Letter to the Editor: Perspectives of Oncology Unit Nurse Managers on Missed Nursing Care: a Qualitative Study

Caldwell-Wright, Janneice

doi:10.4103/apjon.apjon_54_18

Cited by 6 publications

(6 citation statements)

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“…Missed nursing care (MNC) is a global health care issue that primarily describes the elements of optimal nursing care required by patients that are either skipped or delayed by the nurses . MNC, also known as an error of omission, is an unintentional phenomenon, which may occur due to intensified patient demands at the bedside or due to considerable contesting pressures on the nurses to perform several priorities within a limited amount of time .…”

Section: Introductionmentioning

confidence: 99%

Factors influencing missed nursing care in public hospitals in Australia: An exploratory mixed methods study

Albsoul

FitzGerald

Finucane

et al. 2019

Health Planning & Management

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Summary Background Missed nursing care (MNC) is a significant health care issue that impacts on the quality of health care and patient safety. It refers to delayed or omitted aspects of nursing care (totally or partially). MNC is an under‐researched area in the Australian health care context. Objective This research sought to further explore the MNC phenomenon in the context of an acute care hospital and to identify its common elements and the factors influencing its occurrence. Design A convergent parallel mixed methods design was employed involving secondary analysis of routinely collected hospital data and a survey of 44 nursing staff using the MISSCARE survey instrument. The two sources of data were converged to address the objective. Findings The study found that the most common elements of missed nursing care include failure of patient ambulation, emotional support for patients and/or family, and the provision of full documentation. These elements are consistent with previous international studies conducted in acute care hospital settings. This study identified that local context impacting on MNC was also important and included interruptions to workflow, “perceived” lack of management support, poor handover, and communication breakdown between the nursing team and medical staff. Conclusion Consideration of the local health care context is foundational in understanding the MNC phenomenon. The findings of this research may help nursing managers mitigate the possible effects of MNC and therefore improve patient safety in their acute care environment. Additional multisite studies are required to further explore factors associated with MNC in both general and local contexts.

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Section: Introductionmentioning

confidence: 99%

Factors influencing missed nursing care in public hospitals in Australia: An exploratory mixed methods study

Albsoul

FitzGerald

Finucane

et al. 2019

Health Planning & Management

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“…Missed nursing care has several negative consequences, including physiological injuries to the patient, decreased nurses' job satisfaction, increased financial costs for patients, increased length of hospital stay, decreased patient safety, and decreased hospital credibility from patients' point of view (Baljani et al, 2019; Caldwell‐Wright, 2019; Khajooee et al, 2019; Vatankhah et al, 2020; Zeleníková et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

Explaining the experiences of nurses regarding strategies to prevent missed nursing care: A qualitative study

Janatolmakan

Khatony

2022

J Nursing Management

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Aim To describe the experiences of nurses regarding strategies to prevent missed nursing care. Background One of the global challenges is missed nursing care, which includes missed or delayed care. This problem puts patients' clinical outcome at risk, so understanding nurses' experiences of how to prevent or reduce it can help the health care policymakers. Method In this qualitative descriptive study, 14 nurses were selected by purposive sampling. In‐depth semi‐structured interviews were conducted to collect data. The Graneheim and Lundman's approach of qualitative content analysis was used for data analysis. MAXQDA (version 10) software was used for data management. Results The extracted codes were summarized into seven categories and one theme. The categories included “empowering nurses,” “manpower supply,” “supervision,” “specializing the activities,” “providing resources and facilities,” “encouraging teamwork,” and “resolving dissatisfaction.” The main theme was “missed nursing care prevention strategies.” Conclusion The frequency of missed nursing care can be reduced or prevented using management strategies such as paying attention to nurses “empowerment, increasing nurses” job satisfaction, normalizing nurses' salaries, providing equipment and facilities, and monitoring nurses' performance. Experimental studies are recommended to evaluate the effectiveness of these strategies. Implications for nursing management Nursing managers can take steps such as workplace improvement, reducing nurses' workload, and empowering nurses to reduce or eliminate missed care.

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“…Missed nursing care (MNC), also called nursing care left undone and omitted care, is a global healthcare issue (Bragadóttir and Kalisch, 2018; Caldwell-Wright, 2019; Mandal and Seethalakshmi, 2019). It not only compromises patient safety (Albsoul et al., 2019), and leads to patients’ dissatisfaction with the quality of healthcare (Recio-Saucedo et al., 2018), but also negatively impacts on nurses’ satisfaction with their jobs (Hegney et al., 2019; Zeleníková et al., 2019) and imposes a substantial financial burden on the healthcare system (Kalisch, 2016; Kalisch et al., 2009a; Sasso et al., 2017).…”

Section: Introductionmentioning

confidence: 99%

“…MNC is a widespread and serious healthcare problem resulting in reduced quality healthcare (Bragadóttir et al., 2017; Mandal and Seethalakshmi, 2019). Caldwell-Wright (2019) asserted that MNC is a ‘pandemic issue’. A systematic review of the literature found that 55–98% of nurses leave one or more aspects of patient care unperformed during their shifts (Jones et al., 2015).…”

Section: Introductionmentioning

confidence: 99%

“…A systematic review of the literature found that 55–98% of nurses leave one or more aspects of patient care unperformed during their shifts (Jones et al., 2015). In that context, MNC has been recognised as a frequent subject for candid investigation (Caldwell-Wright, 2019; Piscotty and Kalisch, 2014) accompanied with increased international interests in finding solutions to the problem of MNC (Zeleníková et al., 2019).…”

Section: Introductionmentioning

confidence: 99%

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Missed nursing care and complexity theory: a conceptual paper

Albsoul

FitzGerald

Hughes

et al. 2021

Journal of Research in Nursing

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Background Missed nursing care is a complex healthcare problem. Extant literature in this area identifies several interventions that can be used in acute hospital settings to minimise the impact of missed nursing care. However, controversy still exists as to the effectiveness of these interventions on reducing the occurrence of missed nursing care. Aim This theoretical paper aimed to provide a conceptual understanding of missed nursing care using complexity theory. Methods The method utilised for this paper is based on a literature review on missed care and complexity theory in healthcare. Results We found that the key virtues of complexity theory relevant to the missed nursing care phenomenon were adaptation and self-organisation, non-linear interactions and history. It is suggested that the complex adaptive systems approach may be more useful for nurse managers to inform and prepare nurses to meet uncertain encounters in their everyday clinical practice and therefore reduce instances of missed care. Conclusions This paper envisions that it is time that methods used to explore missed care changed. Strategies proposed in this paper may have an important impact on the ability of nursing staff to provide quality and innovative healthcare in the modern healthcare system.

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Letter to the Editor: Perspectives of Oncology Unit Nurse Managers on Missed Nursing Care: a Qualitative Study

Cited by 6 publications

References 1 publication

Factors influencing missed nursing care in public hospitals in Australia: An exploratory mixed methods study

Factors influencing missed nursing care in public hospitals in Australia: An exploratory mixed methods study

Explaining the experiences of nurses regarding strategies to prevent missed nursing care: A qualitative study

Missed nursing care and complexity theory: a conceptual paper

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