Table 2 BERNCA-NH, comparison of missed nursing care between nurses in home care versus nursing homes
BERNCA-NH | Home care (= 265) | Nursing home (= 359) | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Missed nursing care activities | Valid responses | Mean | Standard Deviation | Never† % | Seldom % | Some-times % | Often % | Valid responses | Mean | Standard Deviation | Never† % | Seldom % | Some-times % | Often % | -value‡ |
Sponge bath/partial sponge bath/skin care (total) | 241 | 1.79 | 0.97 | 52.3 | 22.8 | 18.3 | 6.6 | 328 | 1.70 | 0.92 | 56.1 | 22.6 | 16.2 | 5.2 | ns |
Oral hygiene | 227 | 2.07 | 1.09 | 41.9 | 22.9 | 21.1 | 14.1 | 316 | 2.00 | 1.03 | 43.7 | 22.2 | 25.0 | 9.2 | ns |
Assist food intake | 208 | 1.55 | 0.85 | 63.9 | 21.2 | 10.6 | 4.3 | 307 | 1.50 | 0.79 | 65.5 | 22.8 | 8.5 | 3.3 | ns |
Assist drinking | 221 | 1.39 | 0.67 | 70.1 | 21.3 | 7.7 | 0.9 | 322 | 1.46 | 0.79 | 68.9 | 19.3 | 8.4 | 3.4 | ns |
Mobilisation/change of position | 233 | 1.37 | 0.65 | 70.8 | 21.9 | 6.4 | 0.9 | 330 | 1.49 | 0.78 | 66.4 | 20.3 | 11.2 | 2.1 | ns |
Leave a care recipient in urine/stool longer than 30 min | 244 | 1.45 | 0.78 | 70.1 | 18.0 | 9.0 | 2.9 | 327 | 1.54 | 0.79 | 62.7 | 23.5 | 11.3 | 2.4 | ns |
Emotional support | 257 | 1.90 | 1.02 | 47.1 | 26.8 | 15.2 | 10.9 | 345 | 2.12 | 1.00 | 33.6 | 32.2 | 22.9 | 11.3 | 0.009** |
Necessary conversation with care recipient | 261 | 2.16 | 1.12 | 36.8 | 28.4 | 16.5 | 18.4 | 347 | 2.37 | 1.03 | 25.1 | 29.1 | 30.3 | 15.9 | 0.022* |
Necessary conversation with family | 232 | 1.70 | 0.88 | 54.7 | 23.7 | 18.5 | 30.0 | 303 | 1.66 | 0.80 | 53.1 | 29.7 | 15.5 | 1.7 | ns |
Toileting/continence training | 236 | 1.77 | 0.96 | 53.0 | 24.2 | 15.7 | 7.2 | 321 | 1.97 | 0.95 | 37.4 | 37.1 | 16.8 | 8.7 | 0.016* |
Allow necessary time for care recipient to perform care themselves | 231 | 1.87 | 1.03 | 48.9 | 27.3 | 12.1 | 11.7 | 316 | 1.89 | 0.93 | 42.1 | 34.2 | 16.5 | 7.3 | ns |
Monitoring care recipient as care worker felt necessary | 226 | 1.66 | 0.91 | 58.8 | 21.7 | 14.2 | 5.3 | 330 | 2.14 | 1.06 | 36.7 | 26.1 | 23.9 | 13.3 | 0.000** |
Monitoring of confuse/cognitively impaired care recipients and use of restraints/sedatives | 227 | 1.67 | 0.87 | 56.4 | 24.7 | 15.0 | 4.0 | 326 | 2.21 | 1.04 | 32.2 | 27.3 | 27.6 | 12.9 | 0.000** |
Keep care recipients waiting who rung | 227 | 2.02 | 1.00 | 39.6 | 27.3 | 24.2 | 8.8 | 334 | 2.10 | 0.95 | 31.1 | 36.2 | 23.7 | 9.0 | ns |
Studying care plans at the beginning of shift | 258 | 2.48 | 1.12 | 25.6 | 25.2 | 24.4 | 24.8 | 352 | 2.18 | 1.02 | 32.1 | 30.1 | 25.6 | 12.2 | 0.001** |
Set up or update care recipients care plans | 233 | 2.47 | 1.11 | 26.6 | 21.5 | 30.0 | 41.8 | 324 | 2.28 | 1.05 | 29.3 | 28.4 | 27.2 | 15.1 | 0.038* |
Documentation of care | 262 | 2.27 | 1.06 | 30.2 | 28.6 | 25.6 | 15.6 | 348 | 2.08 | 0.99 | 35.9 | 29.6 | 25.0 | 9.5 | 0.027* |
Scheduled single activity with a care recipients | 217 | 1.91 | 1.03 | 47.5 | 24.9 | 17.1 | 10.6 | 279 | 2.54 | 1.04 | 21.5 | 22.6 | 36.2 | 19.7 | 0.000** |
Scheduled group activity with several care recipients | 118 | 1.97 | 1.12 | 47.5 | 25.4 | 10.2 | 16.9 | 241 | 2.48 | 1.12 | 26.6 | 21.6 | 29.0 | 22.8 | 0.000** |
Cultural activity for care recipients | 127 | 1.67 | 0.94 | 56.7 | 28.3 | 6.3 | 8.7 | 250 | 1.87 | 0.91 | 42.8 | 33.2 | 18.0 | 6.0 | 0.044* |