Missed Nursing Care in Hospitalized Patients

Abstract

Objective: Determine missed nursing care in hospitalized patients and the factors related to missed care, according to the perception of the nursing staff and the patient. Method: Correlational descriptive study of a sample of 160 nurses and hospitalized patients, using the MISSCARE Nursing Survey. Results: Nursing personnel indicated there were fewer care omissions in continuous evaluation interventions (M=94.56; SD=11.10). The greatest number of omissions pertained to basic care interventions (M=80.2; SD=19.40). Patients mentioned there were fewer omissions in continuous evaluation interventions (M=96.32; SD=7.96), while the greatest number of omissions pertained to patient discharge and education (M=45.00; SD=23.22). The factors that contributed to missed nursing care, according to the nursing staff, were related to human resources (M=80.67; SD=17.06) and material resources (M=69.72; SD=23.45); patients mentioned human resources and communication. Conclusions: Nursing care that is not carried out according to the needs of the patient, or is omitted or delayed, was identified. This aspect is relevant, since nursing care is fundamental to the recovery of hospitalized patients. KEYWORDSNursing care, care, hospitalization, nursing staff, quality (Source: DeCS, BIREME). Conclusões: identificou-se o cuidado de enfermagem que não se realiza de acordo com as necessidades do paciente, que se omite ou atrasa. Esse aspecto é relevante já que a atenção de enfermagem é fundamental para a recuperação dos pacientes hospitalizados. PalavRaS ClavECuidados de enfermagem, atendimento, hospitalização, equipe de enfermagem, qualidade (Fonte: DeCs, BIREME).

Missed nursing care as an ‘art form’: The contradictions of nurses as carers

“…The data from the five jurisdictions were combined for further analysis. Findings were similar to other studies conducted in the United Kingdom (UK), Europe and USA where factors external to nurses’ control were identified (Francis, ; Kalisch, Tschannen, Lee, & Friese, ; Kalisch & Xie, ; Moreno‐Monsiváis, Moreno‐Rodríguez, & Interial‐Guzmán, ; Palese et al., ; Papastavrou, Andreou, & Efstathiou, ). These included, but were not limited to, reduced resources required for the care delivery, and negative attitudes of management towards nurses’ concerns regarding missed care.…”

Factors influencing the missed nursing care in patients from a private hospital

“…The reported omission is relevant to consider though, especially since care actions are intended to respond to human needs rather than to health problems 6 - 7 . The most missed care element according to the nurses was emotional support to the patient, with similar results, but to a lesser extent than in some previous studies 17 - 18 .…”

“…To collect the information, the MISSCARE 11 survey was used, an instrument that measures the care missed and associated factors. It consists of 41 assertions, divided in three parts.…”

“…It contains a Likert scale with the following alternatives: 1 no reason, 2 lesser reason, 3 moderate reason and 4 significant reason; the reliability coefficient for this part corresponded to 0.90. The authors authorized the use of the instrument 11 . The original version of the instrument is in English.…”

“…In the interventions in individual needs, the nursing staff uses its knowledge and skills to treat the people’s human reactions rather than the health problems and uses the person’s willingness to promote self-care and offer emotional support 6 - 7 . The discharge planning and education help the patient and family to improve their participation and to make informed decisions about the care; the education includes both the knowledge needed during the care process and when the patient is discharged 5 .…”