The Longitudinal Prevalence of Unfinished Nursing Care at the US Army Burn Center
Technical Report,01 Jul 2016,30 Jun 2018
The University Of Texas At Austin Austin United States
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Purpose To identify the prevalence and patterns of unfinished nursing care UNC in relation to variations in nursing staff supply and working conditions at the US Army Burn Center. Design Repeated measures, descriptive design. Methods Monthly, for six months, registered and licensed vocational nurses completed a 50-item, paper survey. Administrative data related to nursing staff supply and working conditions also were collected monthly from local nurse leaders. Sample In total, 599 surveys were handed out to 118 nurses 269 useable surveys were returned overall response rate of 44.9, range 37.9 -51.0. A total of 95 unique participants were identified, indicating that 80.5 of all eligible nurses participated at least once. Sixty-five 55.1 participated more than once 55 46.6 participated three or more times. Analysis Descriptive statistics and multilevel modeling were used in the analysis. Findings Monthly, 85.7 -100 of nurses reported leaving at least one element of care unfinished. On average, nurses rationed 52.3 -77.7 of the 31 elements of care. Most frequently left unfinished were documentation of care, emotional support, reviewing interdisciplinary documentation, and changing intravenous catheters in one unit. Least frequently left unfinished were the provision of enteralparenteral nutrition, monitoring patient safety, and important conversations. Only nursing care hours provided by float staff significantly predicted nurse estimates of UNC, Beta .008, p .05, R2 .021. Implications for Military Nursing UNC increases the risk of patient adverse events burn patients may be at greater risk due to hospitalization length. Nursing leaders should work to identify causes of UNC develop interventions to give bedside nurses more time to complete care.
- Medicine and Medical Research