Table 1 Variables: 1st- and 2nd-level conditions, missed care outcomes
Condition | Nr | Variable Name | ID | |
|---|---|---|---|---|
Outcomes (Section A) | Missed Nursing Care | 1 | Ambulation/mobilization as frequently as necessary/as ordered | SA1 |
2 | Turning patient as frequently as necessary/as ordered | SA2 | ||
3 | Feeding patient when the food is still warm | SA3 | ||
4 | Setting up meals for patient who feeds themselves | SA4 | ||
5 | Administrating medications within the stipulated scheduled time | SA5 | ||
6 | Vital signs assessed as frequently as necessary/as ordered | SA6 | ||
7 | Monitoring intake/output | SA7 | ||
8 | Full documentation of all necessary nursing relevant data | SA8 | ||
9.a | Patient teaching about illness and planed care | SA9a | ||
9.b | Informal caregiver teaching about illness and planed care | SA9b | ||
10.a | Emotional support to patient | SA10a | ||
10.b | Emotional support to informal caregivers | SA10b | ||
11 | Assisting with body and skin care | SA11 | ||
12 | Assisting with oral and dental care | SA12 | ||
13 | Own hand hygiene | SA13 | ||
14.a | Patient discharge planning | SA14a | ||
14.b | Counseling and training patients for discharge | SA14b | ||
14.c | Counseling and training informal caregivers for discharge | SA14c | ||
15 | Bedside glucose monitoring as frequently as necessary/as ordered | SA15 | ||
16 | Performing comprehensive assessment of the patient’s condition | SA16 | ||
17 | Focused reassessments according to patient condition | SA17 | ||
18.a | Peripheral venous catheter site care | SA18a | ||
18.b | Central line site care | SA18b | ||
19 | Timely responding to patient call light | SA19 | ||
20 | Timely administrating PRN medication following patient requests | SA20 | ||
21 | Assess effectiveness of PRN medications | SA21 | ||
22 | Attend interdisciplinary care conferences | SA22 | ||
23 | Timely assisting with toileting needs following patient requests | SA23 | ||
24 | Skin damage and/or wound care | SA24 | ||
25 | Adequate surveillance of confused/impaired patients | SA25 | ||
1st-level conditions (Section B) | Demand for patient care | 2 | Urgent patient situations (e.g., a patient’s condition worsening) | Demand (mean score index) |
3.a | Unexpected rise in patient volume | |||
3.b | Unexpected rise in patient care dependency on the unit | |||
17 | Heavy admission and discharge activity | |||
Relationship and communication factors | 7 | Inadequate hand-off from previous shift or sending unit | RelComm (mean score index) | |
11 | Lack of back up support from team members | |||
12 | Tension/communication breakdowns w/SUPP.DEPARTMENTS | |||
13 | Tension/communication breakdowns within the NURSING TEAM | |||
14 | Tension/communication breakdowns w/INTERPROF. TEAM | |||
15 | Nursing assistant did not communicate that care was not provided | |||
19 | Inadequate supervision of nursing assistants | |||
21 | Lack of cues/reminders | |||
22 | Inadequate support from ward manager | |||
Labor resources allocation | 1 | Inadequate number of nursing staff | Labor (mean score index) | |
4 | Inadequate number of assistive and/or clerical personnel | |||
5 | Unbalanced patient assignments | |||
8 | Other departments did not provide the care needed | |||
16 | Caregiver off unit or unavailable | |||
18.a | Own emotional exhaustion | |||
18.b | Own physical exhaustion | |||
20.a | Frequently being interrupted during patient care | |||
20.b | Multitasking | |||
Material resources allocation | 6 | Medications were not available when needed | Material (mean score index) | |
9 | Supplies/equipment not available when needed | |||
10 | Supplies/equipment not functioning properly when needed | |||
2nd-level conditions | Nurse Characteristics | 12 | Nurse’s experience since first qualification in nursing | NExp |
6 | Nurse’s highest nursing specific qualification | NQual | ||
7 | Job Title/Role, on the unit she or he works on | Role | ||
Unit Characteristics | 3 | Type of the unit, on which she or he works on | UT | |
13 | How many beds are there in your unit? | US | ||
14 | In the past 3 months, how often do you think nursing staffing was adequate on your unit? | UNS | ||
Hospital Characteristics | 4.b | Type of hospital | HT | |
4.c | Size of the hospital you work on (in bed-capacity) | HS | ||
4.a | Location of the hospital you work on | HL |