Missed Nursing Care in the Postanesthesia Care Unit: A Cross-Sectional Study

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

“…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).…”

“…This study indicates a correlation between facilities that are not available when needed and AMNC and ADL Omissions incidence. This result is in line with other studies reporting that medicines being unavailable and facilities not available when needed correlate with AMNC and ADL Omissions (Winters and Neville 2012;Monsiváis et al, 2015;Kiekkas et al 2021). Damage to the electrocardiography device in the ambulance when transferring patients to the hospital prevented nurses from identifying signs of acute myocardial infarction and the presence of a mechanical chest compression system (Lucas) damage, causing the nurses unable to perform optimal chest compressions in heart attack patients (Colldén Benneck & Bremer, 2019).…”

“…The contributing factors from human resources include an inadequate number of nursing staff and nursing assistants, physical and emotional fatigue of nurses, the large number of other tasks outside nursing that must be done by nurses, inadequate leadership support, worsening of patients' condition, unexpected increase in patient numbers, unbalanced patient assignments (Blackman et al, 2014;Henderson et al, 2017;Kiekkas et al, 2021). Lack of human resources will cause tension among the nursing team members, high workload, and the opportunity to increase MNC, resulting in dissatisfaction at work and a desire to resign from the job.…”

Incidence and factors associated with post‐anesthesia care unit complications in resource‐limited settings: An observational study

“…This significant discrepancy could be explained by the fact that in our study area there are traditional and inconsistent handover trends, 16 limited nursing staff compared to workload intensity, 30 and medical resources constraints to provide standardized care. By implementing cost‐effective clinical pathways in routine practice, the early identification of structural problems may significantly improve patient care and postoperative outcome.…”

The PACU as an Intensive Care Unit Before, During and After the COVID-19 Pandemic

“…With regard to postoperative patients, their care needs can be neglected due to the large amount of time needed for covering those of ICU overflow patients. In a recent study, 11 PACU personnel reported that the prevalence and volume of missed nursing care for postoperative patients were significantly higher in case even one ICU overflow patient was present. Of importance, the most common missed nursing care activities included “drug preparation, administration and assessment of effectiveness”, “patient surveillance and assessment”, and “care associated with pain”, which can be followed by severe adverse consequences for patients after anesthesia and surgery.…”