Evidence map›Paper›PMID 41806093›Full record

ReviewAging clinical and experimental research2026

Measuring unfinished nursing care in patients with or at risk for delirium: a development and Delphi study.

Luisa Sist, Yari Longobucco, Rossella Messina, Stefania Chiappinotto, Paola Rucci, Alvisa Palese, UNCSD - Study Group

Abstract readReview
In one paragraph

Review in Aging clinical and experimental research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Luisa SistDepartment of Biomedical and Neuromotor Sciences, Alma Mater Studiorum University of Bologna, Via Massarenti 9, Bologna, 40138, Italy. luisa.sist@unibo.it.ORCID http://orcid.org/0000-0002-1283-7364
Yari LongobuccoDepartment of Health Sciences, University of Florence, Firenze, Italy.ORCID http://orcid.org/0000-0002-2703-9349
Rossella MessinaDepartment of Biomedical and Neuromotor Sciences, Alma Mater Studiorum University of Bologna, Via Massarenti 9, Bologna, 40138, Italy.ORCID http://orcid.org/0000-0001-5526-9769
Stefania ChiappinottoDepartment of Medicine, University of Udine, Udine, Italy.ORCID http://orcid.org/0000-0003-4829-1831
Paola RucciDepartment of Biomedical and Neuromotor Sciences, Alma Mater Studiorum University of Bologna, Via Massarenti 9, Bologna, 40138, Italy.ORCID http://orcid.org/0000-0002-7704-0831
Alvisa PaleseDepartment of Medicine, University of Udine, Udine, Italy.ORCID http://orcid.org/0000-0002-3508-844X
UNCSD - Study Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUnfinished Nursing Care (UNC) refers to necessary patient care interventions that are delayed or omitted. Although several instruments exist to measure UNC, none are specifically designed for patients at risk of or experiencing delirium. These patients often have difficulty communicating their needs, making it harder for nurses to identify and prioritize appropriate care.

methodsA seven-round Delphi study, based on the Conducting and Reporting Delphi Studies (CREDES) framework, was conducted to develop the Unfinished Nursing Care Survey for Patients at Risk of and with Delirium (UNCSD) as an adaptation of the Unfinished Nursing Care Survey, composed of Part A and Part B. A multidisciplinary group evaluated the items using the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) scale, which assigns scores from 1 to 9. The group reached consensus on the inclusion of items (70% agreement), with final consensus exceeding 90%. The Delphi process included three rounds for Part A, three for Part B, and one for the introduction section online, while one round was conducted in interactive mode to revise items and provide changes, mergers, additions, and exclusions.

resultsThe final UNCSD instrument consists of an introduction Section (31 items), Part A (39 essential nursing interventions, selected from an original set of 63), and Part B (23 reasons for UNC, reduced from 48).

conclusionsThe UNCSD measures UNC and its reasons among patients at risk of or with delirium. Its use helps nurses identify gaps in care, improve decision-making, define care priorities, and ensure patient safety.

Indexed as

DeliriumNursing CareAdultAgedDelphi TechniqueFemaleHumansMaleMiddle AgedSurveys and QuestionnairesDelirium; Unfinished Nursing CareDelphi techniqueMissed nursing careSurveys and questionnaires

Identifiers

PMID41806093
PMCPMC13005806

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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.