The association of nurse caring behaviours on missed nursing care, adverse patient events and perceived quality of care: A cross‐sectional study

Abstract

Aim: This study evaluated the role of nurse caring in predicting missed nursing care, adverse patient events and the quality of nursing care. Background: Missed nursing care is an issue essential in health care, as it is associated with adverse patient events. While studies have previously examined factors that result in missed nursing care activities and adverse events, the role of nurse caring itself in this context has not yet been explored. Methods: A cross-sectional research design was adopted, employing a convenience sample of 549 registered nurses from six hospitals in the Philippines identified between October 2018 and January 2019. Four self-report scales were used in this study as follows: the caring behaviour inventory, the missed nursing care scale, the adverse patient events scale and a single-item scale to measure the quality of nursing care. Results: Comforting or talking with patients and changing patients' positioning in bed were the most frequently missed care tasks, while patient/family complaints and patient/family verbal abuse were the most frequently reported adverse events. Nurse caring strongly predicted the quality of care, missed nursing care and patient adverse events. Conclusion: Fostering caring behaviours among nurses has a profound effect on nurses' decision to omit or provide nursing care as well as on reducing adverse events and promoting quality nursing care.

Are data on missed nursing care useful for nursing leaders? The RN4CAST@IT cross‐sectional study

“…While nurses missing out on relational and informational activities in this study is generally consistent with the data reported in the literature (Aiken et al, 2018; Ausserhofer et al., 2014; Labrague et al, 2019), oral hygiene deficits have been uncovered as a top‐ranking missed item for the first time. This pattern, across a large cohort of nurses, raises concerns about the potential implications of these practices.…”

Clinical supervision: A panacea for missed care

“…While the evidence to date presents self-reported incidents of missed care (Recio-Saucedo et al, 2018) (Proctor, 1986) by providing opportunities for nurses to review and take ownership of the delivery of standards of care, recognizing deficiencies in care delivery and accepting greater accountability for their actions. This enables greater self-awareness and insights into attitudes, behaviours and practices underpinning standards of care (Tomlinson, 2015) to empower changes in behaviours leading to missed care (Labrague et al, 2019).…”

A cross‐sectional study of the determinants of missed nursing care in the private sector: Hospital/unit/staff characteristics, professional quality of life and work alienation

“…Therefore, MNC has recently been examined with an increasing interest. Studies have been conducted on the associated factors (Bragadóttir, Kalisch, & Tryggvadóttir, 2017; Duffy, Culp, & Padrutt, 2018; Jones, Hamilton, & Murry, 2015; Kalisch, Gosselin, & Choi, 2012a; Kalisch et al, 2011; Labrague et al, 2019; Palese et al, 2015), reasons of MNC (Ball et al, 2016; Blackman et al, 2015) or its consequences on patients and nurses (Papastavrou, Andreou, & Efstathiou, 2014).…”