Evidence map›Paper›PMID 40919838›Full record

ArticleJournal of clinical nursing2026

Surgical Nurses' Perspectives on Low-Value Care and Non-Nursing Tasks: A Cross-Sectional Study.

Wilmieke Bahlman-van Ooijen, Cariline Roosen, Djoeke de Jong, Philip de Reuver, Harry van Goor, Hester Vermeulen, Getty Huisman-de Waal

Abstract read
In one paragraph

Article in Journal of clinical nursing, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Wilmieke Bahlman-van OoijenDepartment of Surgery, Radboud University Medical Center, Nijmegen, the Netherlands.ORCID 0000-0001-9251-4874
Cariline RoosenDepartment of Gastroenterology and Hepatology, Radboud University Medical Center, Nijmegen, the Netherlands.
Djoeke de JongDepartment of Cardiology, Radboud University Medical Center, Nijmegen, the Netherlands.
Philip de ReuverDepartment of Surgery, Radboud University Medical Center, Nijmegen, the Netherlands.
Harry van GoorDepartment of Surgery, Radboud University Medical Center, Nijmegen, the Netherlands.
Hester VermeulenScientific Center for Quality of Healthcare (IQ Healthcare), Radboud University Medical Center, Radboud Institute for Health Sciences, Nijmegen, the Netherlands.
Getty Huisman-de WaalDepartment of Surgery, Radboud University Medical Center, Nijmegen, the Netherlands.ORCID 0000-0003-2811-4176

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLow-value care provides little or no benefit to patients, or its risk of harm outweighs the potential benefits. Non-nursing tasks refer to tasks performed by nurses below their scope of practice. With increasing pressure on the global nursing workforce, it is necessary to identify these concepts to deliver fundamental care. AIM(S): To assess the prevalence, influencing factors and associations of low-value nursing care, and to identify non-nursing tasks and potential solutions in surgical hospital care settings.

designThe study followed a cross-sectional study design using a self-developed questionnaire.

methodsA questionnaire on low-value care and non-nursing tasks was distributed to surgical wards in four hospitals in The Netherlands.

resultsA total of 302 nurses responded to the survey. Five most prevalent low-value care practices were identified, including routine preoperative fasting (84.8%), taking over blood glucose monitoring (59.3%) and leaving in place any type of venous catheter (42.1%). These practices were mainly performed due to habitual practice, in accordance with an established protocol, or upon physicians' request. Most reported non-nursing tasks were administrative duties and cleaning patient rooms and equipment. Provided solutions included clearly defining responsibilities and taking personal responsibility.

conclusionLow-value care, provided by surgical nurses, is common in daily practice. This requires targeted de-implementation of each low-value care practice, based on influencing factors. Additionally, 85.8% of nurses perform non-nursing tasks daily or several times a day, underlining the need to re-organise nursing tasks. IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: De-implementing low-value care and reducing non-nursing tasks is necessary to ease pressure on the global nursing workforce and to improve fundamental care. IMPACT: Low-value nursing care and non-nursing tasks persist when nurses lack leadership responsibility. REPORTING

methodSTROBE checklist. PATIENT OR PUBLIC CONTRIBUTION: No patient contribution.

Indexed as

Attitude of Health PersonnelNursing Staff, HospitalPerioperative NursingAdultCross-Sectional StudiesFemaleHumansMaleMiddle AgedNetherlandsSurveys and Questionnaireschoosing wiselyfundamental carelow‐value carenon‐nursing tasks

Identifiers

PMID40919838
PMCPMC12862510

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.