Are data on missed nursing care useful for nursing leaders? The RN4CAST@IT cross‐sectional study

Bagnasco, Annamaria; Catania, Gianluca; Zanini, Milko; Dasso, Nicoletta; Rossi, Silvia; Aleo, Giuseppe; Timmins, Fiona; Sermeus, Walter; Aiken, Linda H.; Sasso, Loredana

doi:10.1111/jonm.13139

Cited by 15 publications

(15 citation statements)

References 57 publications

(105 reference statements)

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“…Study findings show that MNC occurred in all categories of nursing care. The patterns and reasons of MNC revealed in this study were in line with previous studies in the Czech Republic (Jarošová et al, 2021;Zeleníková et al, 2019Zeleníková et al, , 2020aZeleníková et al, , 2020b and other European studies (Bragadóttir et al, 2017;Palese et al, 2015;Bagnasco et al, 2020) based on the missed care approach and conducted before the COVID-19 pandemic. In line with our results, a Swedish comparative study (von Vogelsang et al, 2021) revealed similar levels and reasons of MNC before and during the COVID-19 pandemic.…”

Section: Discussionsupporting

confidence: 91%

“…COVID‐19 workplace conditions had a negative impact on nurses’ health (Havaei et al., 2021 ). Therefore, during the time of COVID‐19 crisis, the influence of the NWE on MNC has received a new impetus in nursing research due to exacerbation of pre‐existing workplace conditions contributing to MNC, mainly nurse staffing inadequacies, nurses’ workloads, or time‐pressured work environments (Bagnasco et al., 2020 ). MNC emerges during periods of time scarcity (VanFosson et al., 2018 ).…”

Section: Introductionmentioning

confidence: 99%

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Missed nursing care in hospital environments during the COVID‐19 pandemic

Gurková

Mikšová

Šáteková

2021

International Nursing Review

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Background Studies performed in Central European countries showed a high prevalence of missed nursing care in various clinical settings before the COVID‐19 pandemic. Aims The aim of the study was to investigate which domains of the work environment were significant predictors of missed nursing care activities in Czech hospitals during the COVID‐19 pandemic. Methods A cross‐sectional study was used. The RANCARE guideline and STROBE checklist were followed for reporting in the study. The sample consisted of 371 nurses from four acute care hospitals. The MISSCARE Survey and the Practice Environment Scale of the Nursing Work Index questionnaires were used to collect data. The data were analyzed using multiple linear and logistic regression analyses. Results Nurses reporting unfavorable environments consistently describe a higher frequency of episodes of missed care. Prevalence estimates of missed care in Czech acute care hospitals during the COVID‐19 pandemic was predicted from the overtime work, the nurses’ perception of the “Nursing foundations for the quality of care,” and their satisfaction with their current position. Conclusions Missed nursing care could be mitigated by improving the nurses’ work environment. Domains of the nurse work environment are known as structural modifiable factors and their refinement could be a cornerstone for interventions to reduce the prevalence of missed nursing care. Implications for nursing policy Monitoring the conditions and aspects of the nurse work environment in hospitals and considering nurses’ concerns about the work environment on an ongoing basis are important strategies for nurse supervision as well as for policymakers.

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Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Missed nursing care in hospital environments during the COVID‐19 pandemic

Gurková

Mikšová

Šáteková

2021

International Nursing Review

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“…A study in England reported that most nurses (86%) showed that one or more care activity had been left undone due to lack of time on their last shift. Further, Bagnasco, Catania [16] showed that the frequency of omission of nursing activities ranged between 7% and 50% and oral care was the most frequently missed care activity.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of Missed Nursing Care and Associated Factors - a Nurse’s Perspective - at the Oncology Departments in Gaza Strip, Palestine

AH¹,

KM²,

HS³

et al. 2021

austinjnurshealthcare

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Background: The present study aims to determine the prevalence of nursing missed care and associated factors at the oncology departments in Gaza Strip, Palestine. Method: This cross sectional study was conducted among all nurses who worked at the only two hospitals offer oncology nursing care in Gaza Strip, Palestine between May to July 2020 using a self-administered questionnaire. Results: Data from 52 nurses (44 had bachelor and 8 had diploma certificate) on five oncology departments in the European Gaza and Al-Rantisi hospitals revealed that the overall prevalence of missed nursing care was 39%. The most common areas of missed care reported were; providing oral hygiene for those who need (n=39, 75%), treatments and some of nursing procedures left undone because of lack of time (n=34, 65.3%), and always nurses consider cleaning of patient’s room or equipment (n=30, 57.7%). The main factors leading to missed nursing care were lack of enough nurses, no opportunity for nurses to participate in policy decisions, absent of active quality assurance program, management do not listen and response to employee concerns, and there is no a preceptor program for newly hired nurses (weighted means: 37.8%, 37.4%, 36.8%, 36%, and 35%, respectively). Conclusion: The findings of the present study demonstrated the need for more quality improvement efforts to reduce missed nursing care in the oncology departments. Considering issues such as shortage in staff number, nurses’ continuing education/training programs and involvement in policy decisions, and direct response to the career concerns could reduce the prevalence of missed care.

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“…Missed nursing care is an omission error wherein some aspects of required nursing care are partially or totally delayed or unfulfilled [ 8 ]. It occurs in all cultures and countries [ 9 ] and is an important indicator of nursing care quality and patient safety [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

An Overview of Missed Nursing Care and Its Predictors in Saudi Arabia: A Cross-Sectional Study

Alallah

Alkhayrat

Jahlan

2022

Nursing Research and Practice

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Background. Nursing care is holistic, and missing any aspect of care can be critical to patients’ health. However, due to the complex and intense nature of the nursing practice, nurses have to unintentionally prioritize some activities, forcing them to omit some aspects of nursing care. Aim. To explore the dimensions of missed nursing care and its predictors within the Saudi Arabian healthcare system. Methods. Quantitative, cross-sectional study used the MISSCARE survey by utilizing nonprobability convenience sampling to collect the data of 604 staff nurses working in inpatient wards in Jazan, Saudi Arabia. Results. The overall mean of missed nursing care is (m = 1.37, SD = 0.45). Missed nursing care activities were mostly failure to attend interdisciplinary care conferences (m = 1.66, SD = 0.96) and patient ambulation thrice a day (m = 1.63, SD = 0.97). Missed nursing care was mainly caused by human resource shortage (m = 3.53, SD = 0.88). Missed nursing care is predicted by the turnover intention (B = 2.380, t = 3.829, p < 001 ) and job satisfaction (B = −0.864, t = −4.788, p < 001 ). Conclusion. Although missed nursing care is evident in Saudi Arabia, it is significantly lower than the international rates, and it is mainly caused by labor resource shortage which directly influences nurses’ job satisfaction and intention to leave. Optimizing the recruitment process, resource allocation and effective nurses’ retention programs are proposed solutions that may be beneficial to mitigate missed nursing care.

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Are data on missed nursing care useful for nursing leaders? The RN4CAST@IT cross‐sectional study

Cited by 15 publications

References 57 publications

Missed nursing care in hospital environments during the COVID‐19 pandemic

Missed nursing care in hospital environments during the COVID‐19 pandemic

Prevalence of Missed Nursing Care and Associated Factors - a Nurse’s Perspective - at the Oncology Departments in Gaza Strip, Palestine

An Overview of Missed Nursing Care and Its Predictors in Saudi Arabia: A Cross-Sectional Study

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