Nursing care left undone, practice environment and perceived quality of care in small rural hospitals

Journal article


Smith, Sarah, Lapkin, Sam, Sim, Jenny and Halcomb, Elizabeth. (2020). Nursing care left undone, practice environment and perceived quality of care in small rural hospitals. Journal of Nursing Management. 28(8), pp. 2166-2173. https://doi.org/10.1111/jonm.12975
AuthorsSmith, Sarah, Lapkin, Sam, Sim, Jenny and Halcomb, Elizabeth
Abstract

Aim
To examine nursing care left undone and its relationship with the nursing practice environment and perceived quality of nursing care in small Australian rural hospitals.

Background
Nurses in small rural hospitals often work with few resources, limited backup and staff shortages. The relationship between this rural practice environment and care left undone has not been fully explored.

Method
A descriptive cross-sectional survey.

Results
Over half participants (n = 241, 62.9%) reported having left some activities undone on their most recent shift. There were moderately significant correlations between care left undone and nursing practice environment and overall quality of care. Nurses who reported leaving care left undone had statistically significant lower perceptions of the nursing practice environment than those who had no care left undone.

Conclusion
Nursing care activities are being left undone in rural hospitals. Both care left undone and quality of nursing care may be affected by the nursing practice environment.

Implications for Nursing Management
To maximize care quality, rural hospital managers must consider the prevalence of care left undone and may use this information as a predictor of both patient outcomes and staffing and resource requirements. Given the challenges of rural hospitals, rural nurse managers can use this evidence to support their requests for increased staffing and resources.

Keywordscare left undone; hospital; missed care; nurse; nursing practice environment; rural
Year2020
JournalJournal of Nursing Management
Journal citation28 (8), pp. 2166-2173
PublisherJohn Wiley & Sons Ltd
ISSN0966-0429
Digital Object Identifier (DOI)https://doi.org/10.1111/jonm.12975
PubMed ID32034965
Scopus EID2-s2.0-85081218008
Open accessPublished as green open access
Page range2166-2173
Author's accepted manuscript
License
All rights reserved
File Access Level
Open
Publisher's version
License
All rights reserved
File Access Level
Controlled
Output statusPublished
Publication dates
Online10 Mar 2020
Publication process dates
Accepted05 Feb 2020
Deposited08 May 2025
Additional information

© 2020 John Wiley & Sons Ltd.

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