@article{3187462, title = "Understanding the concept of missed nursing care from a cross-cultural perspective", author = "Zelenikova, Renata and Drach-Zahavy, Anat and Gurkova, Elena and and Papastavrou, Evridiki and Lemonidou, Chryssoula and Sermeus, Walter and and Schubert, Maria and Suhonen, Riitta and Riklikiene, Olga and Acaroglu, and Rengin and Andreou, Panayiota and Antonic, Darijana and Ausserhofer, and Dietmar and Baret, Christophe and Bosch-Leertouwer, Helen and and Bragadottir, Helga and Bruyneel, Luk and Millere, Inga and Christiansen, and Karin and Ciutiene, Ruta and Cordeiro, Raul and Deklava, Liana and and Dhaini, Suzanne and Drach-Zahavy, Anat and Eftathiou, Georgios and Ezra, and Sigal and Pilan, Fuster and Leppee, Marcel and Gotlib, Joanna and and Gurkova, Elena and Habermann, Monika and Halovsen, Kristin and Hamilton, and Patti and Harvey, Clare and Hinno, Saima and Hjaltadottir, Ingibjorg and and Jarosova, Darja and Jones, Terry and Kane, Raphaela and Kirwan, Marcia and and Leino-Kilpi, Helena and Lopes, Mario A. and Ozsaban, Aysel and and Palese, Alvisa and Patiraki, Elisabeth and Pavloska, Katina and Phelan, and Amanda and Postolache, Paraschiva and Prga, Ivana and Rasch, Agripina and and Diaz, Cristobal R. and Rochefort, Christian and Scott, Anne and and Simon, Michael and Stemmer, Renate and Tichelaar, Erna and Toffoli, and Luisa and Tonnessen, Siri and Uchmanowicz, Izabella and Vuckovic, and Jasminka and Willis, Eileen and Xiao, Lily and Zelenikova, Renata and and Zorcec, Tatjana and RANCARE Consortium COST", journal = "Australian Journal of Advanced Nursing", year = "2019", volume = "75", number = "11", pages = "2995-3005", publisher = "Wiley", issn = "0813-0531, 1447-4328", doi = "10.1111/jan.14189", keywords = "cultural issues; missed nursing care; nursing; unfinished nursing care", abstract = "Aims To investigate how nursing experts and experts from other health professions understand the concept of rationing/missed/unfinished nursing care and how this is compared at a cross-cultural level. Design The mixed methods descriptive study. Methods The semi-structured questionnaires were sent to the sample of 45 scholars and practitioners from 26 countries. Data were collected from November 2017-February 2018. Results Assigning average cultural values to participants from each country revealed three cultural groups: high individualism-high masculinity, high individualism-low masculinity and low individualism-medium masculinity. Content analysis of the findings revealed three main themes, which were identified across cultural clusters: (a) projecting blame for the phenomenon: Blaming the nurse versus blaming the system; (b) intentionality versus unintentionality; and (c) focus on nurses in comparison to focus on patients. Conclusion Consistent differences in the understanding of missed nursing care can be understood in line with the nation's standing on two main cultural values: individualism and masculinity. Impact The findings call for scholars' caution in interpreting missed nursing care from different cultures, or in comparing levels and types of missed nursing tasks across nations. The findings further indicated that mimicking interventions to limit missed nursing care from one cultural context to the other might be ineffective. Interventions to mitigate the phenomenon should be implemented thoughtfully, considering the cultural aspects." }