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 | |
Publication status | Published - 1 Nov 2019 |
Keywords
- cultural issues
- missed nursing care
- nursing
- unfinished nursing care
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In: Journal of Advanced Nursing, Vol. 75, No. 11, 01.11.2019, p. 2995-3005.
Research output: Contribution to journal › Article › peer-review
TY - JOUR
T1 - 从跨文化角度理解过失护理的概念。
AU - RANCARE Consortium COST
AU - Zeleníková, Renáta
AU - Drach-Zahavy, Anat
AU - Gurková, Elena
AU - Papastavrou, Evridiki
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 -