A systematic review: Unfinished nursing care and the impact on the nurse outcomes of job satisfaction, burnout, intention-to-leave and turnover

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dc.citation.issue8
dc.citation.volume78
dc.contributor.authorStemmer R
dc.contributor.authorBassi E
dc.contributor.authorEzra S
dc.contributor.authorHarvey C
dc.contributor.authorJojo N
dc.contributor.authorMeyer G
dc.contributor.authorÖzsaban A
dc.contributor.authorPaterson C
dc.contributor.authorShifaza F
dc.contributor.authorTurner MB
dc.contributor.authorBail K
dc.coverage.spatialEngland
dc.date.accessioned2023-08-14T23:57:42Z
dc.date.accessioned2023-09-04T01:41:17Z
dc.date.available2022-05-09
dc.date.available2023-08-14T23:57:42Z
dc.date.available2023-09-04T01:41:17Z
dc.date.issued2022-08
dc.date.updated2023-08-14T22:55:45Z
dc.descriptionThis is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made
dc.description.abstractAim To investigate the association of unfinished nursing care on nurse outcomes. Design Systematic review in line with National Institute for Health and Care Excellence guideline. Data sources CINAHL, the Cochrane Library, Embase, Medline, ProQuest and Scopus databases were searched up until April 2020. Review Methods Two independent reviewers conducted each stage of the review process: screening eligibility, quality appraisal using Mixed Methods Appraisal Tool; and data extraction. Narrative synthesis compared measurements and outcomes. Results Nine hospital studies were included, and all but one were cross-sectional multicentre studies with a variety of sampling sizes (136–4169 nurses). Studies had low internal validity implying a high risk of bias. There was also a high potential for bias due to non-response. Only one study explicitly sought to examine nurse outcomes as a primary dependent variable, as most included nurse outcomes as mediating variables. Of the available data, unfinished nursing care was associated with: reduced job satisfaction (5/7 studies); burnout (1/3); and intention-to-leave (2/2). No association was found with turnover (2/2). Conclusion Unfinished nursing care remains a plausible mediator of negative nurse outcomes, but research is limited to single-country studies and self-reported outcome measures. Given challenges in the sector for nurse satisfaction, recruitment and retention, future research needs to focus on nurse outcomes as a specific aim of inquiry in relation to unfinished nursing care. Impact Unfinished nursing care has previously been demonstrated to be associated with staffing, education and work environments, with negative associations with patient outcomes (patient satisfaction, medication errors, infections, incidents and readmissions). This study offers new evidence that the impact of unfinished nursing care on nurses is under investigated. Policymakers can prioritize the funding of robust observational studies and quasi-experimental studies with a primary aim to understand the impact of unfinished nursing care on nurse outcomes to better inform health workforce sustainability.
dc.format.extent2290-2303
dc.identifierhttps://www.ncbi.nlm.nih.gov/pubmed/35533090
dc.identifier.citationStemmer R, Bassi E, Ezra S, Harvey C, Jojo N, Meyer G, Özsaban A, Paterson C, Shifaza F, Turner MB, Bail K. (2022). A systematic review: Unfinished nursing care and the impact on the nurse outcomes of job satisfaction, burnout, intention-to-leave and turnover.. J Adv Nurs. 78. 8. (pp. 2290-2303).
dc.identifier.doi10.1111/jan.15286
dc.identifier.eissn1365-2648
dc.identifier.elements-typejournal-article
dc.identifier.harvestedMassey_Dark
dc.identifier.issn0309-2402
dc.identifier.urihttp://hdl.handle.net/10179/19948
dc.languageeng
dc.publisherJohn Wiley & Sons Ltd
dc.relation.isPartOfJ Adv Nurs
dc.rights(c) The author/s CC BY-NC
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.subjectburnout, professional
dc.subjectcare rationing
dc.subjecthealth resource allocation
dc.subjectjob satisfaction
dc.subjectpersonnel retention
dc.subjectpersonnel turnover
dc.subjectquality of nursing care
dc.subjectsystematic review
dc.subjectunfinished nursing care
dc.subjectBurnout, Professional
dc.subjectHumans
dc.subjectIntention
dc.subjectJob Satisfaction
dc.subjectNursing Staff, Hospital
dc.subjectPersonnel Turnover
dc.titleA systematic review: Unfinished nursing care and the impact on the nurse outcomes of job satisfaction, burnout, intention-to-leave and turnover
dc.typeJournal article
pubs.elements-id453144
pubs.organisational-groupOther
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