TY - JOUR
T1 - Understanding the concept of missed nursing care from a cross-cultural perspective
AU - Zeleníková, Renáta
AU - Drach-Zahavy, Anat
AU - Gurková, Elena
AU - Papastavrou, Evridiki
AU - RANCARE Consortium COST
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 - Eftathiou, Georgios
AU - Ezra, Sigal
AU - Pilan, Fuster
AU - Gotlib, Joanna
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
AU - Rasch, Agripina
AU - Diaz, Cristobal R.
AU - Rochefort, Christian
AU - Scott, Anne
AU - Simon, Michael
AU - Stemmer, Renate
AU - Tichelaar, Erna
AU - Toffoli, Luisa
AU - Tonnessen, Siri
AU - Uchmanowicz, Izabella
AU - Vuckovic, Jasminka
AU - Willis, Eileen
AU - Xiao, Lily
AU - Zelenikova, Renata
AU - Zorcec, Tatjana
PY - 2019/11
Y1 - 2019/11
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
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 -