Correlates and predictors of missed nursing care in hospitals

被引:128
作者
Bragadottir, Helga [1 ,2 ]
Kalisch, Beatrice J. [3 ]
Tryggvadottir, Gudny Bergthora [4 ]
机构
[1] Univ Iceland, Sch Hlth Sci, Fac Nursing, Eiriksgata 34, IS-101 Reykjavik, Iceland
[2] Landspitali Univ Hosp, Reykjavik, Iceland
[3] Univ Michigan, Sch Nursing, Ann Arbor, MI 48109 USA
[4] Univ Iceland, Social Sci Res Inst, Reykjavik, Iceland
关键词
hospitals; missed nursing care; nursing; teamwork; QUALITY-OF-CARE; WORK ENVIRONMENTS; MISSCARE SURVEY; TEAMWORK-SURVEY; NURSES; IMPACT; UNITS; INTERVENTION; PERCEPTIONS; OUTCOMES;
D O I
10.1111/jocn.13449
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Aims and objectivesTo identify the contribution of hospital, unit, staff characteristics, staffing adequacy and teamwork to missed nursing care in Iceland hospitals. BackgroundA 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. DesignThis was a quantitative cross-sectional survey study. MethodsThe 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 693%. 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. ResultsMissed 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. ConclusionsThe 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 practiceBy identifying contributing factors to missed nursing care, appropriate interventions can be developed and tested.
引用
收藏
页码:1524 / 1534
页数:11
相关论文
共 44 条
[1]   Nurses' reports of working conditions and hospital quality of care in 12 countries in Europe [J].
Aiken, Linda H. ;
Sloane, Douglas M. ;
Bruyneel, Luk ;
Van den Heede, Koen ;
Sermeus, Walter .
INTERNATIONAL JOURNAL OF NURSING STUDIES, 2013, 50 (02) :143-153
[2]   Effects of Nurse Staffing and Nurse Education on Patient Deaths in Hospitals With Different Nurse Work Environments [J].
Aiken, Linda H. ;
Cimiotti, Jeannie P. ;
Sloane, Douglas M. ;
Smith, Herbert L. ;
Flynn, Linda ;
Neff, Donna F. .
MEDICAL CARE, 2011, 49 (12) :1047-1053
[3]   Factors contributing to nursing task incompletion as perceived by nurses working in Kuwait general hospitals [J].
Al-Kandari, Fatimah ;
Thomas, Deepa .
JOURNAL OF CLINICAL NURSING, 2009, 18 (24) :3430-3440
[4]  
[Anonymous], 2013, HLTH GLANC 2013
[5]   'Care left undone' during nursing shifts: associations with workload and perceived quality of care [J].
Ball, Jane E. ;
Murrells, Trevor ;
Rafferty, Anne Marie ;
Morrow, Elizabeth ;
Griffiths, Peter .
BMJ QUALITY & SAFETY, 2014, 23 (02) :116-125
[6]  
Bragadottir H, 2014, SCANDINAVIAN J CARIN, V29, P563
[7]   The psychometric testing of the Nursing Teamwork Survey in Iceland [J].
Bragadottir, Helga ;
Kalisch, Beatrice J. ;
Smaradottir, Sigridur Briet ;
Jonsdottir, Heidur Hrund .
INTERNATIONAL JOURNAL OF NURSING PRACTICE, 2016, 22 (03) :267-274
[8]   The quality of hospital work environments and missed nursing care is linked to heart failure readmissions: a cross-sectional study of US hospitals [J].
Carthon, J. Margo Brooks ;
Lasater, Karen B. ;
Sloane, Douglas M. ;
Kutney-Lee, Ann .
BMJ QUALITY & SAFETY, 2015, 24 (04) :255-263
[9]   Cultural adaptation and internal consistency analysis of the MISSCARE Survey for use in Brazil [J].
Castilho Siqueira, Lillian Dias ;
Larcher Caliri, Maria Helena ;
Kalisch, Beatrice ;
Spadoti Dantas, Rosana Aparecida .
REVISTA LATINO-AMERICANA DE ENFERMAGEM, 2013, 21 (02) :610-617
[10]   Patterns and Correlates of Missed Nursing Care in Inpatient Oncology Units [J].
Friese, Christopher R. ;
Kalisch, Beatrice J. ;
Lee, Kyung Hee .
CANCER NURSING, 2013, 36 (06) :E51-E57