Factors for missed nursing care
A systematic literature review
DOI:
https://doi.org/10.14528/snr.2021.55.1.3061Keywords:
missed nursing care, rationing, nursesAbstract
Introduction: Missed nursing care is a concept that is emerging in patient healthcare around the world. The purpose of a systematic literature review is to describe missed nursing care and gain an understanding of the connection between the concept and the factors for its emergence.
Methods: A systematic literature review was conducted in February and March 2020 in databases PubMed, CINAHL, Wiley library online, COBISS.SI. The search terms were: unfinished nursing care, missed nursing care, implicit rationing, care left undone. The search strategy was based on inclusion criteria: scientific journals, peer-reviewed publications, full text, the Slovenian or English language, period 2015–2020. The results were analyzed with a thematic analysis.
Results: A total of 1,667 articles were identified and 16 were included in the final analysis. Of these, there were two systematic literature reviews, twelve cross-sectional studies, and two descriptive quantitative studies, bringing together the results of 88,294 nursing staff from 21 countries. The results showed three groups of factors for missed nursing care: staffing characteristics, characteristics of the work environment and teamwork with communication.
Discussion and conclusion: The results show that the causes for missed nursing care are complex and inconsistent. They differ between countries also due to different nursing educational systems. They are related to factors in a health care organization and the characteristics of nurses. If we want to determine the quantity and scope of missed nursing care at the national level, specific data regarding this area in Slovenia is needed.
Downloads
Metrics
References
Aiken, L. H., Cimiotti, J. P., Sloane, D. M., Smith, H. L., Flynn, L., & Neff, D. F. (2011). Effects of nurse staffing and nurse education on patient deaths in hospitals with different nurse work environments. Medical Care, 49(12), 1047–1053. https://doi.org/10.1097/MLR.0b013e3182330b6e PMid:21945978; PMCid:PMC3217062
Aiken, L. H., Clarke, S. P., Sloane, D. M., Lake, E. T., & Cheney, T. (2008). Effects of hospital care environment on patient mortality and nurse outcomes. The Journal of Nursing Administration, 38(5), 223–229. https://doi.org/10.1097/01.NNA.0000312773.42352.d7 PMid:18469615; PMCid:PMC2586978
Aiken, L. H., Sermeus, W., Van den Heede, K., Sloane, D. M., Busse, R., McKee, M. ... Kutney-Lee, A. (2012). Patient safety, satisfaction, and quality of hospital care: Cross sectional surveys of nurses and patients in 12 countries in Europe and the United States. British Medical Journal, 344, Article e1717. https://doi.org/10.1136/bmj.e1717 PMid:22434089; PMCid:PMC3308724
Aiken, L. H., Sloane, D., Griffiths, P., Rafferty, A. M., Bruyneel, L., McHugh, M. ... Sermeu, W. (2017). Nursing skill mix in European hospitals: Cross-sectional study of the association with mortality, patient ratings, and quality of care. BMJ Quality & Safety, 26(7), 559–568. https://doi.org/10.1136/bmjqs-2016-005567 PMid:28626086; PMCid:PMC5477662
Ausserhofer, D., Zander, B., Busse, R., Schubert, M., De Geest, S., Rafferty, A. M. ... Schwendimann, R. (2014). Prevalence, patterns and predictors of nursing care left undone in European hospitals: Results from the multicountry cross-sectional RN4CAST study. BMJ Quality & Safety, 23(2), 126–135. https://doi.org/10.1136/bmjqs-2013-002318 PMid:24214796
Ball, J. E., Murrells, T., Rafferty, A. M., Morrow, E., & Griffiths, P. (2014). 'Care left undone' during nursing shifts: Associations with workload and perceived quality of care. BMJ Quality & Safety, 23(2), 116–125. https://doi.org/10.1136/bmjqs-2012-001767 PMid:23898215; PMCid:PMC3913111
Ball, J. E., Griffiths, P., Rafferty, A. M., Lindqvist, R., Murrells, T., & Tishelman, C. (2016). A cross-sectional study of 'care left undone' on nursing shifts in hospitals. Journal of Advanced Nursing, 72(9), 2086–2097. https://doi.org/10.1111/jan.12976 PMid:27095463
Blackman, I., Lye, C. Y., Darmawan, I. G. N., Henderson. J., Giles, T, Willis, E. ... Verrall, C. (2018). Modeling missed care: Implications for evidence-based Practice. Worldviews on Evidence-Based Nursing, 15(3), 1–11. https://doi.org/10.1111/wvn.12285 PMid:29569380
Booth, A., Papaioannou, D., & Sutton. A. (2012). Systematic approaches to a successful literature review. Thousand Oaks: SAGE Publications.
Bragadóttir, H., Kalisch, B. J., & Tryggvadóttir, G. B. (2016). Correlates and predictors of missed nursing care in hospitals. Journal of Clinical Nursing, 26(11/12), 1524–1534. https://doi.org/10.1111/jocn.13449 PMid:27325454
Bragadóttir, H., & Kalisch, B. J. (2018). Comparison of reports of missed nursing care: Registered Nurses vs. practical nurses in hospitals. Scandinavian Journal of Caring Science, 32(3), 1227–1236. https://doi.org/10.1111/scs.12570 PMid:29603312
Campbell, C. M., Prapanjaroensin, A., Anusiewicz, C. V., Baernholdt, M., Jones, T., & Patrician, P. A. (2020). Variables associated with missed nursing care in Alabama: A crosssectional analysis. Journal of Nursing Management, 28(8), 2174–2184. https://doi.org/10.1111/jonm.12979 PMid:32072688
Chapman, R., Rahman, A., Courtney, M., & Chalmers, C. (2017). Impact of teamwork on missed care in four Australian hospitals. Journal of Clinical Nursing, 26(1/2), 170–181. https://doi.org/10.1111/jocn.13433 PMid:27322941
Cho, E., Lee, N.-J., Kim, E.-Y., Kim, S., Lee, K., Park, K.-O., & Sung, Y. H. (2016). Nurse staffing level and overtime associated with patient safety, quality of care, and care left undone in hospitals: A cross-sectional study. International Journal of Nursing Studies, 60, 263–271. https://doi.org/10.1016/j.ijnurstu.2016.05.009 PMid:27297386
Cho, S.-H., Kim, Y.-S., Yeon, K. N., You, S.-J., & Lee, I. D. (2015). Effects of increasing nurse staffing on missed nursing care. International Nursing Review, 62(2), 267–274. https://doi.org/10.1111/inr.12173 PMid:25762430
Cho, S.-H., Lee, J.-Y., You, S. J., Song, K. J., & Hong, K. J. (2020). Nurse staffing, nurses prioritization, missed care, quality of nursing care, and nurse outcomes. International Journal of Nursing Practice, 26(1), Article e12803. https://doi.org/10.1111/ijn.12803 PMid:31850645
Griffiths, P., Recio-Saucedo, A., Dall'Ora, C., Briggs, J., Maruotti A., Meredith, P. … Ball, J. (2018). The association between nurse staffing and omissions in nursing care: A systematic review. Journal of Advanced Nursing, 74(7), 1474–1487. https://doi.org/10.1111/jan.13564 PMid:29517813; PMCid:PMC6033178
Jones, T. L., Hamilton, P., & Murry, N. (2015). Unfinished nursing care, missed care, and implicitly rationed care: State of the science review. International Journal of Nursing Studies, 52(6), 1121–1137. https://doi.org/10.1016/j.ijnurstu.2015.02.012 PMid:25794946
Kalisch, B. J., Landstrom, G. L., & Hinshaw, A. S. (2009). Missed nursing care: A concept analysis. Journal of Advanced Nursing, 65(7), 1509–1517. https://doi.org/10.1111/j.1365-2648.2009.05027.x PMid:19456994
Kalisch, B. J., & Lee, K. H. (2010). The impact of teamwork on missed nursing care. Nursing Outlook, 58(5), 233–241. https://doi.org/10.1016/j.outlook.2010.06.004 PMid:20934078
Kalisch, B. J., & Xie, B. (2014). Errors of omission: Missed nursing care. Western Journal of Nursing Research, 36(7), 875–890. https://doi.org/10.1177/0193945914531859 PMid:24782432
Lippincott Nursing Education. (2016). The importance of the optimal nurse-to-patient ratio. Retrieved April 20, 2020 from http://nursingeducation.lww.com/blog.entry.html/2016/11/10/the_importance_ofth-GCAE.html
Maloney, S., Fenci, J. L., & Hardin, S. R. (2015). Is nursing care missed: A comparative study of three North Carolina hospitals. Medsurg nursing, 24(4), 229–235. PMid:26434035
Mandal, L., Seethalakshmi, A., & Rajendrababu, A. (2019). Rationing of nursing care, a deviation from holistic nursing: A systematic review. Nursing Philosophy, 21(1), Article e12288. https://doi.org/10.1111/nup.12257 PMid:31429179
Mariani, B. (2012). The effect of mentoring on career satisfaction of registered nurses and intent to stay in the nursing profession. Nursing Research and Practice, 2012, Article 168278. https://doi.org/10.1155/2012/168278 PMid:22645673; PMCid:PMC3356736
Moher, D., Liberati, A., Tetzlaff, J., Altman, D.G., & The PRISMA Group. (2009). Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. PLoS Medicine, 6(7), Article e1000097. https://doi.org/10.1371/journal.pmed.1000097 PMid:19621072; PMCid:PMC2707599
Needleman, J., Buerhaus, P., Pankratz, V. S., Leibson, C. L., Stevens, S. R., & Harris, M. (2011). Nurse staffing and inpatient hospital mortality. The New England Journal of Medicine, 364(11), 1037–1045. https://doi.org/10.1056/NEJMsa1001025 PMid:21410372
Palese, A., Ambrosi, E., Prosperi, L., Guarnier, A., Barelli, P., Zambiasi, P. ... Saiani, L. (2015). Missed nursing care and predicting factors in the Italian medical care setting. Internal and Emergency Medicine, 10(6), 693–702. https://doi.org/10.1007/s11739-015-1232-6 PMid:25840678
Papastavrou, E., Andreou, P., & Efstathiou, G. (2013). Rationing of nursing care and nurse-patient outcomes: A systematic review of quantitative studies. The International Journal of Health Planning and Management, 29(1), 3–25. https://doi.org/10.1002/hpm.2160 PMid:23296644
Park, S. H., Hanchett, M., & Ma, C. (2018). Practice environment characteristics associated with missed nursing care. Journal of Nursing Scholarship, 50(6), 722–730. https://doi.org/10.1002/hpm.2160 PMid:23296644
Polit, D. F., & Beck, C.T. (2018). Esentials of nursing research: Appraising evidence for nursing practice (9th ed.). Philadelphia: Lippincott Williams & Wilkins.
Price, S. L., McGillis Hall, L., Angus, J. E., & Peter, E. (2013). Choosing nursing as a career: A narrative analysis of millennial nurses' career choice of virtue. Nursing Inquiry, 20(4), 305–316. https://doi.org/10.1111/nin.12027 PMid:23551958
Recio-Saucedo, A., Dall'Ora, C., Maruotti, A., Ball, J., Briggs, J., Meredith, P. … Griffits, P. (2018). What impact does nursing care left undone have on patient outcomes: Review of the literature. Journal of Clinical Nursing, 27(11/12), 2248–2259. https://doi.org/10.1111/jocn.14058 PMid:28859254; PMCid:PMC6001747
Saqer, T. J., & AbuAlRub, R. F. (2018). Missed nursing care and its relationship with confidence in delegation among hospital nurses. Journal of Clinical Nursing, 27(13/14), 2887–2895. https://doi.org/10.1111/jocn.14380 PMid:29633416
Schuckhart, M. C. (2010). "The MISSCARE Nursing Survey: A secondary data analysis« Fort Worth, Tx: University of North Texas Health Science Center. Retrieved January 20, 2020 from https://digitalcommons.hsc.unt.edu/theses/155
Srulovici, E., & Drach-Zahavy, A. (2017). Nurses’ personal and ward accountability and missed nursing care: A cross-sectional study. International Journal of Nursing Studies, 75, 163–171. https://doi.org/10.1016/j.ijnurstu.2017.08.003 PMid:28829974
VanFosson, C. A., Jones, T. L., & Yoder, L. H. (2016). Unfinished nursing care: An important performance measure for nursing care systems. Nursing Outlook, 64(2), 124–136. https://doi.org/10.1016/j.outlook.2015.12.010 PMid:26850334
Zeleníková, R., Gurková, E., Friganovic, A., Uchmanowicz, I., Jarošová, D., Žiaková, K. ... Papstavrou, E. (2019). Unfinished nursing care in four central European countries. Journal of Nursing Management, 28(8), 1888–1900. https://doi.org/10.1111/jonm.12896 PMid:31680373; PMCid:PMC7754486
Downloads
Published
How to Cite
Issue
Section
License
As the author undersigned hereby, I transfer, assign, or otherwise convey the following authorship rights as comprised in the Copyright and Related Rights Act (CRRA) to the Slovenian Nursing Review, Ob železnici 30A, 1000 Ljubljana: the right of reproduction - the exclusive right to fix the work in a material medium or in another copy directly or indirectly, temporarily or permanently, by any means and in any digital form, in whole or in part (CRRA, Article 23); the right of distribution (CRRA, Article 24); the right of making a work available and accessible through the internet (CRRA, Article 32a); the right of transformation, especially the exclusive right to translate a pre-existing work (CRRA, Article 33). The transfer of author rights applies to the article in its entirety, including pictorial and/or graphic works and possible supplements. The transfer of rights is exclusive and unlimited in duration or territory.
