Walking three times a day or as prescribed |
66.5 |
Participation in interdisciplinary team discussion on patient care |
62.8 |
Sitting the patient out of bed |
61.0 |
Planning and teaching the patient and/or family for hospital discharge |
53.7 |
Changing patient’s position every two hours |
51.8 |
Oral hygiene |
43.3 |
Answering patient call within five minutes |
40.8 |
Emotional support for the patient and/or family |
39.0 |
Cleaning the patient promptly after each elimination |
30.5 |
Requests for medication administration Y/N responded to within 15 minutes |
29.3 |
Focused reassessment according to patient’s condition |
28.7 |
Hand hygiene |
27.4 |
Complete record in the patient’s medical record of all necessary data |
25.6 |
Assessment of effectiveness of administered medications |
25.6 |
Offering meals to patients who feed themselves |
24.4 |
Fluid balance monitoring - input and output |
24.4 |
Providing guidance for patients and family members regarding routines and care |
24.4 |
Airway aspiration |
21.9 |
Assessment of patient conditions each shift |
21.3 |
Administering medications 30 min. before or after the prescribed time |
19.5 |
Use of preventive measures for patients at risk of falling |
17.7 |
Hydrate the patient, when appropriate, offering fluids orally or via tube |
12.2 |
Care for venous access and infusion, according to the institution’s standards |
9.8 |
Feed the patient or administer the diet through a tube, at time |
7.9 |
Assessment of vital signs as prescribed |
7.9 |
Bathing/patient hygiene/measures to prevent skin lesions |
7.9 |
Care for skin lesions/wounds |
7.3 |
Monitoring capillary blood glucose (glucometer/dextrose) as prescribed |
3.0 |
Reasons for omission of nursing care
|
%
|
Inadequate staff size |
87.8 |
Unexpected increase in patient volume and/or severity in the unit |
84.1 |
Inadequate staff size for patient care or administrative tasks |
81.1 |
Patient urgency situations (e.g. worsening of patient’s condition) |
75.6 |
High number of admissions and discharges |
75.6 |
High number of professionals working while ill or with health issues (hindering their ability to perform their proper duties) |
72.6 |
The distribution of patients per professional is not balanced |
65.2 |
The professional has more than one employment bond, which reduces their commitment/attention/concentration to provide assistance |
59.1 |
Staff members don’t help each other |
59.1 |
Medications not available when needed |
58.5 |
Other team professionals not providing assistance when it was necessary (e.g. Physiotherapist not assisting with patient’sambulation) |
55.5 |
Tension/conflict or communication problems with the medical team |
50.6 |
Materials/equipment were not available when needed |
50.0 |
Nurses lacking preparation to lead and supervise teamwork |
50.0 |
The shift change from the previous shift is inadequate |
46.9 |
Materials/equipment did not function properly when required |
46.9 |
Tension/conflict or communication problems with other support sectors |
46.3 |
Lack of standardization for procedures/care |
46.3 |
The professional who did not perform is not afraid of punishment/dismissal |
45.7 |
Negligence by nursing professionals |
45.7 |
Lack of motivation for work |
44.5 |
Tension/conflict or communication problems within the nursing team |
43.3 |
The professional has no ethical stance and is not committed to the institution |
42.1 |
Lack of in-service education on required care |
42.1 |
High number of nurses with little professional experience |
39.6 |
Responsible professional was unavailable or absent from the unit |
39.0 |
The nursing assistant did not communicate that assistance was not performed |
37.2 |
Inadequate physical facilities of the unit/department, hindering care to isolated patients or distant areas |
23.8 |