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Care accommodation in the acute care setting: Missed care or not?
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Accepted Version
Date
2020-04-07
Authors
O'Donnell, Claire
Andrews, Tom
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Journal ISSN
Volume Title
Publisher
John Wiley & Sons, Inc.
Published Version
Abstract
To explain how nurses care for patients with stroke in the acute setting, when working within constraints. Internationally, healthcare environments are experiencing constraints such as reduced staffing levels, lack of time and resources. In such circumstances patient care is often of poorer quality or missed entirely. Classic grounded theory methodology was used to explain how care is provided within the acute care setting for patients following stroke. Data were collected using unstructured interviews with 32 nurses. Care accommodation a typology of caring was generated consisting of; functional caring, assisted self-caring and ideal caring. Depending on the degree of constraint, nurses consciously or subconsciously prioritise care, potentially leading to missed care. Care accommodation elucidates what happens to care delivery with limited resources. Missed care may result on engaging with care accommodation, a factor nurses and managers need to consider in care delivery. Care accommodation provides new insight and understanding for management of the daily challenges nurses face thus, informing nursing management supports nurses, advocating at higher levels for resources to provide necessary environments and strategies to reduce missed care.
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Keywords
Constraints , Acute setting , Stroke , Grounded theory , Missed care
Citation
O'Donnell, C. and Andrews, T. (2020) 'Care accommodation in the acute care setting: Missed care or not?', Journal of Nursing Management. doi: 10.1111/jonm.13025
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Copyright
© 2020, John Wiley & Sons, Inc. This is the peer reviewed version of the following article: O'Donnell, C. and Andrews, T. (2020) 'Care accommodation in the acute care setting: Missed care or not?', Journal of Nursing Management, doi: 10.1111/jonm.13025, which has been published in final form at https://doi.org/10.1111/jonm.13025. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions.