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


Research output: Contribution to journalArticlepeer-review


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 languageEnglish
Pages (from-to)2995-3005
Number of pages11
JournalJournal of Advanced Nursing
Issue number11
StatePublished - 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


  • cultural issues
  • missed nursing care
  • nursing
  • unfinished nursing care

ASJC Scopus subject areas

  • General Nursing


Dive into the research topics of 'Understanding the concept of missed nursing care from a cross-cultural perspective'. Together they form a unique fingerprint.

Cite this