Quantifying Missed Nursing Care Using the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) Survey

Abstract

Our methods utilize existing data to quantify missed nursing care. Based on the assessment, nursing leaders can develop interventions to decrease the incidence of missed care. Further data should be gathered to validate the incidence of missed care from HCAHPS reports.

<p>Missed Care from the Patient’s Perspective – A Scoping Review</p>

“…Sample sizes in these varied between 160 and 1555. [32][33][34][35][36] Seven studies collected data about patients' satisfaction with care and compared it to missed care data collected from nurses. The sample size in these varied between 352 and 66,348 patients 27,[37][38][39][40][41][42] Quantitative studies (n=12) were descriptive cross-sectional studies using structured questionnaires and statistical analysis.…”

“…In the included studies, three different instruments were used to examine patients' perceptions on missed care: the MISSCARE Survey -Patient, [32][33][34] MISSCARE Survey, 35 and Hospital Consumer Assessment of Health Providers and Systems survey (also known as the HCAHPS ® ). 36 The MISSCARE Survey -Patient, developed by Kalisch (2014), was used in three studies. [32][33][34] In these studies, Overall patient satisfaction was assessed with one 4point Likert-type question.…”

“…In addition, demographic/background data contain characteristics of the respondent's gender, years of working experience, highest nursing degree, current employment status and unit. 35 One study used the HCAHPS survey, 36 which was originally developed for measuring patients' perceptions of their hospital experience 41 and includes 32 items consisting of nine-key domains pertaining to patient care. The survey has items that ask whether and at what frequency patients experienced a critical aspect of hospital care, rather than whether they were satisfied with their care.…”

“…The survey also includes four screener items directing patients to relevant questions, five items to adjust for the mix of patients across hospitals, and two items supporting Congressionally-mandated reports. 36 The Main Findings of the Studies…”

“…35 Furthermore, one-third (38%) of the patients (n=1125) reported at least one nursing activity from the HCAHPS survey as missed during their hospital stay. 36…”