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doi:10.1111/jhq.2014.36.issue-2

Cited by 1 publication

(2 citation statements)

References 4 publications

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“…In all cases we have worked through the relevant nurses' union, sometimes including issues of importance to their ongoing industrial negotiations with various employer groups. For example, in our NSW study we attempted to capture the number of nurses now using 'rounding', a new management imposed system that records in detail the number of times a nurse checks on a patient in an attempt to reduce missed care (Krepper et al 2012). The results presented here focus on the South Australian study.…”

Section: Missed Care and Work Intensitymentioning

confidence: 99%

“…The current managerial responses to missed care is to mandate hourly intentional rounding, where nurses are forced to record hourly check-ups on all patients under their care for a particular shift, rather than organise the care according to patient need. Research evidence on rounding indicates that this managerial strategy further intensifies nurses' work, eroding their autonomy to organise patient care (Krepper et al 2012).…”

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confidence: 99%

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Work intensification as missed care

Willis

Henderson

Hamilton

et al. 2015

Labour & Industry: a journal of the social and economic rel

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Work intensification is assumed to incorporate either longer working hours or a quickening of the pace or speed of work. In this paper, we argue that 'missed care' is a proxy for work intensification or work effort in nursing. Using Kalisch's MISSCARE survey tool, with modifications to suit the South Australian context we surveyed 354 registered and enrolled nurses between October and December 2012. Survey participants were recruited through the Australian Nursing and Midwifery Federation (SA Branch). The MISSCARE survey tool presents participants with a 5-point scale where 1 is never omitted care and 5 is always omitted care. Survey findings suggest that the tasks most often missed are ambulation of patients and mouth care. Tasks lest likely to be missed are blood glucose monitoring; hand washing; IV/central line care and providing PRN medication within 15 minutes. These findings suggest that when nurses are forced to ration care, priority is given to clinical tasks that will impact on immediate patient outcomes. In identifying the reasons why they missed care, nurses reported that while staffing often appeared adequate, sudden and unexpected rises in patient volume, heavy admissions and discharges, and inadequate numbers of staff or clerical support were key indicators of missed care. These unpredictable events resulted in an increase in work intensity and pace that was independent of extended working hours or overtime. We argue that one of the outcomes of work intensification is missed care.

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Section: Missed Care and Work Intensitymentioning

confidence: 99%

mentioning

confidence: 99%