Monitoring of person-centered care in the context of missed nursing care and moral distress in nursing: a data basis for orientation for preventive measures in cases of staff overload

The literature on quality and practice development shows that person-centered processes are only possible to a very limited extent if the person-centered workplace culture is poorly developed. One consequence of this is a reduction in the perceived quality of care and support. Furthermore, there is a correlation between a low level of person-centered workplace culture and an implicit rationing of necessary care (missed nursing care). In this situation, nurses are not able to care for patients and their relatives in accordance with their professional attitude. This has a negative impact on the health-related outcomes of nursing care. In particular, (moral) stress is described in the literature as a consequence of implicitly rationed care and a lack of person-centeredness at the staff level.
There is evidence that a person-centered workplace culture has a protective effect against moral stress in nursing staff. However, there is a lack of explicit theoretical underpinning and a practicable standardized assessment tool that can establish and measure a link between person-centredness, missed nursing care and associated outcomes at the nurse level (such as moral distress and intention to leave the nursing profession).

Aim
The aim of the project is (1) to develop a theoretical model to explain the relationships between the three concepts and (2) to develop, adapt and validate a tool to monitor person-centered workplace culture, work processes and outcomes (e.g. job satisfaction and intention to leave) for strategic leadership by nursing management.