A systematic review of the impact of ‘missed care’ in primary, community and nursing home settings

Abstract

Appropriate nursing staffing levels are critical to the delivery of safe and effective care. The planning and delivery of safe and effective care is complex. 'Safe and effective staffing' means that health and care services have the right numbers, with the right skills, in the right place at the right time (RCN, 2018). Having the right number of appropriately qualified, competent and experienced nurses has been reported to lead to improved patient outcomes, reduced mortality rates and increased productivity. In May 2017, the Royal College of Nursing published Safe and Effective Staffing-the Real Picture (RCN, 2017). Missed care represents a challenge to both the safety and

Cuidados omissos em contexto de cuidados domiciliários: Razões na perspetiva dos enfermeiros

“…Rather, it results from the conditions of possibility that are influenced, as they said, not only by a multitude of political-organizational factors related to the care organization model as a whole and the operational and care management but also by factors related to the complex nature of caring for the person and their family caregivers. The nature of the factors is consistent with that found by Sworn and Booth (2020) in a recent systematic review on the impact of missed care in community settings. The nurses reported the problems they encountered, and it is implicit in their interviews that the different aspects of structure, process, and outcome influence each other.…”

“…Studies on this topic suggest that the main factors influencing the prevalence of missed care are related to the nurses' working environment, the demands associated with the patients' severity status, and the number of nurses available to provide such care (Phelan et al, 2018a). Only a few studies have explored community-based nursing care and even fewer have analyzed the phenomenon in home care settings (Sworn & Booth, 2020). This study aims to explore nurses' perspectives on the reasons for missed care or care that is not provided as frequently as expected to dependent people referred to home-based long-term care teams.…”

“…More studies are needed to better understand this phenomenon outside of hospital settings, namely in home care settings. The gold standard to use in these studies for estimating unfinished care is direct observation (Sworn & Booth, 2020). In Portugal, home-based long-term care is provided by the National Long-Term Care Network, through the Integrated Lon-Term Care Teams (Equipas de Cuidados Continuados Integrados -ECCI), which are integrated in the Community Care Teams (Equipas de Cuidados na Comunidade) of the Health Care Clusters (Agrupamentos de Centros de Saúde -ACES).…”

Interviews with Community Healthcare Registered Nurses in Norway: Examination Practices and Clinical Evaluation Processes

“…Efforts have been made to enhance the quality of community‐based health care (Mathieson et al., 2019 ). However, there are several reports of inadequate care and adverse events (Phelan et al., 2018 ; Sworn & Booth, 2020 ). These indicate a need to address questions about health care and the required clinical skill levels of staff members.…”

Nursing care left undone in community settings: Results from a UK cross‐sectional survey

“…Certainly, work on missed care in community nursing contexts lags far behind that in the acute sector. Indeed, a recent systematic review of missed care in the community context (Sworn & Booth, 2019) identified only five empirical studies (reported in eight publications), undertaken in Ireland (Phelan & McCarthy, 2016;Phelan et al, 2018aPhelan et al, , 2018b, Australia (Blackman, Henderson, Willis, & Toffoli, 2015;Henderson, Willis, Blackman, Toffoli, & Verrall, 2016;Henderson, Willis, Xiao, & Blackman, 2017;Willis et al, 2016) and the United States (Nelson & Flynn, 2015). Collectively, this small body of research provides early insight into the prevalence of, types of and reasons for missed care in community nursing and care home settings.…”