) intentionality versus unintentionality; and (c) focus on nurses in comparison to focus on patients. Conclusion: Consistent differences in the understanding of missed nursing care can be understood in line with the nation's standing on two main cultural values: individualism and masculinity. Impact: The findings call for scholars' caution in interpreting missed nursing care from different cultures, or in comparing levels and types of missed nursing tasks across nations. The findings further indicated that mimicking interventions to limit missed nursing care from one cultural context to the other might be ineffective. Interventions to mitigate the phenomenon should be implemented thoughtfully, considering the cultural aspects.

KW - cultural issues

KW - missed nursing care

KW - nursing

KW - unfinished nursing care

UR - http://www.scopus.com/inward/record.url?scp=85073827695&partnerID=8YFLogxK

U2 - 10.1111/jan.14189

DO - 10.1111/jan.14189

M3 - Article

C2 - 31456218

AN - SCOPUS:85073827695

SN - 0309-2402

VL - 75

SP - 2995

EP - 3005

JO - Journal of Advanced Nursing

JF - Journal of Advanced Nursing

IS - 11

ER -

Understanding the concept of missed nursing care from a cross-cultural perspective

Abstract

Bibliographical note

Keywords

ASJC Scopus subject areas

Access to Document

Other files and links

Fingerprint

Cite this