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Correlates and predictors of missed nursing care in hospitals

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  • Helga Bragadóttir
  • Beatrice J Kalisch
  • Gudný Bergthora Tryggvadóttir

Abstract

Aims and objectives To identify the contribution of hospital, unit, staff characteristics, staffing adequacy and teamwork to missed nursing care in Iceland hospitals. Background A recently identified quality indicator for nursing care and patient safety is missed nursing care defined as any standard, required nursing care omitted or significantly delayed, indicating an error of omission. Former studies point to contributing factors to missed nursing care regarding hospital, unit and staff characteristics, perceptions of staffing adequacy as well as nursing teamwork, displayed in the Missed Nursing Care Model. Design This was a quantitative cross‐sectional survey study. Methods The samples were all registered nurses and practical nurses (n = 864) working on 27 medical, surgical and intensive care inpatient units in eight hospitals throughout Iceland. Response rate was 69·3%. Data were collected in March–April 2012 using the combined MISSCARE Survey‐Icelandic and the Nursing Teamwork Survey‐Icelandic. Descriptive, correlational and regression statistics were used for data analysis. Results Missed nursing care was significantly related to hospital and unit type, participants’ age and role and their perception of adequate staffing and level of teamwork. The multiple regression testing of Model 1 indicated unit type, role, age and staffing adequacy to predict 16% of the variance in missed nursing care. Controlling for unit type, role, age and perceptions of staffing adequacy, the multiple regression testing of Model 2 showed that nursing teamwork predicted an additional 14% of the variance in missed nursing care. Conclusions The results shed light on the correlates and predictors of missed nursing care in hospitals. This study gives direction as to the development of strategies for decreasing missed nursing care, including ensuring appropriate staffing levels and enhanced teamwork. Relevance to clinical practice By identifying contributing factors to missed nursing care, appropriate interventions can be developed and tested.

Suggested Citation

  • Helga Bragadóttir & Beatrice J Kalisch & Gudný Bergthora Tryggvadóttir, 2017. "Correlates and predictors of missed nursing care in hospitals," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(11-12), pages 1524-1534, June.
    • Handle: RePEc:wly:jocnur:v:26:y:2017:i:11-12:p:1524-1534
    DOI: 10.1111/jocn.13449
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    Cited by:

    1. Agnieszka Młynarska & Anna Krawuczka & Ewelina Kolarczyk & Izabella Uchmanowicz, 2020. "Rationing of Nursing Care in Intensive Care Units," IJERPH, MDPI, vol. 17(19), pages 1-13, September.
    2. Michael Clinton & Sawsan Ezzeddine & Myrna Doumit & Ursula Rizk & Murielle Madi, 2018. "“Loving Nursing†and “Taking Responsibility†: Strategies for Transitioning to Practice in Lebanon," SAGE Open, , vol. 8(4), pages 21582440188, December.
    3. Dianne C Marshall & Mary P Finlayson, 2018. "Identifying the nontechnical skills required of nurses in general surgical wards," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(7-8), pages 1475-1487, April.
    4. Dominika Kalánková & Daniela Bartoníčková & Ewelina Kolarczyk & Katarína Žiaková & Agnieszka Młynarska, 2022. "Factors Contributing to Rationed Nursing Care in the Slovak Republic—A Secondary Analysis of Quantitative Data," IJERPH, MDPI, vol. 19(2), pages 1-12, January.
    5. José Batista & Carla Munhoz Pinheiro & Carla Madeira & Pedro Gomes & Óscar Ramos Ferreira & Cristina Lavareda Baixinho, 2021. "Transitional Care Management from Emergency Services to Communities: An Action Research Study," IJERPH, MDPI, vol. 18(22), pages 1-12, November.
    6. Rania Albsoul & Gerard FitzGerald & Julie Finucane & Erika Borkoles, 2019. "Factors influencing missed nursing care in public hospitals in Australia: An exploratory mixed methods study," International Journal of Health Planning and Management, Wiley Blackwell, vol. 34(4), pages 1820-1832, October.
    7. Helga Bragadóttir & Beatrice J. Kalisch & Gudný Bergthóra Tryggvadóttir, 2019. "The extent to which adequacy of staffing predicts nursing teamwork in hospitals," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(23-24), pages 4298-4309, December.
    8. Pearlyn Qin Ling Goh & Ting Fang Ser & Simon Cooper & Ling Jie Cheng & Sok Ying Liaw, 2020. "Nursing teamwork in general ward settings: A mixed‐methods exploratory study among enrolled and registered nurses," Journal of Clinical Nursing, John Wiley & Sons, vol. 29(19-20), pages 3802-3811, October.

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