Correlates and predictors of missed nursing care in hospitals

Bragadóttir, Helga; Kalisch, Beatrice J.; Tryggvadóttir, Guðný Bergþóra

doi:10.1111/jocn.13449

Cited by 148 publications

(245 citation statements)

References 40 publications

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“…() who found that gender and age were not significantly associated with missed care. However, the result of the association of age with missed nursing care is congruent with the result of Bragadóttir and Kalisch () who found age to be a significant predictor of missed care. The results of the present study could be explained as nurses become older, they might perceive themselves as more experienced and competent and thus perceived committing reduced levels of missed care.…”

Section: Discussionsupporting

confidence: 82%

Missed nursing care and its relationship with confidence in delegation among hospital nurses

Saqer

AbuAlRub

2018

Journal of Clinical Nursing

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Section: Discussionsupporting

confidence: 82%

Missed nursing care and its relationship with confidence in delegation among hospital nurses

Saqer

AbuAlRub

2018

Journal of Clinical Nursing

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“…In the study of Bragadóttir et al, [13] the younger groups are also the ones that report more NCLU. There were differences between Gender in our study, like in Kalisch's study.…”

Section: Discussionmentioning

confidence: 88%

“…[9] In a South African study including 1,166 nursing professionals, NCLU were considered the major factor of job dissatisfaction. [12] A recently published article [13] analyzed the correlated factors and predictors of NCLU. These were directly related to the type of hospital and units, the age of the participants and their functions, as well as the perception of nurses about the appropriate number of nurses and the type of teamwork.…”

Section: Introductionmentioning

confidence: 99%

RN4Cast Study in Portugal: Nurses and care left undone

Braga

Jesus

Araújo

2018

JHA

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Background: Over the past decades, nursing in Portugal has evolved greatly both academically and professionally and this evolution brought along growing concerns about the quality of the healthcare provided. Due to lack of time or poor organization of the workload, nurses are often faced with the need to choose between what must be done and what will have to be postponed or even not be done at all. Objective: To investigate the care activities that are most frequently left undone or are postponed by nurses working in medical and surgical inpatient units in Portugal. Methods: A descriptive, cross-sectional, quantitative study that follows the RN4CAST (Nurse Forecasting in Europe) methodology was carried out from October 2013 to April 2014. A total of 31 hospitals and a random sample of adult medical-surgical units were involved. The data were collected using a socio-demographic questionnaire and a nursing questionnaire that included the identification of the nursing activities of surveillance and direct patient care that were necessary but postponed or not performed by nurses in their most recent shift. Results: A total of 2,235 nurses participated. Almost all participants had a nursing bachelor degree (98.2%). The most frequently left undone or postponed care items were "Educating patients and family" (50.2%) and "Comfort/talk with patients" (50.1%); the least frequently left undone items were "Treatments and procedures" (3.9%) and "Pain management" (5.6%). Nurses in the North and Center regions of the country were the ones who reported less care left undone due to lack of time. Nurses under the age of 40 were those who reported a highest number of activities left undone. Conclusions: Nurses make selective choices about the care activities that are crucial for the patient. Some activities that may not have an immediate impact on the health of the patients are sidelined, although they may have an impact on other important healthcare quality indicators.

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“…A study conducted in ICUs of Iceland ( 33 ) also showed a positive but weak correlation between the number of patients and omission of care, that is, the more patients, the more activities may be missed. In addition, it also found that adequacy in staff sizing and improved teamwork diminish occurrences of missed or delayed care.…”

Section: Discussionmentioning

confidence: 99%

The qualitative dimension of Nursing workload: a measurement proposal

Cucolo

Perroca

2019

Rev. Latino-Am. Enfermagem

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Objective:construct and test a proposal to measure the qualitative dimension of nursing workload; identify the workload cut-off point and its indicator as predictors of the good and optimal nursing care product score.Method:this is a descriptive study conducted in four inpatient units and four intensive care units of a Brazilian teaching hospital, considering 308 evaluations performed by 19 nurses. Four measurement instruments were used: three to assess the care demand in relation to nursing and the other to classify the care product delivered at the end of the shift. The workload was calculated and its indicator was constructed.Results:a weak and inverse correlation was found between the care product score, workload and the workload indicator and the workload indicator in the units and moderate and inverse between Nursing care planning and Care needs assistance with the number of hospitalized patients.Conclusion:it is possible to associate workload and its indicator with the care product. Nursing workload ≤ 173 hours (24 hours) and indicator ≤ 12.3 hours / professional were associated with a higher probability of obtaining a “good” and “optimal” score in the care product in the inpatient units.

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Correlates and predictors of missed nursing care in hospitals

Abstract: By identifying contributing factors to missed nursing care, appropriate interventions can be developed and tested.

Cited by 148 publications

References 40 publications

Missed nursing care and its relationship with confidence in delegation among hospital nurses

Missed nursing care and its relationship with confidence in delegation among hospital nurses

RN4Cast Study in Portugal: Nurses and care left undone

The qualitative dimension of Nursing workload: a measurement proposal

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