Nurse staffing, missed care, quality of care and adverse events: A cross‐sectional study

Abstract

Aim: This study aimed to illustrate the relationship between nurse staffing and missed care, and how missed care affects quality of care and adverse events in Thai hospitals.Background: Quality and safety are major priorities for health care system. Nurse staffing and missed care are associated with low quality of care and adverse events.However, examination of this relationship is limited in Thailand.Methods: This cross-sectional study collected data from 1188 nurses in five university hospitals across Thailand. The participants completed questionnaires that assessed the patient-to-nurse ratio, adequacy of staffing, missed care, quality of care and adverse events. Logistic regression models were used to estimate associations.Results: Higher patient-to-nurse ratio, poor staffing and lack of resource adequacy were significantly associated with higher odds of reporting missed care. Higher nurse-reported missed care was significantly associated with higher odds of adverse events and poor quality of care.Conclusions: Poor nurse staffing was associated with missed care, and missed care was associated with adverse events and lower quality of care in Thai university hospitals.

How robots impact nurses' time pressure and turnover intention: A two‐wave study

“…Missed care is an important issue as it reflects delayed or ignored care (Sworn & Booth, 2020) and result in poor patient outcomes (Phelan & Kirwan, 2020). Missed care degrades patient care quality and causes problems in patient safety (Nantsupawat et al, 2022), indicating the managerial importance of reducing it. Hence, missed care is also a critical outcome that needs to be addressed in nursing workplaces and therefore should be included in our study.…”

Exploring the role of communication in missed nursing care: A systematic review

“…Nurses are the front‐line workers who have the most contact with patients and provide the most medical services, and they are an important force in ensuring patient safety (Nantsupawat et al, 2022). However, due to limited funds, insufficient staff and resources and strained nurse–patient relationships, nurses face increasing pressure (Alsubhi et al, 2020), making it difficult for them to fulfil all their full nursing responsibilities.…”

“…47.8%–98% of nursing staff reported that they had one or more tasks uncompleted (Du et al, 2020; Jones et al, 2015; Lake et al, 2020), which can have negative impacts at the patient and institution levels (Schubert et al, 2021). Missed nursing care can result in lower quality nursing care and more adverse events, including medication errors, infections, increased patient mortality, poor prognosis, patient complaints and verbal abuse of nurses, etc (Aiken et al, 2014; Kalánková et al, 2020; Nantsupawat et al, 2022; Schubert et al, 2021). In addition, it reduces nurses' job satisfaction and increases their intention to leave, which increases their turnover rate, thereby affecting the quality of nursing services (Kalisch, Landstrom, & Williams, 2009; Kalisch & Lee, 2010).…”

“…In addition, it reduces nurses' job satisfaction and increases their intention to leave, which increases their turnover rate, thereby affecting the quality of nursing services (Kalisch, Landstrom, & Williams, 2009; Kalisch & Lee, 2010). Factors contributing to missed nursing care include material resources, staffing, communication, shift time and caseload, etc (Alsubhi et al, 2020; Hernandez‐Cruz et al, 2017; Nantsupawat et al, 2022). Among these factors, nurses believe that communication is the most prevalent cause of missed nursing care (Blackman, Palese, et al, 2020; Rabin et al, 2019), so it is crucial to conduct further research on how communication contributes to this issue.…”

Relationships between self‐efficacy, coping style and quality of work‐life among nursing managers in China: A cross‐sectional study

“…The nursing workforce plays an integral part in healthcare, improves patient outcomes and promotes good health (Poghosyan & Maier, 2022). In recent years, with the rapid development of the nursing industry and the changing needs of patients, nursing managers have faced challenges in encouraging clinical nurses to ensure high standards of patient care and safety to promote hospital performance and quality (Nantsupawat et al, 2022). Nursing managers are crucial actors in the healthcare environment and play an essential role in developing a comfortable working atmosphere where nurses can provide safe, high-quality care to realize the organizational aims of a hospital and ensure good health outcomes (Labrague et al, 2018).…”