The Effect of Nurses’ Job Characteristics on Missed Nursing Care in Medical and Surgical Departments in Selected Slovenian Hospitals—A Cross-Sectional Study
Mateja BAHUN
Orcid-Profil, Bojana LOBE
- Angela Boškin Faculty of Health CareJesenice, Slovenia
- Faculty of Social Sciences, University of LjubljanaLjubljana, Slovenia
Orcid-Profil und Brigita SKELA-SAVIČ
Orcid-Profil 
Artikel-Kategorie: Original scientific article
Online veröffentlicht: 02. Jan. 2025
Seitenbereich: 24 - 31
Eingereicht: 21. Mai 2024
Akzeptiert: 16. Sept. 2024
DOI: https://doi.org/10.2478/sjph-2025-0004
Schlüsselwörter
© 2025 Mateja BAHUN et al., published by Sciendo
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.
Aim
The aim was to examine the extent of missed nursing care (MNC), the reasons behind it and the contribution of nurses’ job characteristics to MNC in Slovenian hospitals.
Methods
A cross-sectional explorative research was conducted. The BERNCA-R and part B of the MISSCARE questionnaire were used. A total of 880 nurses from 10 hospitals in Slovenia participated with completed questionnaires; of those, 57.6% were healthcare assistants and 42.4% were registered nurses. Univariate, bivariate and multivariate analyses were performed.
Results
In the five-component solution of the MNC, the activities of ‘Monitoring’ (M=2.09; SD=0.909) and ‘Caring, support, activation, education’ (M=2.03; SD=0.822) were the most frequently missed, with the leading item being ‘Conversation with a patient or their family’ (M=2.45; SD=0.940). Labour resources (M=3.44; SD=0.642) were the most common reason for MNC, with inadequate number of staff (M=3.75; SD=0.660) as the leading item. The stepwise multiple regression model showed that the more significant the labour resources are, the more frequently MNC occurs in all five dimensions (p=0.000-0.002). Most job characteristics proved to be significant; however, as satisfaction with wages, years of employment and assessment of the quality of nursing care increase, MNC decreases in all five dimensions.
Conclusions
This study enables healthcare decision makers and managers at the national level and in healthcare organisations to understand the problem of missed nursing care and to plan and implement changes accordingly.