Modeling Missed Care: Implications for Evidence‐Based Practice

Blackman, Ian; Lye, Che Yee; Darmawan, I Gusti Ngurah; Henderson, Julie; Giles, Tracey; Willis, Eileen; Toffoli, Luisa; Xiao, Lily Dongxia; Verrall, Claire

doi:10.1111/wvn.12285

Cited by 39 publications

(32 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Personal accountability, as one of the characterises of leadership, is associated with missed care (Drach‐Zahavy & Srulovici, ). In addition to leadership, it is shown that work environment of nurses including patient–nurse ratio and resource adequacy is associated with missed care (Blackman et al, ; Park, Hanchett, & Ma, ). Therefore, preventing oral care to end up as missed care, also leadership in terms of personal accountability and the work environment should be addressed during the development of an oral care programme.…”

Section: Discussionmentioning

confidence: 99%

A context analysis on how oral care is delivered in hospitalised patients: A mixed‐methods study

Noort

Witteman

Hertog-Voortman

et al. 2019

Journal of Clinical Nursing

View full text Add to dashboard Cite

Aims and Objectives:To analyse oral care delivery in one hospital through exploring experiences from both nurses' and patients' perspectives and examining patients' oral health.Background: Oral health problems are associated with undernutrition and other general health outcomes. Although oral care belongs to the essentials of nursing, it is often neglected. Improving oral health may require behaviour change of both nurses and patients. Defining tailored strategies need a clear view on the context. Design:A context analysis in one hospital using a convergent parallel mixed-methods design was reported following the EQUATOR guidelines using two checklists:COnsolidated criteria for REporting Qualitative research (qualitative research) and STROBE (observational research).Methods: Semi-structured interviews were conducted with 19 nurses and 11 patients. The topic list was based on the Integrated Change Model. Prospective oral examination was performed among 91 surgical patients using the Oral Health Assessment Tool (OHAT).Results: Nurses acknowledged that they did not prioritise oral care in daily practice. Furthermore, they lacked knowledge and skills to identify and provide care for oral problems. Nurses mentioned helpful resources to perform oral care, like standardised language and instruments. However, they had no access to or were unaware of them. Patients admitted that they did not prioritise oral care due to their sickness during hospitalisation, were unaware of the importance of oral care, but felt responsible for their oral care. The most prominent oral problems identified with the OHAT were unclean mouths (n = 75, 82%), unhealthy gum and tissues (n = 55, 60%) and dry mouth (n = 42, 46%). Conclusions:This context analysis identified inadequate oral care due to lack of positive attitude and knowledge in both nurses and patients, skills for nurses, and resources. S U PP O RTI N G I N FO R M ATI O NAdditional supporting information may be found online in the Supporting Information section. How to cite this article: van Noort HHJ, Witteman BJM, den Hertog-Voortman R, Everaars B, Vermeulen H, Huismande Waal G. A context analysis on how oral care is delivered in hospitalised patients: A mixed-methods study. J Clin Nurs.

show abstract

Section: Discussionmentioning

confidence: 99%

A context analysis on how oral care is delivered in hospitalised patients: A mixed‐methods study

Noort

Witteman

Hertog-Voortman

et al. 2019

Journal of Clinical Nursing

View full text Add to dashboard Cite

show abstract

“…In this study,3 a modified version of the Missed Nursing Care (MISSCARE) self-report survey was used to examine associations between sociodemographic characteristics, work environment factors and reports of missed care and reasons for omission of care, among a relatively large sample of 1195 nurse respondents in four Australian states. Dimension reduction of the 22 items reporting missed care and the 16 items with perceptions of reasons for care omission was examined using Rasch models.…”

Section: Methodsmentioning

confidence: 99%

Likelihood of nursing care being missed is influenced by several work-based factors

Azuero

2018

Evid Based Nurs

View full text Add to dashboard Cite

“…Negative sequelae are also exerted on nurses and include decreased job satisfaction, increased desire to leave and absenteeism (Gibbon & Crane, ; Papastavrou, Andreou, & Efstathiou, ; Verrall et al., ). Several contributing factors to this phenomenon including time, resource and staffing shortages, skill mix issues, increasing patient acuity and unsafe case‐ and workloads have been identified (Blackman et al., ; Jangland, Teodorsson, Molander, & Muntlin Athlin, ; Jones et al., ; Kalisch, Landstrom, & Hinshaw, ; Schubert et al., ). Working in such constrained conditions and with such constrained resources, renders missed care a veritable inevitability, resulting in inescapable adverse events, for which, Willis et al.…”

Section: Nursing Care – Are We Missing Something?mentioning

confidence: 99%

Missed Nursing Care: A Symptom of Missing Evidence

Cleary‐Holdforth

2019

Worldviews Ev Based Nurs

View full text Add to dashboard Cite

Modeling Missed Care: Implications for Evidence‐Based Practice

Abstract: The incidences, types, and reasons behind missed care are a multidimensional construct which can be predicted when known significant factors behind missed care are simultaneously accounted for.

Cited by 39 publications

References 30 publications

A context analysis on how oral care is delivered in hospitalised patients: A mixed‐methods study

A context analysis on how oral care is delivered in hospitalised patients: A mixed‐methods study

Likelihood of nursing care being missed is influenced by several work-based factors

Missed Nursing Care: A Symptom of Missing Evidence

Contact Info

Product

Resources

About