A scoping review—Missed nursing care in community healthcare contexts and how it is measured

Andersson, Ingrid; Bååth, Carina; Nilsson, Jan; Eklund, Anna

doi:10.1002/nop2.945

Cited by 11 publications

(11 citation statements)

References 86 publications

(196 reference statements)

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“…This may be because research on missed nursing care is still recent and originated in acute care settings. Thus, acute care is the setting where missed nursing care is most frequently studied, whereas in other settings, such as community care or nursing home care, it is comparatively less studied (Andersson et al, 2021).…”

Section: Discussionmentioning

confidence: 99%

Research on missed nursing care during the COVID‐19 pandemic: A scoping review

Zabaleta‐Del‐Olmo,

Santesmases‐Masana,

Martín‐Payo

et al. 2023

Worldviews Ev Based Nurs

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BackgroundMissed nursing care is defined as care that is delayed, partially completed, or not completed at all. The scenario created by the COVID‐19 pandemic may have influenced multifactorial determinants related to the care environment, nursing processes, internal processes, and decision‐making processes, increasing missed nursing care.AimThis scoping review aimed to establish the quantity and type of research undertaken on missed nursing care during the COVID‐19 pandemic.MethodsThis review was conducted following the Joanna Briggs Institute methodology for scoping reviews. We searched CINAHL, MEDLINE, Scopus, two national and regional databases, two dissertations and theses databases, a gray literature database, two study registers, and a search engine from November 1, 2019, to March 23, 2023. We included quantitative, qualitative, and mixed studies carried out in all healthcare settings that examined missed nursing care during the COVID‐19 pandemic. Language restrictions were not applied. Two independent reviewers conducted study selection and data extraction. Disagreements between the reviewers were resolved through discussion or with an additional reviewer.ResultsWe included 25 studies with different designs, the most common being acute care cross‐sectional survey designs. Studies focused on determining the frequency and reasons for missed nursing care and its influence on nurses and organizational outcomes.Linking Evidence to ActionMissed nursing care studies during the COVID‐19 pandemic were essentially nurses‐based prevalence surveys. There is an urgent need to advance the design and development of longitudinal and intervention studies, as well as to broaden the focus of research beyond acute care. Further research is needed to determine the impact of missed nursing care on nursing‐sensitive outcomes and from the patient's perspective.

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Section: Discussionmentioning

confidence: 99%

Research on missed nursing care during the COVID‐19 pandemic: A scoping review

Zabaleta‐Del‐Olmo,

Santesmases‐Masana,

Martín‐Payo

et al. 2023

Worldviews Ev Based Nurs

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“…The frequency and reasons for missed care have been extensively investigated using the MISSCARE survey (Kalisch & Williams, 2009). Though the measurement has been validated primarily for the hospital context, it has been modified for use in the out‐of‐hospital setting and in aged care and community care (Andersson et al., 2021). Missed or rationed nursing care is reported to be a frequent event across the health care system and has also been described as a distinct form of the underuse of nursing care (Jones et al., 2015).…”

Section: Discussionmentioning

confidence: 99%

“…primarily for the hospital context, it has been modified for use in the out-of-hospital setting and in aged care and community care (Andersson et al, 2021). Missed or rationed nursing care is reported to be a frequent event across the health care system and has also been described as a distinct form of the underuse of nursing care (Jones et al, 2015).…”

Section: Nurse Specific Measures Of Quality Carementioning

confidence: 99%

Clinical deterioration as a nurse sensitive indicator in the out‐of‐hospital context: A scoping review

McCullough,

Baker,

Bloxsome

et al. 2023

Journal of Clinical Nursing

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AimsTo explore and summarise the literature on the concept of ‘clinical deterioration’ as a nurse‐sensitive indicator of quality of care in the out‐of‐hospital context.DesignThe scoping review adhered to the Preferred Reporting Items for Systematic Reviews and Meta‐Analyses Extension for Scoping Review and the JBI best practice guidelines for scoping reviews.MethodsStudies focusing on clinical deterioration, errors of omission, nurse sensitive indicators and the quality of nursing and midwifery care for all categories of registered, enrolled, or licensed practice nurses and midwives in the out‐of‐hospital context were included regardless of methodology. Text and opinion papers were also considered. Study protocols were excluded.Data SourcesData bases were searched from inception to June 2022 and included CINAHL, PsychINFO, MEDLINE, The Allied and Complementary Medicine Database, EmCare, Maternity and Infant Care Database, Australian Indigenous HealthInfoNet, Informit Health and Society Database, JSTOR, Nursing and Allied Health Database, RURAL, Cochrane Library and Joanna Briggs Institute.ResultsThirty‐four studies were included. Workloads, education and training opportunities, access to technology, home visits, clinical assessments and use of screening tools or guidelines impacted the ability to recognise, relay information and respond to clinical deterioration in the out‐of‐hospital setting.ConclusionsLittle is known about the work of nurses or midwives in out‐of‐hospital settings and their recognition, reaction to and relay of information about patient deterioration. The complex and subtle nature of non‐acute deterioration creates challenges in defining and subsequently evaluating the role and impact of nurses in these settings.Implications for the profession and/or patient careFurther research is needed to clarify outcome measures and nurse contribution to the care of the deteriorating patient in the out‐of‐hospital setting to reduce the rate of avoidable hospitalisation and articulate the contribution of nurses and midwives to patient care.ImpactWhat Problem Did the Study Address?Factors that impact a nurse's ability to recognise, relay information and respond to clinical deterioration in the out‐of‐hospital setting are not examined to date.What Were the Main Findings?A range of factors were identified that impacted a nurse's ability to recognise, relay information and respond to clinical deterioration in the out‐of‐hospital setting including workloads, education and training opportunities, access to technology, home visits, clinical assessments, use of screening tools or guidelines, and avoidable hospitalisation.Where and on whom will the research have an impact?Nurses and nursing management will benefit from understanding the factors that act as barriers and facilitators for effective recognition of, and responding to, a deteriorating patient in the out‐of‐hospital setting. This in turn will impact patient survival and satisfaction.Reporting MethodThe Preferred Reporting Items for Systematic Reviews and Meta‐Analyses Extension for Scoping Review guidelines guided this review. The PRISMA‐Scr Checklist (Tricco et al., 2018) is included as (supplementary file 1).Data sharing is not applicable to this article as no new data were created or analysed in this study.”No Patient or Public ContributionNot required as the Scoping Review used publicly available information.

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“…Griffiths P, Recio-Saucedo A, Dall'Ora C (2018) [31] Not reported Andersson I, Bååth C, Nilsson J, Eklund AJ. A scoping review-Missed nursing (2022) [32] Not reported…”

Section: Author (Year) How Nurses Prioritize What Care They Missmentioning

confidence: 99%

Missed Nursing Care; Prioritizing the Patient’s Needs: An Umbrella Review

Papathanasiou,

Tzenetidis,

Tsaras

et al. 2024

Healthcare

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The objective of this review of reviews was to identify the reasons for missed nursing care and to shed light on how nurses prioritize what care they miss. Missed nursing care refers to essential nursing activities or tasks that are omitted or not completed as planned during a patient’s care. This omission can result from various factors, such as staffing shortages, time constraints, or communication issues, and it can potentially compromise the quality of patient care and safety. Identifying and addressing missed nursing care is crucial to ensure optimal patient outcomes and the well-being of healthcare professionals. To be included, reviews had to use the systematic review process, be available in the English language, examine missed care in hospitals and at home, and include participants who were over eighteen years old. The review intended to answer the following questions: ‘Why nursing care is missed?’ ‘How nurses prioritize what care they missed?’. An umbrella review was developed guided by the JBI methodology and using PRISMA-ScR. A total of 995 reviews were identified. According to the inclusion criteria, only nine reviews were finally evaluated. The findings indicate that care is missed due to staffing levels, organizational problems, and the working climate. Prioritization of care depends on acute care needs as well as educational and experiential background. Missed nursing care is associated with patient safety and the quality of provided nursing care. Specifically, it has negative impacts on patients, healthcare professionals, and healthcare service units. Organizational characteristics, nursing unit features, and the level of teamwork among nursing staff affect Missed Nursing Care. Individual demographic characteristics of the staff, professional roles, work schedules, and adequate staffing may potentially contribute to the occurrence of Missed Nursing Care, which is why they are under investigation. However, further consideration is needed regarding the management of patient needs and nurse prioritization.

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A scoping review—Missed nursing care in community healthcare contexts and how it is measured

Cited by 11 publications

References 86 publications

Research on missed nursing care during the COVID‐19 pandemic: A scoping review

Research on missed nursing care during the COVID‐19 pandemic: A scoping review

Clinical deterioration as a nurse sensitive indicator in the out‐of‐hospital context: A scoping review

Missed Nursing Care; Prioritizing the Patient’s Needs: An Umbrella Review

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