The consistency between planned and actually given nursing care in long-terminstitutional care

•Staff provide the planned basic and complex physiological nursing interventions.•Documented safety interventions were not always provided.•Nursing assistants generally provide nursing interventions as documented.•Health care assistants provide interventions beyond their scope of practice. Continuou...

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Bibliographic Details
Published in:Geriatric nursing (New York) 2020-09, Vol.41 (5), p.564-570
Main Authors: Tuinman, Astrid, de Greef, Mathieu H.G., Finnema, Evelyn J., Nieweg, Roos M.B., Krijnen, Wim P., Roodbol, Petrie F.
Format: Article
Language:English
Subjects:
Aged, 80 and over
Continuity of Patient Care
Cross-Sectional Studies
Documentation
Female
Health Plan Implementation
Humans
Male
Nursing
Nursing Care - statistics & numerical data
Nursing home
Nursing Homes
Nursing record
Nursing Staff
Observational
Patient-Centered Care - standards
Standardized nursing terminology
Citations: Items that this one cites
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Summary:•Staff provide the planned basic and complex physiological nursing interventions.•Documented safety interventions were not always provided.•Nursing assistants generally provide nursing interventions as documented.•Health care assistants provide interventions beyond their scope of practice. Continuous information exchange between healthcare professionals is facilitated by individualized care plans. Compliance with the planned care as documented in care plans is important to provide person-centered care which contributes to the continuity of care and quality of care outcomes. Using the Nursing Interventions Classification, this study examined the consistency between documented and actually provided interventions by type of nursing staff with 150 residents in long-term institutional care. The consistency was especially high for basic (93%) and complex (79%) physiological care. To a lesser extent for interventions in the behavioral domain (66%). Except for the safety domain, the probability that documented interventions were provided was high for all domains (≥ 91%, p > 0.05). NAs generally provided the interventions as documented. Findings suggest that HCAs worked beyond there scope of practice. The results may have implications for the deployment of nursing staff and are of importance to managers.
ISSN:0197-4572
1528-3984
DOI:10.1016/j.gerinurse.2020.03.001