The globalization of missed nursing care terminology. Issue 1 (12th July 2020)

• Record Type: Journal Article
• Authors: Willis, Eileen; Zelenikova, Renata; Bail, Kasia; Papastavrou, Evridiki
• Is Part Of: International journal of nursing practice. Volume 27:Issue 1(2021)
• Page Start: n/a
• Page End: n/a
• Publication Date: 2020-07-12
• Subjects: globalization -- missed care -- nurse -- patient safety -- rationed care; Nursing -- Periodicals; Nursing -- Practice -- Periodicals; 610.73092
• DOI: 10.1111/ijn.12859
• Languages: English
• ISSNs: 1322-7114

Abstract

Abstract: Aim: To determine if there are cross‐national differences in nurse understandings of the terms: missed care, rationed care and care left undone. Background: Nurse researchers from a number of countries have published studies on missed and rationed care. It is not clear if there are differences in understanding the key terms across various language groups. Design: A mixed method questionnaire was distributed to 26 member countries of a nursing research consortium in 2017. Methods: Forty‐five responses to a qualitative questionnaire were received; 80% were nurse researchers. These responses were categorized into language groups and analysed for congruence and differences. Findings: There was congruence across all language groups in interpreting the three terms. Giddens' theory of globalization provides an explanation for this congruence. Conclusion: Shared understandings are explained by the fact that the majority of participants are nurse researchers with knowledge of English and the research literature. Shared understanding within the globalized academic community does not necessarily translate for clinical or nurse managers, nor does it predetermine solutions. SUMMARY STATEMENT: What is already known about this topic? Missed care is a global problem. Various research teams have conducted studies on missed, rationed and unfinished care, including cross‐national studies. What this paper adds? The findings suggest that there is a shared understanding of the terms despite language differences. This shared understanding is restricted to nurse researchers and does not include nurse clinicians or managers. Giddens' theory of globalization provides an explanatory theory for this shared understanding. The implications of this paper: While there might be a shared understanding within the academic research community, this does not mean this extends to nurse clinicians or managers. Globalization of missed nursing care concepts is currently achieved through increased digital communication technologies, international research and the diffusion process of peer reviewed science. Nurse researchers are faced with the challenge of ensuring globalized concepts are translated across cultures into clinical and managerial practice and effective change strategies.