| 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 |
