In March 2020, a wedding in Jordan led to a large outbreak of coronavirus disease (COVID-19). We collected data on 350 wedding attendees, 76 who of whom developed COVID-19. Our study shows high communicability of COVID-19 and the enormous risk for severe acute respiratory syndrome 2 virus transmission during mass gatherings.
Patient safety is an important outcome for nurses who provide patient care within an environment that may increase the incidence of errors or impose them to omit care; these errors mostly happen because of staff shortage. The purpose of this study is to identify the types and reasons of "missed nursing care" among Jordanian nurses, and to examine the relationships between "missed nursing care", staffing, intent to leave, and job satisfaction. A cross-sectional descriptive design was used. A convenience sample of 300 nurses completed the Arabic version of MISSCARE which included items to measure types and reasons for "missed nursing care", staffing adequacy, job satisfaction, and intent to leave. The results of this study indicated that Labor resources were the most common cause of "missed nursing care". The results also showed that a low number of nurses per shift were associated with a high level of "missed nursing care". Nurse managers need to tackle staffing problems that may increase the rate of missed care and result in negative outcomes on the patients, nurses, as well as organizations. Nurse administrators could conduct evidence-based staffing plans to manage nurse to patient ratio to decrease missed care and enhance satisfaction.missed nursing care, nurse-to-patient ratio, skill mix, staffing
| INTRODUCTIONEnsuring patient safety is a significant role for nurses. Nurses provide patient care within a complex environment that is associated with errors either from an act of commission or omission; thus affecting patients' outcomes. 1 Nurses face daily challenges to ensure and maintain patients' safety and provide high-quality care. 2 Missed nursing care was defined as "any aspect of required care that is omitted either in part or in whole or delayed." 3 It is considered a universal phenomenon that occurs in all cultures. It could also be considered as an indicator to evaluate the quality of nursing care and patient safety. 1 Missed nursing care does not result only in a negative impact on patients outcomes, but in some cases may result in additional cost consequences such as an increased length of stay, more medication prescription, an increased incidence of infections, falls, delirium, improper pain management, discomfort, malnutrition, and an increased mortality rate. 1,2 Staffing levels and inadequate staffing have been linked to missed nursing care in literature. In 2011, Kalisch et al. 4 reported that staff shortage and management of staff resources are considered the most common causes of "missed nursing care." Staffing management is considered one of the main responsibilities of nursing leaders in all healthcare settings to ensure high-quality and costeffective care. Staffing was defined by Yoder-Wise 5 as "planning for hiring and deploying qualified human resource to meet the needs of a
Nurses' career commitment and job performance are inter-related complex concepts that require further studies to understand, promote and maintain these positive factors in work environments.
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