Factors influencing missed nursing care for older people following fragility hip fracture

Fitzgerald, Amanda; Verrall, Claire; Henderson, Julie; Willis, Eileen

doi:10.1016/j.colegn.2019.12.003

Cited by 13 publications

(19 citation statements)

References 36 publications

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“…In this study, it was found that the relationship between human resources and the incidence of AMNC and ADL Omissions was found. The result is in line with several studies which state that the inadequate number of nursing staff, the large number of nursing administrative tasks, and inadequate manager support are correlated with the incidence of AMNC and ADL Omissions (Kiekkas et al 2021;Fitzgerald et al, 2020;K. J. Kim, Yoo, and Seo 2018;Verrall et al, 2015).…”

Section: Discussionsupporting

confidence: 90%

“…Several studies stated that MNC occurs due to inadequate medicines needed by the patient (51.1%), inadequate staff numbers (48.6%), the insufficient number of assistants and administrative personnel (50%), lack of support from the nurse work environment, low on patient safety culture, lack of human resources and facilities, less optimal management of nurse managers and lack of support from nurses (B. Kalisch, Tschannen, and Lee 2011;Kim, Yoo, and Seo 2018;Fitzgerald et al, 2020)Among the reasons that most often cause MNC incidents are human resources, facilities, and communication.…”

Section: Introductionmentioning

confidence: 99%

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Availability of Human Resources, Facilities, Communications and Missed Nursing Care

et al. 2021

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Section: Discussionsupporting

confidence: 90%

Section: Introductionmentioning

confidence: 99%

Availability of Human Resources, Facilities, Communications and Missed Nursing Care

et al. 2021

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“…It is also possible that periods of high surgical admissions, resulting in admission wards full to capacity, may be associated with suboptimal postoperative care. 14 , 26 - 28 We found little evidence of any association between the proportion of the hospital capacity being occupied by recently admitted surgical patients and mortality among patients admitted for pneumonia, suggesting that our results were not due to a hospital-wide phenomenon that might have affected all patients. There was also no apparent association with mortality among cardiovascular patients admitted for surgery, which may be a highly prioritized patient group during situations of competition for finite surgical resources.…”

Section: Discussioncontrasting

confidence: 53%

High volumes of recent surgical admissions, time to surgery, and 60-day mortality

Nilsen

Asheim

Carlsen

et al. 2021

The Bone & Joint Journal

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Aims Few studies have investigated potential consequences of strained surgical resources. The aim of this cohort study was to assess whether a high proportion of concurrent acute surgical admissions, tying up hospital surgical capacity, may lead to delayed surgery and affect mortality for hip fracture patients. Methods This study investigated time to surgery and 60-day post-admission death of patients 70 years and older admitted for acute hip fracture surgery in Norway between 2008 and 2016. The proportion of hospital capacity being occupied by newly admitted surgical patients was used as the exposure. Hip fracture patients admitted during periods of high proportion of recent admissions were compared with hip fracture patients admitted at the same hospital during the same month, on similar weekdays, and times of the day with fewer admissions. Results Among 60,072 patients, mean age was 84.6 years (SD 6.8), 78% were females, and median time to surgery was 20 hours (IQR 11 to 29). Overall, 14% (8,464) were dead 60 days after admission. A high (75th percentile) proportion of recent surgical admission compared to a low (25th percentile) proportion resulted in 20% longer time to surgery (95% confidence interval (CI) 16 to 25) and 20% higher 60-day mortality (hazard ratio 1.2, 95% CI 1.1 to 1.4). Conclusion A high volume of recently admitted acute surgical patients, indicating probable competition for surgical resources, was associated with delayed surgery and increased 60-day mortality. Cite this article: Bone Joint J 2021;103-B(2):264–270.

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“…Due to special conditions such as complex care, comorbidities, and disability, aging is mainly accompanied by missing parts of care. Fitzgerald argues that in the complex and changeable hospital environment, nurses mainly prioritize the necessary care to be implemented first, left undone, or missed ( 53 ). Moreover, unexpected and unforeseen increases in new patients' admission rate following the new waves of infection caused imbalance and instability in the number of facilities and workforce between the two pandemic peaks, each time leading to the imposition of widespread pressure on healthcare providers.…”

Section: Discussionmentioning

confidence: 99%

Explanation of factors forming missed nursing care during the COVID-19 pandemic: A qualitative study

Safdari

Rassouli

Elahikhah

et al. 2023

Front. Public Health

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BackgroundProviding nursing care to patients with COVID-19 has put additional pressure on nurses, making it challenging to meet several care requirements. This situation has caused parts of nursing care to be missed, potentially reducing the quality of nursing care and threatening patient safety. Therefore, the present study aimed at explaining the factors forming missed nursing care during the COVID-19 pandemic from the perspective of nurses.MethodsThis qualitative study was conducted using a conventional content analysis approach in Iran, 2020–2021. Data were collected from in-depth, semi-structured interviews with 14 nurses based on purposive sampling. Data analysis was performed simultaneously with data collection. Graneheim and Lundman's approach was used for data analysis, and MAXQDA software was used for data management. After transcribing the recorded interviews, to achieve the accuracy and validity of the study, the criteria proposed by Lincoln and Guba were considered and used.ResultsA total of 14 nurses with a mean age and standard deviation of 31.85 ± 4.95 and working in the COVID-19 wards participated in the study. The acquired data were categorized into four main categories: care-related factors, disease-related factors, patient-related factors, and organization-related factors. The category “care-related factors” comprised uncertainty in care, PPE-related limitations, attrition from care, and futile care. The category “disease-related factors” consisted of the extension of symptoms, unpredictable peaks of the disease, and restriction on the presence of patients' companions. The category “patient-related factors” included comorbidities, elderly patients, and deterioration of infected patients. Ultimately, the category “organization-related factors” consisted of restrictions on equipment supply, lack of human resources, weaknesses in teamwork, and an unsupportive work environment.ConclusionThe results of this study showed that several reasons including factors related to care, patient, disease, and organization cause missed nursing care. By modifying the related affecting factors and considering the effective mechanisms to minimize missed nursing care, it is possible to provide better services.

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Factors influencing missed nursing care for older people following fragility hip fracture

Cited by 13 publications

References 36 publications

Availability of Human Resources, Facilities, Communications and Missed Nursing Care

Availability of Human Resources, Facilities, Communications and Missed Nursing Care

High volumes of recent surgical admissions, time to surgery, and 60-day mortality

Explanation of factors forming missed nursing care during the COVID-19 pandemic: A qualitative study

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