Palese, Alvisa, Michela Bottega, Alice Cescutti, Davide Caruzzo, Matteo Danielis, Stefano Fabris, Elisa, Mattiussi, & Luca Grassetti (2020, April). Depicting clinical nurses’ priority perspectives leading to unfinished nursing care: A pilot Q methodology study. Journal of Nursing Management. (ePub in advance of print) (Link: https://doi.org/10.1111/jonm.13036)

Abstract: Aims: To highlight (a) trends common to all nurses on priorities attributed to interventions, and (b) whether there are profiles of nurses working in the same context who prioritize interventions in a similar way. Background: The underlying prioritization of interventions leading to Unfinished Nursing Care have been minimally investigated. Methods: A 2017 pilot Q methodology study. Full‐time nurses, with at least six months of experience in a surgical unit, were involved. Eleven nurses rated the priority given in daily practice (from ‐3 as the lowest to +3 as the highest) to 35 Q‐Sample statements representing nursing care, non‐nursing, and organizational interventions. Results: Overall, the intervention receiving the lowest priority was ‘Providing patient hygiene’ while the highest was ‘Answering phone calls’. In the by‐person factor analysis (total variance = 60.79%), three profiles of nurses emerged, (a) ‘Patient safety‐oriented’ (variance = 31.66%); (b) ‘Nursing task‐oriented’ (= 16.32%) and (c) ‘Team processes‐oriented’ (= 12.81%). Conclusions: Three profiles of nurses emerged in the same setting with significant differences both in the statistical order of priorities and in their practical implications. Implications for nursing management: Understanding levels of prioritization, that are not only affected by the unit but also by sub‐groups of nurses who rank priorities in a similar way, can support Nurse Managers in their role.

Alvisa Palese <alvisa.palese@uniud.it> is in the Department of Medical Science, University of Udine, Udine, Italy.

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