Missed Nursing Care: A Symptom of Missing Evidence

Cleary‐Holdforth, Joanne

doi:10.1111/wvn.12351

Cited by 12 publications

(13 citation statements)

References 26 publications

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“…Nursing is heralded to be a holistic discipline that considers and cares for the whole patient, 30 however missing psychosocial care such as interacting with patients, patient education and providing emotional support are regularly on the missed care list. Given the ethos of nursing, it is not surprising that nurses report poor job satisfaction, absenteeism and even an intention to leave their jobs, when they miss nursing care 36 …”

Section: Discussionmentioning

confidence: 99%

Missed nursing care: An overview of reviews

Chaboyer

Harbeck

Lee

et al. 2020

The Kaohsiung J of Med Scie

176

112

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Missed nursing care is care that is delayed, partially completed, or not completed at all. The aim of this overview of reviews was to identify the nursing care that is missed, the factors that influence missed nursing care and the outcomes from it. To be included, reviews had to use the systematic review process and focus on hospital care. Databases were searched from inception until August sixth, 2020. One author screened the papers and extracted data on included reviews and a second checked this. Two authors independently assessed the quality of the reviews. Seven reviews were included in this overview. Categories of care missed included: (a) communication and information sharing; (b) self‐management, autonomy, and education including care planning, discharge planning and decision; (c) fundamental physical care; and (d) emotional and psychological care including spiritual support. Factors associated with missed care were related to staffing levels and/or labor resources skill mix, material resources not being available, patient acuity and teamwork/communication. Outcomes of missed nursing care included: less/poorer quality of patient care, patient satisfaction, and nurses' job satisfaction, increased patient adverse events, and the organizational outcomes of increasing hospital length of stay and hospital readmission. In‐depth qualitative and mixed methods research is needed to better understand how nurses prioritize care and why care is missed. Longitudinal and experimental research is required to better clarify if these relationships between missed care and negative patient outcomes are likely cause and effect.

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Section: Discussionmentioning

confidence: 99%

Missed nursing care: An overview of reviews

Chaboyer

Harbeck

Lee

et al. 2020

The Kaohsiung J of Med Scie

176

112

View full text Add to dashboard Cite

show abstract

“…Patient safety is linked to basic care interventions, which are all too often neglected by health care professionals. Thus, considering the lack of studies and research into fundamental care, clinicians and researchers have been called on to collaborate and produce robust evidence that supports its importance and value (Cleary-Holdforth, 2019).…”

Section: Pathos Tool Across Journalsmentioning

confidence: 99%

“…During this period, nurses were used as scapegoats by the world's largest health organizations, despite their infections being attributable to the ineffectiveness of individual protections that were recommended by the Centre of Disease Control and the World Health Organization guidelines. Therefore, the editorial called for efforts to involve nurses when drawing up safety guidelines and invite them to have a seat in hospital and government bodies, instead of blaming and punishing them(Menzel, 2015).In Worldviews on Evidence-Based Nursing,Cleary-Holdforth (2019) published an editorial entitled 'Missed Nursing Care: A Symptom of Missing Evidence' in which she addressed the issue of unsatisfactory levels of patient safety, despite decades of interventions.…”

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confidence: 99%

Persuasive discourses in editorials published by the top‐five nursing journals: Findings from a 5‐year analysis

2021

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The aim is to describe which persuasive tool from the triad of Aristotle (Ethos, Pathos and Logos) is most commonly used in editorials to convey visions and ideas in the nursing journals of the last 5 years (2014)(2015)(2016)(2017)(2018)(2019). A descriptive qualitative study, based on content analysis, was performed in 2020 and summarized according to the COnsolidated criteria for REporting Qualitative research principles.Two hundred and eighty-five editorials were included in the study, all of which were published in the top-five nursing journals, specifically, the International

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“…Research shows that patients trust registered nurses (RNs) to plan and deliver care based on the best available evidence, their clinical expertise, and the patients' own preferences (Cleary‐Holdforth, 2019; Mazurek Melnyk & Newhouse, 2014). Considering such close involvement with patients and members of the wider multidisciplinary team, RNs play an integral and evidence‐based role in healthcare organizations.…”

Section: Introductionmentioning

confidence: 99%

Missed nursing care in relation to registered nurses' level of education and self‐reported evidence‐based practice

Falk,

Boström,

Nymark

et al. 2023

Worldviews Ev Based Nurs

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BackgroundPatient safety is one of the cornerstones of high‐quality healthcare systems. Evidence‐based practice is one way to improve patient safety from the nursing perspective. Another aspect of care that directly influences patient safety is missed nursing care. However, research on possible associations between evidence‐based practice and missed nursing care is lacking.AimThe aim of this study was to examine associations between registered nurses' educational level, the capability beliefs and use of evidence‐based practice, and missed nursing care.MethodsThis study had a cross‐sectional design. A total of 228 registered nurses from adult inpatient wards at a university hospital participated. Data were collected with the MISSCARE Survey‐Swedish version of Evidence‐Based Practice Capabilities Beliefs Scale.ResultsMost missed nursing care was reported within the subscales Basic Care and Planning. Nurses holding a higher educational level and being low evidence‐based practice users reported significantly more missed nursing care. They also scored significantly higher on the Evidence‐based Practice Capabilities Beliefs Scale. The analyses showed a limited explanation of the variance of missed nursing care and revealed that being a high user of evidence‐based practice indicated less reported missed nursing care, while a higher educational level meant more reported missed nursing care.Linking evidence to actionMost missed nursing care was reported within the subscales Planning and Basic Care. Thus, nursing activities are deprioritized in comparison to medical activities. Nurses holding a higher education reported more missed nursing care, indicating that higher education entails deeper knowledge of the consequences when rationing nursing care. They also reported varied use of evidence‐based practice, showing that higher education is not the only factor that matters. To decrease missed nursing care in clinical practice, and thereby increase the quality of care, educational level, use of evidence‐based practice, and organizational factors must be considered.

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Missed Nursing Care: A Symptom of Missing Evidence

Cited by 12 publications

References 26 publications

Missed nursing care: An overview of reviews

Missed nursing care: An overview of reviews

Persuasive discourses in editorials published by the top‐five nursing journals: Findings from a 5‐year analysis

Missed nursing care in relation to registered nurses' level of education and self‐reported evidence‐based practice

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