A qualitative descriptive inquiry of the influences on nurses’ missed care decision‐making processes in acute hospital paediatric care

Bagnasco, Annamaria; Dasso, Nicoletta; Rossi, Silvia; Timmins, Fiona; Aleo, Giuseppe; Catania, Gianluca; Zanini, Milko; Sasso, Loredana

doi:10.1111/jonm.12935

Cited by 13 publications

(20 citation statements)

References 43 publications

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“…It seems imperative that nurses at pandemic wards are offered continuous education and support tailored to their individual needs in order to enhance their confidence in decision making and to increase patient safety. As revealed in the present study, some nurses worried that their decisions would compromise patient safety, which may challenge nurses’ ethical beliefs as they operate within a strong moral framework guided by their personal and professional values of providing the best possible care ( Bagnasco et al, 2020 ).…”

Section: Discussionmentioning

confidence: 92%

Nurses’ Clinical Decision-Making in a Changed COVID-19 Work Environment: A Focus Group Study

Laugesen

Albrechtsen

Grønkjær

et al. 2022

Global Qualitative Nursing Research

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This study aims to explore how a changed COVID-19 work environment influences nurses’ clinical decision-making. Data were collected via three focus groups totaling 14 nurses working in COVID-19 pandemic wards at a Danish university hospital. The factors influencing decision-making are described in three themes; navigating in a COVID-19 dominated context, recognizing the importance of collegial fellowship, and the complexities of feeling competent. A strong joint commitment among the nurses to manage critical situations fostered a culture of knowledge-sharing and drawing on colleagues’ competencies in clinical decision-making. It is important for nurse leaders to consider multiple factors when preparing nurses not only to work in changing work environments, but also when nurses are asked to work in environments and specialties that deviate from their usual routines.

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Section: Discussionmentioning

confidence: 92%

Nurses’ Clinical Decision-Making in a Changed COVID-19 Work Environment: A Focus Group Study

Laugesen

Albrechtsen

Grønkjær

et al. 2022

Global Qualitative Nursing Research

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“…According to the findings of this study, several factors have been shown to have an impact on MNCs, including demographic factors (gender and education), job satisfaction, burnout/nurse workload, nurse staffing, nurse competence, work environment, and type of nursing care unit. According to the study's findings, female nurses made up more than 80% of those who responded [3], [6], [7], [13], [14], [15], [17], [18], [19], [20], [22], [23], [24]. Although the majority of respondents are educated RNs [2], [3], [7], [12], [13], [18], [22], [24], some studies show that the majority of respondents are diploma holders [6], [14], [17].…”

Section: Type Of Studiesmentioning

confidence: 99%

“…According to the study's findings, female nurses made up more than 80% of those who responded [3], [6], [7], [13], [14], [15], [17], [18], [19], [20], [22], [23], [24]. Although the majority of respondents are educated RNs [2], [3], [7], [12], [13], [18], [22], [24], some studies show that the majority of respondents are diploma holders [6], [14], [17]. The study's findings are as follows several factors, including job satisfaction, burnout, nurse staffing, nurse competence, work environment, type of nursing care unit, and nurse workload, are the root causes of missed nursing care.…”

Section: Type Of Studiesmentioning

confidence: 99%

The Factor Associated with Missed Nursing Care in Hospital: A Systematic Review

Rahmah¹,

Hariyati²,

Sekarsari³

et al. 2022

Open Access Maced J Med Sci

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Background: Patient safety is a major concern in the healthcare industry worldwide. Increasing patient safety is critical for avoiding negative outcomes in nursing care and achieving goals at the desired level of quality. One of the indicators of this quality care given to patient is known as missed care. Aim: Aims of this study to explore the factors influencing missed care in order to improve the quality of nursing care. Methods: This study is a systematic review that explores the factors influencing missed nursing care in hospitals. Meanwhile, the literature search was carried out in the CINAHL Pubmed, Ebsco, Science Direct, Proquest, Willey, Sage from 2017 to 2021. Results: The results from six databases (n=3702) were sorted into 22 collected articles which include 18 quantitative, 2 qualitative, and 2 mixed methods. These findings highlighted three factors that influence missed nursing care: a lack of staffing, nurse competency, and the working environment. Conclusion: The factors that contribute with missed nursing care in hospitals include lack of nurse staff, competency, and work environment. As a result, the nursing manager's critical role is to create adequate nursing staff, improve their competency, and foster a positive work environment. Keywords: missed nursing care, lack of staffing, nurse competency, working environment

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“…Indeed, it has been found that committing or witnessing errors is a predisposing factor to the onset of stress and burnout (Winning et al, 2018). Nurses also invest heavily in their work and commit very strongly to the child and family (Bagnasco et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

“…Indeed, it has been found that committing or witnessing errors is a predisposing factor to the onset of stress and burnout (Winning et al., 2018). Nurses also invest heavily in their work and commit very strongly to the child and family (Bagnasco et al., 2019). At the same time their increased compassion for and close relationships with children and families in their care could serve to offset or prevent burnout (Mersin, İbrahimoğlu, Çağlar, & Akyol, 2020).…”

Section: Introductionmentioning

confidence: 99%

A cross‐sectional multisite exploration of Italian paediatric nurses’ reported burnout and its relationship to perceptions of clinical safety and adverse events using the RN4CAST@IT‐Ped

Bagnasco

Dasso

Rossi

et al. 2020

Journal of Advanced Nursing

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To explore Italian paediatric nurses' reported burnout and it relationship to their perceptions of safety and adverse events. DesignA cross-sectional study utilizing the RN4CAST@IT-Ped database using a web based survey design. MethodsThe RN4CAST@IT-Ped questionnaire was used to collect data in 2017. This comprised three main components: three dimensions (22 items) of the Maslach Burnout Inventory including emotional exhaustion, depersonalization and personal accomplishment.Participants also scored an overall grade of patient safety and estimated the occurrence of adverse clinical events. ResultsNurses (n=2243) reported high levels of burnout. Most rated clinical safety highly. The risk of adverse events ranged from 1.3-12.4%. The degree of burnout appeared to influence the perception of safety and adverse events. ConclusionThe association between nurses' burnout and perceptions of higher rates of adverse events and reduced safety in clinical practice is an important finding. However, it is unclear whether this was influenced by a negative state of mind, and whether reduced safety and increased adverse events negatively influenced nurses' well-being, thus leading to burnout. Regardless, the association between nurses' burnout and these quality concepts needs further exploration to examine the effect, if any, on burnout and safety, and identify supportive mechanisms for nurses. Impact:• The association between reported burnout and perception of safety and risk of adverse events in Italian paediatric nurses has been reported for the first time.• Nurses reporting burnout are at greater risk of intensely negative perceptions of clinical safety and adverse events. This is an important finding as perceptions can influence practice and behaviours.• Quality measures in children's clinical environments need to go beyond obvious indicators to examine nurses' well-being as this also influences quality and safety.

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A qualitative descriptive inquiry of the influences on nurses’ missed care decision‐making processes in acute hospital paediatric care

Cited by 13 publications

References 43 publications

Nurses’ Clinical Decision-Making in a Changed COVID-19 Work Environment: A Focus Group Study

Nurses’ Clinical Decision-Making in a Changed COVID-19 Work Environment: A Focus Group Study

The Factor Associated with Missed Nursing Care in Hospital: A Systematic Review

A cross‐sectional multisite exploration of Italian paediatric nurses’ reported burnout and its relationship to perceptions of clinical safety and adverse events using the RN4CAST@IT‐Ped

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