The impact of ‘missed care’ on the professional socialisation of nursing students: A qualitative research study

Gibbon, Bernard; Crane, Julie

doi:10.1016/j.nedt.2018.04.002

Cited by 50 publications

(53 citation statements)

References 19 publications

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“…It reveals that care is not comprehensive, it is compromised and of a poor quality. These findings reveal what has been described in literature Open Journal of Nursing as "missed care", which is defined as a clinical situation where care is either not delivered, or not delivered on time [8]. Borneo and Helm [9] assert that when care is left "undone" there is a greater risk of death and in view of this, it is argued that in Malawi, missed care might be a possible reason for the high maternal, neonatal, infant, child and under-five mortality rates.…”

Section: Discussionsupporting

confidence: 75%

Factors Militating against the Delivery of Compassionate Care: A Malawian Perspective

Msiska¹,

Simwaka²,

Munkhondya³

et al. 2018

OJN

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Background/Objectives: Malawi is one of the countries in the world with the worst maternal mortality rate. In view of this, women are encouraged to deliver at a health facility assisted by a skilled birth attendant. However, this initiative can only be effective when health care workers manifest a professional demeanor which conveys care and compassion to patients/clients. The objective of the study was to foster the development of compassionate care among nurses/midwives working in selected maternal and child health care clinical settings. Methods: The study employed an action research (AR) approach. Focus group discussions (FGDs) were conducted with nurse/midwives from the selected health facilities. Purposive sampling was utilized to obtain the sample of participants to the eight FGDs and thematic analysis was used to analyze the data. Results: The data collected from nurses/midwives clearly indicate that it is not possible to effectively render compassionate care under the present work conditions. The study reveals the following factors which hinder the delivery of compassionate care: severe nursing shortages, gross lack of essential supplies and equipment, negative attitudes of nurses/midwives and unsupportive leadership which demotivates nurses/midwives. Conclusion:The study reveals problems which hinder the delivery of compassionate care, and there is need to address these problems. This will enhance the effectiveness of hospital delivery by a skilled birth attendant as a safe motherhood initiative aimed at lowering the high maternal mortality rate.

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Section: Discussionsupporting

confidence: 75%

Factors Militating against the Delivery of Compassionate Care: A Malawian Perspective

Msiska¹,

Simwaka²,

Munkhondya³

et al. 2018

OJN

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“…Missed nursing care (MNC) is a global health care issue that primarily describes the elements of optimal nursing care required by patients that are either skipped or delayed by the nurses . MNC, also known as an error of omission, is an unintentional phenomenon, which may occur due to intensified patient demands at the bedside or due to considerable contesting pressures on the nurses to perform several priorities within a limited amount of time . In recent years, considerable attention and efforts have been directed throughout the world toward assessing MNC in various health care contexts .…”

Section: Introductionmentioning

confidence: 99%

Factors influencing missed nursing care in public hospitals in Australia: An exploratory mixed methods study

Albsoul

FitzGerald

Finucane

et al. 2019

Health Planning & Management

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Summary Background Missed nursing care (MNC) is a significant health care issue that impacts on the quality of health care and patient safety. It refers to delayed or omitted aspects of nursing care (totally or partially). MNC is an under‐researched area in the Australian health care context. Objective This research sought to further explore the MNC phenomenon in the context of an acute care hospital and to identify its common elements and the factors influencing its occurrence. Design A convergent parallel mixed methods design was employed involving secondary analysis of routinely collected hospital data and a survey of 44 nursing staff using the MISSCARE survey instrument. The two sources of data were converged to address the objective. Findings The study found that the most common elements of missed nursing care include failure of patient ambulation, emotional support for patients and/or family, and the provision of full documentation. These elements are consistent with previous international studies conducted in acute care hospital settings. This study identified that local context impacting on MNC was also important and included interruptions to workflow, “perceived” lack of management support, poor handover, and communication breakdown between the nursing team and medical staff. Conclusion Consideration of the local health care context is foundational in understanding the MNC phenomenon. The findings of this research may help nursing managers mitigate the possible effects of MNC and therefore improve patient safety in their acute care environment. Additional multisite studies are required to further explore factors associated with MNC in both general and local contexts.

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“…A growing phenomenon that has been receiving increasing focus in the nursing arena since the early 2000s is the concept of missed or incomplete care. This describes planned nursing care that is not completed on time, only partially completed or not completed at all, for a variety of reasons (Gibbon & Crane, ; Uchmanowicz, ). Patient‐related adverse outcomes of missed care include increased rate of falls, pressure sore development, nosocomial infection and risk of mortality (Ball et al., ; Griffiths et al., ; Schubert et al., ).…”

Section: Nursing Care – Are We Missing Something?mentioning

confidence: 99%

“…Patient‐related adverse outcomes of missed care include increased rate of falls, pressure sore development, nosocomial infection and risk of mortality (Ball et al., ; Griffiths et al., ; Schubert et al., ). Negative sequelae are also exerted on nurses and include decreased job satisfaction, increased desire to leave and absenteeism (Gibbon & Crane, ; Papastavrou, Andreou, & Efstathiou, ; Verrall et al., ). Several contributing factors to this phenomenon including time, resource and staffing shortages, skill mix issues, increasing patient acuity and unsafe case‐ and workloads have been identified (Blackman et al., ; Jangland, Teodorsson, Molander, & Muntlin Athlin, ; Jones et al., ; Kalisch, Landstrom, & Hinshaw, ; Schubert et al., ).…”

Section: Nursing Care – Are We Missing Something?mentioning

confidence: 99%

Missed Nursing Care: A Symptom of Missing Evidence

Cleary‐Holdforth

2019

Worldviews Ev Based Nurs

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The impact of ‘missed care’ on the professional socialisation of nursing students: A qualitative research study

Cited by 50 publications

References 19 publications

Factors Militating against the Delivery of Compassionate Care: A Malawian Perspective

Factors Militating against the Delivery of Compassionate Care: A Malawian Perspective

Factors influencing missed nursing care in public hospitals in Australia: An exploratory mixed methods study

Missed Nursing Care: A Symptom of Missing Evidence

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