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

J Adv Nurs. 2019 Nov;75(11):2995-3005. doi: 10.1111/jan.14189. Epub 2019 Sep 16.


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.

目的: 调查护理专家和其他医疗卫生专家如何理解定量护理、过失护理和未完成护理的概念以及跨文化层面是如何比较这些概念的。 设计: 混合方法描述性研究。 方法: 这些半结构化的问卷被发送给了实验对象--来自26个国家的45位学者和医生。搜集了从2017年十一月至2018年二月的数据。 结果: 将平均文化价值观分配给各个国家的参与者,从而得到了三个文化群体:高个人主义-高男子气概、高个人主义-低男子气概以及低个人主义-高男子气概。调查结果的内容分析揭示了三个跨文化群体认同的主题:(a)将这一现象归咎于谁:责备护士还是责备系统;(b)故意还是无意;以及(c)关注护理人员还是关注病人。 结论: 对过失护理理解的一致差异可以理解为与国家长期的两种主要文化价值观有关:个人主义和男子气概。 影响: 研究结果呼吁学者们谨慎解释不同文化背景下的过失护理或者是比较各国过失护理任务的程度和类型。研究结果进一步表明一个文化环境模仿另一个文化环境限制过失护理的干预措施可能是无效的。考虑到文化差异,应当谨慎采取干预措施来缓和这种现象。.

Keywords: cultural issues; missed nursing care; nursing; unfinished nursing care.

MeSH terms

  • Adult
  • Attitude of Health Personnel
  • Cross-Cultural Comparison*
  • Female
  • Health Care Rationing / statistics & numerical data*
  • Health Personnel / psychology*
  • Health Personnel / statistics & numerical data*
  • Humans
  • Internationality*
  • Male
  • Middle Aged
  • Nursing Care / psychology*
  • Quality of Health Care / statistics & numerical data*
  • Surveys and Questionnaires