PTOTSLPSurveyRevista latino-americana de enfermagem2020

Omission of nursing care in hospitalization units.

Juliana Carvalho de Lima, Ana Elisa Bauer de Camargo Silva, Maria Helena Larcher Caliri

PMID 32074206

WHAT IT FOUND

Nurses and technicians reported omitting basic care frequently, especially getting patients out of bed, walking them three times daily, joining team meetings, and teaching families for discharge.

Staff shortages and sudden patient surges were the main reasons.

Key findings

01The most frequently omitted nursing care practices were sitting the patient up out of bed (70.3%), ambulation three times a day (69.1%), participating in interdisciplinary team discussions (67.2%), and planning and teaching the patient or family for hospital discharge (51.1%).

02The most prevalent reasons for omitting care were an inadequate number of staff (85.4%) and an unexpected increase in the number or severity of patients in the unit (79.8%).

STILL TO COME

How it was doneWhat they foundWhat it means for PTsWhat it means for OTsWhat it means for SLPsWhat it means for RNs

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What it does not show

The study was conducted in a single public teaching hospital in Brazil, so the results may not generalize to other healthcare systems, private hospitals, or countries with different staffing models. Data collection occurred over an eight-month period, which may have captured seasonal variations in patient volume or staff availability that are not representative of the entire year. The findings rely on self-reported perceptions of nursing professionals, which may be subject to recall bias or social desirability bias. The study did not directly observe care delivery, so the reported omissions reflect what staff believed happened rather than an objective audit of care provided.

Declared interests

The authors declared no conflicts of interest. The study was approved by the Research Ethics Committee of the institution.

The easy way to misread this

Do not interpret these percentages as evidence that patients received no care in these areas. The figures represent the prevalence of self-reported omission among surveyed staff, not a direct observation of every patient's experience. Additionally, the high rates of omitted mobility and discharge teaching are associated with staffing shortages, so they reflect systemic resource issues rather than individual provider negligence.

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