Double Jeopardy – Missed care for the vulnerable in community settings

Bagnasco, Annamaria; Timmins, Fiona; Aleo, Giuseppe; Sasso, Loredana

doi:10.1111/jocn.14541

Cited by 4 publications

(4 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

Section: Discussionsupporting

confidence: 50%

“…Included studies provide data on community care and nursing home settings. Findings echo an editorial commentary(Bagnasco, Timmins, Aleo, & Sasso, 2018) on the Phelan report (2016), highlighting how missed care in community settings impacts particularly on vulnerable groups.Types and causes of missed care appeared similar across nursing home and community settings. Key types of missed care related to optimizing health, ongoing monitoring of patients and relational care.…”

mentioning

confidence: 57%

See 1 more Smart Citation

A systematic review of the impact of ‘missed care’ in primary, community and nursing home settings

Sworn

2020

J. Nurs. Manag.

View full text Add to dashboard Cite

Appropriate nursing staffing levels are critical to the delivery of safe and effective care. The planning and delivery of safe and effective care is complex. 'Safe and effective staffing' means that health and care services have the right numbers, with the right skills, in the right place at the right time (RCN, 2018). Having the right number of appropriately qualified, competent and experienced nurses has been reported to lead to improved patient outcomes, reduced mortality rates and increased productivity. In May 2017, the Royal College of Nursing published Safe and Effective Staffing-the Real Picture (RCN, 2017). Missed care represents a challenge to both the safety and

show abstract

Section: Discussionsupporting

confidence: 50%

mentioning

confidence: 57%

A systematic review of the impact of ‘missed care’ in primary, community and nursing home settings

Sworn

2020

J. Nurs. Manag.

View full text Add to dashboard Cite

show abstract

“…Time and work pressure in daily care provision is high and, in these circumstances, the demand for person-centred care cannot be seen as a realistic policy requirement. The structural barriers, such as difficult cooperation and austerity measures, can be seen as an additional barrier in the provision of care to persons with a migrant background, but these structural barriers also reinforce the other perceived barriers (Bagnasco et al, 2018). Within the healthcare system, it is in certain situations possible for individual healthcare professionals to spend more time on the individual needs of the patient.…”

Section: Discussionmentioning

confidence: 99%

Barriers and facilitators in providing care for patients with a migration background

Claeys

Berdai‐Chaouni

Tricas‐Sauras

et al. 2022

Journal of Clinical Nursing

View full text Add to dashboard Cite

Aims and objectives The aim of this study was to identify the barriers and facilitators experienced by healthcare professionals while caring for patients with a migration background. Background People with a migration background often face several structural inequalities and barriers in terms of accessibility to, and affordability of, healthcare. In order to provide quality care for patients with a migration background, it is important to understand which barriers healthcare professionals experience that prevent them from providing care and which factors can facilitate this. Design and methods Qualitative research following the COREQ criteria. A total of six focus groups (n = 37) and 12 individual interviews were conducted with a multidisciplinary sample: doctors, nurses, social workers, and occupational therapists. Nursing and medical students were also included. Thematic content analysis was used. Results Key findings suggest that the main barrier is that healthcare professionals regard people with a migration background as “the other”. Healthcare professionals do not feel secure or competent to provide care for these “others.” According to the healthcare professionals, the hospital structures—and, particularly, the managerial instances—appear to be only slightly supportive. Structural barriers at the level of the healthcare system, such as limited implementation of care coordination and austerity measures (time pressure or economic restrictions), were also perceived as barriers. Facilitators can be the healthcare professionals' attitude or the flexibility of the management. Conclusions Healthcare professionals experience barriers in caring for people with a migration background. Othering plays a key role in building or maintaining several barriers. A multilevel approach is necessary to tackle these barriers and enable facilitators. Relevance to clinical practice Raising awareness about “othering” in the educational programs of students and healthcare professionals is essential. Also, deploying support mechanisms and valuing the competences of multicultural and multi‐lingual healthcare professionals can help facilitate quality care for patients with a migrant background. Patient or Public Contribution Patients, informal and formal caregivers participated in the study at several stages (e.g.: by involving them during the research design phase or providing feedback and input at specific moments across the study). In addition, community participants played a key role also during the research design and data analysis phases as well as by facilitating patients' recruitment.

show abstract

“…When nurses and midwives find themselves with more patient care to provide than time or resources will allow, they frequently make “judicious” decisions about which care should be completed and which should not (Bagnasco, Timmins, Aleo, & Sasso, 2018). The increased research focus on this missed or incomplete nursing care (Suhonen & Scott, 2018) is reflective of the enormous challenges it poses to both nursing practice and patient care.…”

Section: Introductionmentioning

confidence: 99%

Contextualising missed care in two healthcare inquiries using a socio‐ecological systems approach

Phelan

Kirwan

2020

Journal of Clinical Nursing

View full text Add to dashboard Cite

Aims and objectives To examine missed care within two patient safety public inquiries using a socio‐ecological model. Background Missed care is a care which has been omitted or rendered incomplete. Possible outcomes of missed care have been identified including poor patient outcomes such as higher mortality rates, reduced care quality and lower patient satisfaction, job dissatisfaction, staff burnout and higher attrition rates. Design A qualitative design, specifically document analysis, was used to review two serious case reviews. Methods Between August–December 2018, two public patient safety inquiries were examined using a document analysis method. Both inquiries are based in acute hospital care settings of nursing (UK) and midwifery (Ireland). The Standards for Reporting Qualitative Research checklist provided a framework to report the study methods, context, findings, analysis and interpretation. Results Findings highlighted instances of missed care related to practice which contributed to poor patient outcomes. Missed care was located within contingency factors, such as unintended negative patient health and safety outcomes in multiple system levels which resulted in care deficits. Conclusions A socio‐ecological model enabled consideration of how multi‐system deficits combine to impact nursing and midwifery care delivery. To tackle current and future practice challenges, broader contextual issues that influence front‐line cases should be identified and addressed before they create conditions which result in substandard care. Relevance to clinical practice This paper adds to the scholarship on missed care by incorporating a greater contextual lens. Findings suggest that some factors contributing to missed care events may be systemic in origin. Practice, policy, research and education should foster nurses’ and midwives’ review of the totality of influencing factors impacting missed care and care deficits. Consequently, early warning signs and proactive responses at a system level should be inherent in all settings that nurses’ and midwives’ practice.

show abstract

Double Jeopardy – Missed care for the vulnerable in community settings

Cited by 4 publications

References 12 publications

A systematic review of the impact of ‘missed care’ in primary, community and nursing home settings

A systematic review of the impact of ‘missed care’ in primary, community and nursing home settings

Barriers and facilitators in providing care for patients with a migration background

Contextualising missed care in two healthcare inquiries using a socio‐ecological systems approach

Contact Info

Product

Resources

About