Table 2 The occurrence of and reasons for unfinished nursing care in studies using the MISSCARE survey [59]
From: Unfinished nursing care in healthcare settings during the COVID-19 pandemic: a systematic review
Interventions | Albsoul et al. [34] a | Alfuqaha et al. [35] | Al Muharraq et al. [36] | Falk et al. [38] | Gurkova et al. [25]b | Gurková et al. [39] | Hosseini et al. [41] | Khrais et al. [44] | Labrague et al. [45]c | Mingude et al. [47] | Nymark et al. [48] | Rahmani et al. [49]d | von Vogelsan et al. [54] | Xie et al. [55]e | ||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
PART A, Interventions | ||||||||||||||||||||
B | D | B | W2 | W3 | CS | RS | CS | RS | ||||||||||||
Ambulation 3 times per day or as ordered | ••• | ••• | ••• | ••• | •• | •• | ••• | •• | •• | ••• | •• | • | ••• | ••• | ||||||
Assess effectiveness of medications | • | • | • | •• | • | |||||||||||||||
Turning patient every 2 h | ••• | ••• | ••• | •• | ••• | ••• | •• | ••• | ••• | ••• | •• | ••• | ••• | |||||||
Mouth care | ••• | •• | •• | • | • | • | •• | •• | ••• | ••• | •• | •• | ||||||||
Patient teaching about procedures, tests and other diagnostic studies | •• | •• | •• | • | • | •• | ••• | •• | • | |||||||||||
PRN medication requests acted on within 15 min | ••• | • | ||||||||||||||||||
Full documentation of all necessary data | •• | •• | ••• | • | ||||||||||||||||
Feeding patient while the food is still warm | •• | •• | ••• | ••• | ••• | ••• | •• | •• | • | |||||||||||
Medications administered within 30 min before or after scheduled time | • | •• | • | |||||||||||||||||
Assist with toileting needs within 5 min of request | • | • | •• | • | • | • | ••• | |||||||||||||
Response to call light is initiated within 5 min | • | ••• | ||||||||||||||||||
Emotional support to patient and/or family | •• | ••• | • | • | ••• | ••• | ••• | • | • | • | •• | |||||||||
Patient bathing/skin care | • | • | • | ••• | ||||||||||||||||
IV/central line site care and assessments according to hospital policy | •• | • | • | • | ||||||||||||||||
Teach patient about plans for their care after discharge | ••• | •• | •• | •• | • | •• | • | •• | •• | |||||||||||
Monitoring intake/output | •• | ••• | ••• | • | ||||||||||||||||
Setting up meals for patients who feed themselves | • | ••• | ••• | ••• | • | ••• | ||||||||||||||
Vital signs assessed as ordered | •• | • | ||||||||||||||||||
Focused reassessments according to patient condition | • | •• | • | •• | ||||||||||||||||
Hand-washing | •• | • | • | |||||||||||||||||
Bedside glucose monitoring as ordered | • | • | ||||||||||||||||||
Patient assessments performed each shift | • | |||||||||||||||||||
r-Attend interdisciplinary care conferences whenever held | •• | • | ••• | •• | •• | •• | ••• | •• | ••• | ••• | ••• | ••• | ••• | |||||||
r- Skin/wound care | • | • | ••• | •• | • | |||||||||||||||
r-Interdisciplinary care conferences whenever held | ••• | • | ||||||||||||||||||
r-Discussing patient expectation | ••• | |||||||||||||||||||
r-pain assesment and management | • | |||||||||||||||||||
r-Physical examination | ||||||||||||||||||||
r-Initial assesment | ||||||||||||||||||||
r-Review of collected lab results | ||||||||||||||||||||
Treatments and procedures | • | |||||||||||||||||||
PART B, Reasons | ||||||||||||||||||||
Communication | Tension or communication breakdowns within the nursing team | • | • | • | ••• | ••• | • | • | • | • | ||||||||||
Lack of backup support from team members | • | • | • | • | •• | ••• | •• | • | •• | • | ||||||||||
Nursing assistant did not communicate that care was not done | • | • | • | •• | • | • | • | • | • | •• | ||||||||||
Caregiver is off unit or unavailable | • | •• | •• | •• | ||||||||||||||||
Tension or communication breakdown with the medical staff | • | • | ••• | •• | • | •• | • | |||||||||||||
Tension or communication breakdown with other support departments | • | • | • | •• | ||||||||||||||||
Other departments did not provide the care needed | • | •• | ||||||||||||||||||
Inadequate hand-off from previous shift or sending unit | •• | •• | • | |||||||||||||||||
Unbalanced patient assignments | • | •• | •• | •• | •• | •• | ••• | ••• | •• | •• | •• | •• | ||||||||
r-Inadequate supervision of nursing assistants | ||||||||||||||||||||
r-Lack of cues/reminders | ||||||||||||||||||||
Material resources | Supplies/equipment not available when needed | • | • | •• | • | ••• | •• | ••• | ||||||||||||
Supplies/equipment not functioning properly when needed | • | •• | • | •• | •• | •• | •• | |||||||||||||
Medications were not available when needed | • | ••• | •• | • | ••• | • | •• | • | ||||||||||||
Labor resources | Unexpected rise in patient volume and/or acuity on the unit | ••• | •• | •• | ••• | ••• | ••• | ••• | •• | •• | ••• | ••• | ••• | ••• | ||||||
Urgent patient situations (e.g. a patient’s condition worsening) | •• | ••• | • | ••• | ••• | ••• | •• | ••• | •• | ••• | ••• | ••• | ••• | ••• | ||||||
Inadequate number of staff | ••• | ••• | ••• | ••• | ••• | ••• | ••• | ••• | ••• | ••• | ••• | ••• | ••• | ••• | ||||||
Inadequate number of assistive personnel (e.g. nursing assistants, technicians, etc.) | ••• | ••• | • | ••• | • | •• | • | ••• | • | • | ||||||||||
r-Emotional or physical exhaustion | •• | |||||||||||||||||||
r-Interruptions/Multitasking | •• | |||||||||||||||||||
r-Inadequate support from leadership | •• | |||||||||||||||||||
r-Heavy admission and discharge activity | ••• | • | •• | •• | •• | •• | ••• | • | •• | •• | •• | •• | ||||||||