Missed nursing care, staffing levels, job satisfaction, and intent to leave among Jordanian nurses

Abstract

Patient safety is an important outcome for nurses who provide patient care within an environment that may increase the incidence of errors or impose them to omit care; these errors mostly happen because of staff shortage. The purpose of this study is to identify the types and reasons of "missed nursing care" among Jordanian nurses, and to examine the relationships between "missed nursing care", staffing, intent to leave, and job satisfaction. A cross-sectional descriptive design was used. A convenience sample of 300 nurses completed the Arabic version of MISSCARE which included items to measure types and reasons for "missed nursing care", staffing adequacy, job satisfaction, and intent to leave. The results of this study indicated that Labor resources were the most common cause of "missed nursing care". The results also showed that a low number of nurses per shift were associated with a high level of "missed nursing care". Nurse managers need to tackle staffing problems that may increase the rate of missed care and result in negative outcomes on the patients, nurses, as well as organizations. Nurse administrators could conduct evidence-based staffing plans to manage nurse to patient ratio to decrease missed care and enhance satisfaction.missed nursing care, nurse-to-patient ratio, skill mix, staffing | INTRODUCTIONEnsuring patient safety is a significant role for nurses. Nurses provide patient care within a complex environment that is associated with errors either from an act of commission or omission; thus affecting patients' outcomes. 1 Nurses face daily challenges to ensure and maintain patients' safety and provide high-quality care. 2 Missed nursing care was defined as "any aspect of required care that is omitted either in part or in whole or delayed." 3 It is considered a universal phenomenon that occurs in all cultures. It could also be considered as an indicator to evaluate the quality of nursing care and patient safety. 1 Missed nursing care does not result only in a negative impact on patients outcomes, but in some cases may result in additional cost consequences such as an increased length of stay, more medication prescription, an increased incidence of infections, falls, delirium, improper pain management, discomfort, malnutrition, and an increased mortality rate. 1,2 Staffing levels and inadequate staffing have been linked to missed nursing care in literature. In 2011, Kalisch et al. 4 reported that staff shortage and management of staff resources are considered the most common causes of "missed nursing care." Staffing management is considered one of the main responsibilities of nursing leaders in all healthcare settings to ensure high-quality and costeffective care. Staffing was defined by Yoder-Wise 5 as "planning for hiring and deploying qualified human resource to meet the needs of a

Nurse staffing, missed care, quality of care and adverse events: A cross‐sectional study

“…These standards determine the number of patients. When compared with international studies, patient-to-nurse ratio in Thai university hospitals is similar to those in hospitals in nine European countries (Ball et al, 2018) and Jordan (Al-Faouri et al, 2020), but less than those in other settings such as South Korea (Cho et al, 2020).…”

“…Among those factors, nurse staffing and work environment have been explicitly identified as contributing factors to missed care. Empirical evidence documents that poor nurse staffing, staffing and resource inadequacy (Lee & Kalisch, 2021; Park et al, 2018; Smith et al, 2018) and higher patient‐to‐nurse ratio (Al‐Faouri et al, 2020; Griffiths et al, 2018; Lee & Kalisch, 2021) are associated with increased missed care. A recent longitudinal study by Lake et al (2020) found that, with improved work environments and nurse staffing, the prevalence and frequency of missed care decreased significantly.…”

The relationship between paediatric nurses' quality of life and intent to leave: The moderating role of hospital type

“…On the other hand, ITL is also crucial because it contributes to nurses' shortage, the global problem (Burmeister et al, 2019) and because it is related to poor nursing care and job satisfaction (Al-Faouri et al, 2020). With the ongoing outbreak of the novel coronavirus and the associated work stressors (Khatatbeh, Khasawneh, et al, 2021), increased attention has been paid to nurses' QOL and ITL (Alrawashdeh et al, 2021).…”

“…So, nurses' QOL reflects their well-being and affects their productivity. ITL means having or making a plan to quit the job (Al-Faouri et al, 2020;Andresen et al, 2017).…”

Missed nursing care in acute care hospital settings in low-middle income countries: a systematic review protocol

“…Pre-review, we identified two recently published systematic reviews on missed nursing care that do not report any findings from low-middle income countries (LMICs) 1 , 2 . We also identified a few recent studies that investigated missed nursing care in LMIC contexts 9 – 11 . Generally, LMIC settings have distinctively different hospital structures, practice environments and organisational contexts from HICs and also have limited resources including staff and technology.…”