The characteristics and factors associated with omitted nursing care in the intensive care unit: A cross-sectional study

Prior research showed that work environment features in acute care settings influence nurses’ capacity to provide care and impacts patient outcomes (e.g., falls). However, little is known about this phenomenon in the intensive care unit. The objectives of this study were to describe the characterist...

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Bibliographic Details
Published in:Intensive & critical care nursing 2023-04, Vol.75, p.103343-103343, Article 103343
Main Authors: Vincelette, Christian, D'Aragon, Frédérick, Stevens, Louis-Mathieu, Rochefort, Christian M.
Format: Article
Language:English
Subjects:
Acute services
Clinical outcomes
Collaboration
Critical Care
Cross-Sectional Studies
Data collection
Hospitals
Humans
Hypotheses
Intensive care
Intensive Care Units
Medical errors
Nurses
Nursing
Nursing Care
Nursing Staff, Hospital
Patient safety
Patient satisfaction
Patients
Perceptions
Quality of care
Sociodemographics
Surveillance
Surveys and Questionnaires
Unfinished nursing care
Work environment
Work environments
Workforce planning
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Summary:Prior research showed that work environment features in acute care settings influence nurses’ capacity to provide care and impacts patient outcomes (e.g., falls). However, little is known about this phenomenon in the intensive care unit. The objectives of this study were to describe the characteristics of omitted nursing care, and to examine the associations between work environment features, omitted nursing care and nurse-reported outcomes in the intensive care unit. An electronic cross-sectional correlational study was conducted in the province of Quebec, Canada. Over September 2021, nurses were asked to complete the Healthy Work Environment Assessment Tool (HWEAT), the Intensive Care Unit Omitted Nursing Care instrument (ICU-ONC) and to report their perceptions of nurse-reported outcomes (e.g., quality of care). The associations between these variables were estimated using multivariable cluster-robust regression models, adjusted for nurse and hospital characteristics. A total of 493 nurses from 42 distinct hospitals participated to this study. On average, nurses felt that their work environment was acceptable, and that the quality and safety of patient care was good. Basic care activities (e.g., mobilisation) were most frequently reported as omitted as opposed to those related to surveillance and medical interventions. In multivariable analyses, higher work environment scores were associated with reduced omitted nursing care scores (p 
ISSN:0964-3397
1532-4036
DOI:10.1016/j.iccn.2022.103343