The Effect of Nurses’ Job Characteristics on Missed Nursing Care in Medical and Surgical Departments in Selected Slovenian Hospitals—A Cross-Sectional Study

Nurse characteristics	n	%
General care registered nurses (RNs)	373	42.4
Healthcare assistants (HCAs)	507	57.6
Female	733	83.3
Male	147	16.7
Employment at surgical units	486	55.22
Employment at medical units	394	44.77
	M	SD
Mean age	37.08	10.55
Mean length of employment in nursing	15.34	11.12

1 Note: M-mean, SD-standard deviation

Table 2.

5-component PCA solution on MNC.

Component of MNC	M	SD	% of total variance explained	α
1 Monitoring	2.09	0.909	72.658	0.872
2 Caring, support, activation, education	2.03	0.822	68.555	0.997
3 Documentation	2.02	0.846	77.059	0.900
4 Safety	1.85	0.679	73.125	0.947
5 Activities of daily living	1.72	0.773	68.904	0.911

1 Note: 1-never, 2-rarely, 3-sometimes and 4-often missed; M-mean, SD-standard deviation, α-Cronbach’s alpha

Table 3.

Extent of MNC by participating institution.

Component of MNC	Monitoring		Caring, support, activation, education		Documentation		Safety		Activities of daily living
Hospital	M	SD	M	SD	M	SD	M	SD	M	SD
1	2.07	0.832	2.13	0.934	1.95	0.714	2.01	0.741	1.79	0.777
2	1.73	0.669	2.11	0.860	1.63	0.504	1.87	0.734	1.53	0.528
3	1.96	0.808	2.01	0.763	1.77	0.752	1.91	0.755	1.62	0.617
4	1.96	0.679	2.18	0.643	1.73	0.535	1.87	0.589	1.45	0.533
5	2.12	0.815	2.09	0.926	1.89	0.674	2.05	0.805	1.86	0.743
6	2.04	0.582	1.99	0.809	1.78	0.502	1.96	0.733	1.73	0.451
7	1.99	0.961	2.49	1.059	2.12	0.623	2.48	0.872	1.94	0.899
8	2.19	0.708	2.34	0.754	1.93	0.462	2.24	0.911	2.29	0.782
9	1.91	0.929	1.89	1.020	1.77	0.760	1.94	0.956	1.52	0.928
10	2.11	0.764	2.20	0.803	1.88	0.657	2.01	0.833	1.78	0.640

Table 4.

3-component PCA solution on reasons for MNC.

Component	M	SD	% of total variance explained	α
1 Labour resources	3.44	0.642	63.809	0.962
2 Material resources	3.20	0.852	77.897	0.858
3 Communication	2.98	0.792	61.510	0.911

1 Note: 1- not a reason for MNC, 2-minor reason, 3-moderate reason and 4-significant reason; M-mean, SD-standard deviation, α-Cronbach’s alpha

Table 5.

The effect of reasons for MNC and different job characteristics on MNC.

	Dependent variables of MNC in 5 regression models
	Monitoring		Documentation		Activities of daily living		Safety		Caring, support, activation, education
R²	0.128		0.165		0.178		0.228		0.143
Constant	1.647		1.669		1.782		2.079		1.544
Independent variables	ß	p	ß	p	ß	p	ß	p	ß	p
Reasons
Labour resources	0.186	<0.001	0.200	<0.001	0.127	0.002	0.197	<0.001	0.245	<0.001
Communication									-0.102	0.015
Material resources							-0.108	0.002
Job characheristics^*
Work schedule flexibility			-0.078	0.034	-0.094	0.015
Opportunities for advancement					0.165	<0.001	0.084	0.039
Independence at work
Professional status	-0.070	0.047					-0.092	0.015
Wages	-0.059	0.050	-0.115	0.001	-0.103	0.006	-0.158	<0.001	-0.076	0.028
Educational opportunities
Annual leave			-0.117	0.007			-0.109	0.010
Sick leave			0.119	0.005	0.103	0.016	0.147	0.001	0.121	0.004
Study leave					-0.111	0.008	-0.069	0.049	-0.084	0.044
Other aspects of work
No. of patients on recent shift			0.061	0.046
Satisfaction with career			-0.096	0.005
Years of work in nursing	-0.135	0.050	-0.138	0.049	-0.052	0.050	-0.170	0.031	-0.241	0.003
Quality of nursing care in unit	-0.138	<0.001	-0.130	<0.001	-0.201	<0.001	-0.213	<0.001	-0.137	<0.001
Assessment of work environment	-0.109	0.004			-0.117	0.002	-0.070	0.046	-0.140	<0.001
Intention to leave= nursing but not in hospital	0.071	0.028	0.086	0.007					0.088	0.006
Intention to leave=not in nursing							-0.072	0.020

1 Note: R2-adjusted R-Squared, ß-standard regression coefficient, p-statistical significance; *1-very dissatisfied, 2-a little dissatisfied, 3-moderately satisfied, 4-very satisfied.

References

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Articles in this issue

DOI: https://doi.org/10.2478/sjph-2025-0004 | Journal eISSN: 1854-2476 | Journal ISSN: 0351-0026

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Language: English, Slovenian

Page range: 24 - 31

Submitted on: May 21, 2024

Accepted on: Sep 16, 2024

Published on: Jan 2, 2025

Published by: National Institute of Public Health, Slovenia

In partnership with: Paradigm Publishing Services

Keywords:

Quality of healthcare,

Workforce

Related subjects:

Medicine,

Clinical medicine,

Hygiene and environmental medicine

© 2025 Mateja BAHUN, Bojana LOBE, Brigita SKELA-SAVIČ, published by National Institute of Public Health, Slovenia
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Volume 64 (2025): Issue 1 (March 2025)