Frequency, reasons, correlates and predictors of missed nursing care in Turkey: A multi‐hospital cross‐sectional study

Abstract

Aim: We aimed to examine the frequency, reasons, correlates and predictors of missed nursing care in Turkey.Methods: This descriptive and cross-sectional study sample consisted of 1310 nurses working in inpatient units of 10 public, university and private hospitals in Istanbul.Data were collected using the Nursing Teamwork Survey-Turkish and the MISSCARE Survey-Turkish between February and June 2019. Descriptive analysis, parametric comparative analysis, correlational analysis and regression analysis were used to analyse the data. Results:The total occurrence of missed nursing care was 2.93 (on a scale of 1.00-4.00), which differed across 21 nursing care elements. The most frequently missed care was turning patients every 2 hours. Multiple regression analysis determined that nurses' tenure in the profession, patient-nurse ratio, days absent in the last 3 months and nursing teamwork significantly affected missed nursing care. Nursing teamwork alone accounted for 23.6% of the variance in missed nursing care. Conclusions:The level of missed nursing care was found to be high, and labour resources issues were the most important reason. Nurse professionals should apply interventions to improve nurses' work environment factors such as patientnurse ratio and nursing teamwork to reduce the incidence of missed nursing care.

The association of rationed nursing care and the level of teamwork in acute care setting: a cross-sectional study

“…Limited studies, to the best of the authors' knowledge, have delved into this relationship from the standpoint of registered nurses. These investigations showed that an increase in teamwork scores was correlated with a decrease in unfinished nursing care estimates [7,10,11,34].…”

“…In the international arena, teamwork has been a predictive factor for rationed nursing care estimates. The overall NTS score accounted for between 16.0 and 24.0 percent of the variance in rationed nursing care [11,34]. Additionally, higher teamwork scores were associated with redu-ced estimates of rationed nursing care in acute care settings [35,36].…”

“…Currently, there are several quantitative studies that investigate and demonstrate the association of rationed nursing care and the level of teamwork in acute care settings [10][11][12]; however, only a limited number of studies were conducted in the European region and none of them were carried out in Slovakia. To mitigate the phenomenon of rationed nursing care from clinical practice and improve the level of teamwork, it is essential to explore this association in various settings and contexts.…”

Translation and psychometric testing of the Chinese version of the Perinatal Missed Care Survey

“…Missed nursing care is a common problem worldwide. A cross-sectional study including 1,310 nurses in Turkey revealed that the mean score of missed nursing care was 2.93 on a scale of 1–4, indicating a high level of missed nursing care [ 4 ]. In Malaysia and Iran, the overall scores of missed nursing care were 1.88 and 2.57, respectively, on a scale of 1–5 [ 5 , 6 ].…”

A Cross-sectional Study Evaluating the Association Between the Nursing Practice Environment and Missed Nursing Care in Medical and Surgical Wards in Jordan

“…Missed nursing care (MNC), also known as unfinished nursing care, is considered a key health care delivery issue worldwide 1–3. MNC is defined as any element of patient care that is required but either left undone or considerably delayed 4.…”