Missed nursing care is a significant threat to quality patient care. Promoting collective efficacy within nurse work environments could decrease missed care. The purpose was to understand how missed care is associated with nurse work environments and collective efficacy of hospital staff nurses. A cross-sectional, convenience sample was obtained through online surveys from registered nurses working at five southwestern U.S. hospitals. Descriptive, correlational, regression, and path analyses were conducted ( N = 233). The percentage of nurses who reported that at least one care activity was missed frequently or always was 94%. Mouth care (36.0% of nurses) and ambulation (35.3%) were missed frequently or always. Nurse work environments and collective efficacy were moderately, positively correlated. Nurse work environments and collective efficacy were associated with less missed care (χ = 10.714, p = .0054). Fostering collective efficacy in the nurse work environment could reduce missed care and improve patient outcomes.

School leadership has been a burgeoning topic in education since the turn of the millennium. There is no shortage of research, articles with best practices, and “how to” books on educational leadership. Unfortunately, the development and selection of school leaders has only recently started to gain the attention of educational stakeholders. Initiatives such as the Wallace Foundation’s Principal Pipeline Initiative, whichstarted several years ago, has focused attention on the development of school leaders, while the selection of school leaders is still emerging as a topic of interest.

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