Perspectives of Oncology Unit Nurse Managers on Missed Nursing Care: A Qualitative Study

Abstract

Objective:The main objective of this study was to explore factors affecting missed nursing care in oncology units from the perspective of nurse managers.Methods:Twenty nurse managers working at oncology units of referral teaching hospitals in Iran participated in this study. Data were collected through individual face-to-face and telephonic interviews using an interview guide. Focus groups were also conducted. Data were analyzed using conventional content analysis.Results:System structure, underlying factors, and barriers to missed-care reports were identified as factors that affect missed nursing care.Conclusions:Nurse managers should reduce the effects of nursing staff shortages and increased workloads in addition to providing materials and equipment. They need to distribute experienced staff according to the type of ward or patients' needs. Nurse managers should create a favorable environment for reporting missed nursing care by having an open relationship with nurses by teaching and emphasizing nursing practice. Moreover, using a nonpunitive managerial approach and minimizing the use of an apathetic management style can be helpful.

A SCOPING REVIEW: The role of the nurse manager as represented in the missed care literature

“…Of the studies reviewed, only two papers specifically placed emphasis on nurse managers' or nurse leaders' roles in relation to influencing missed care, Dehghan-Nayeri et al (2018) and Kalisch and Lee (2012). Furthermore, these were the only studies to present the perspectives of nurse managers' or nurse leaders' themselves.…”

“…Ambiguity around roles and responsibilities was evident in some studies. Strained relationships between NMs and staff nurses were noted as a barrier to reporting missed care (Dehghan-Nayeri et al, 2015;Dehghan-Nayeri, Shali, Navabi, & Ghaffari, 2018;Papastavrou et al, 2014). Nurses reported that they often have different care priorities to NMs and explained that managers frequently question their decisions and request they change their care plans (Papastavrou et al, 2014).…”

“…Managers suggested that transparency around missed care is often lacking, as they do not feel that they are kept fully informed by nurses (Dehghan-Nayeri et al, 2018). Nurses explain that they were reluctant to report missed care out of fear of losing their job or legal repercussions (Dehghan-Nayeri et al, 2015.…”

Nurses' perception of implicit nursing care rationing in Croatia—A cross‐sectional multicentre study

“…In a poor work setting, where the nurse manager has no information about implicit nursing care rationing or has information but no leadership skills, nurses may be dissatisfied with the workplace environment (Dehghan-Nayeri, Shali, Navabi, & Ghaffari, 2018).…”

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

“…In regard to the article, perspectives of oncology unit nurse managers on missed nursing care: A qualitative study,[1] My heart goes out to my global nursing family who are represented in this article. I want them to know, they are not alone!…”