Missed nursing care before and during the COVID‐19 pandemic: A comparative cross‐sectional study

Abstract

Aim This study aimed to compare perception of nurses about missed care for the patients before and during the coronavirus disease 2019 (COVID‐19) in Jordan. It also examined how nurses differed in terms of the type of missed care and the factors that contributed to it before and during the COVID‐19 pandemic. Additionally, socio‐demographic factors, including gender, educational level, length of clinical experience, work position, age, and type of shift, were examined to evaluate their association with missed nursing care. Background Missed nursing care refers to omission of any aspect of required patient care. Missed care lowers patient satisfaction and also leads to adverse hospital outcomes. Methods We adopted a cross‐sectional design among 260 nurses working in medical/surgical wards and intensive care units. Views of 130 nurses before COVID‐19 were compared with views of 130 nurses during the COVID‐19 pandemic. We used the Arabic version of the MISSCARE survey. Data were collected between November 2019 and May 2020. Results During COVID‐19, nurses had significantly higher satisfaction levels and lower levels of absence and intention to leave than nurses before the COVID‐19 pandemic. Differences were observed between nurses’ perceptions of missed care before and during the COVID‐19 pandemic. It was observed that missed nursing care increased during COVID‐19. The inadequate number of staff nurses was the main reason for missed care activities among both groups. Additionally, age and shift type were significantly associated with an increased reason for missed nursing care among both groups. Conclusion and implications for nursing Nurses reported higher satisfaction levels and fewer absences and planned departures during this period. Nurse managers should pay attention by maintaining high satisfaction levels and formulating appropriate policies to reduce missed care levels and thus improve patient care quality.

A cross‐sectional study in college‐based nursing education: The influence of core self‐evaluation and career calling on study engagement in nursing undergraduates

“…Patients not only need superb diagnosis and treatment technology but also need spiritual and psychological comfort and comprehensive service. During the COVID‐19 epidemic, the doctors and nurses are the only chief actors to treat the growing number of infected patients and received a great deal of social support, and nurses reported higher satisfaction levels and fewer absences and planned departures (Alfuqaha et al, 2022 ; Ali et al, 2022 ). This is a big change from the previous situation that the professional status of nurses was at the bottom line (Alfuqaha et al, 2019 ).…”

Research on missed nursing care during the COVID‐19 pandemic: A scoping review

“…Furthermore, 14 studies analyzed the influence of missed nursing care on nurses and organizational outcomes (Alfuqaha et al, 2023; Bartoníčková et al, 2022; Cengia et al, 2022; Edmonds et al, 2022; Falk et al, 2022; Ferreira, 2022; Gurková, Mikšová, & Šáteková, 2021; Hosseini et al, 2022; Khrais et al, 2023; Nymark et al, 2022; Obregón‐Gutiérrez et al, 2022; Özdeli̇Kara & Yaman, 2021; Qureshi et al, 2022; von Vogelsang et al, 2021). Two studies compared missed nursing care during different phases of the COVID‐19 pandemic (Falk et al, 2022; Nymark et al, 2022), and one study compared the perception of nurses about missed nursing care before and during the COVID‐19 pandemic (Alfuqaha et al, 2023). Two studies analyzed the association between missed nursing care and the work environment (Bartoníčková et al, 2022; Gurková, Mikšová, & Šáteková, 2021).…”

“…Identified studies focused primarily on determining the influence of missed nursing care on nurses and organizational outcomes. Furthermore, few included studies compared findings across COVID‐19 and non‐COVID‐19 patient care (Cengia et al, 2022; Jørgensen et al, 2021), care settings (acute care vs. community care; King et al, 2021), and care provided in pre‐pandemic conditions (Alfuqaha et al, 2023; Falk et al, 2022; Nymark et al, 2022).…”

“…Included studies were conducted between April 2020 and August 2021 in six European countries (n = 13; Bartoníčková et al, 2022;Cengia et al, 2022;Falk et al, 2022;Gurková, Bartoníčková, et al, 2021;Gurková, Mikšová, & Šáteková, 2021;Jørgensen et al, 2021;King et al, 2021;Moretti et al, 2021;Nymark et al, 2022;Obregón-Gutiérrez et al, 2022;Senek et al, 2022;Sugg et al, 2021;von Vogelsang et al, 2021), four Asian countries (n = 8; Alfuqaha et al, 2023;Alsolami, 2021;Hosseini et al, 2022;Khrais et al, 2023;Labrague et al, 2022;Pourmovahed et al, 2022;Safdari et al, 2022Safdari et al, , 2023, two North American countries (n = 2; Edmonds et al, 2022;Qureshi et al, 2022), one South American country (n = 1; Ferreira, 2022), and one transcontinental country (n = 1; Özdeli Kara & Yaman, 2021).…”

Work alienation influences nurses’ readiness for professional development and willingness to learn: A cross-sectional correlation study

“…This pandemic caused several psychological problems for healthcare providers (HCPs) by leading to extra workload, physiological deteriorations, and lack of willingness to learn and professional development [ 1 ]. There is evidence that nurses during COVID-19 have reported higher levels of missed care [ 2 ], extra work hours [ 3 ], and higher burnout levels [ 4 ]. These challenges may influence their readiness for professional development and willingness to learn.…”