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Factors influencing why nursing care is missed

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Listed:
  • Ian Blackman
  • Julie Henderson
  • Eileen Willis
  • Patricia Hamilton
  • Luisa Toffoli
  • Claire Verrall
  • Elizabeth Abery
  • Clare Harvey

Abstract

Aims and objectives This study explores the reasons nurses identify missed care and what factors account for this variance in nursing practice. Second, the study seeks to understand if the identified reasons behind missed care interact with one another and form a multidimensional construct. Background This study draws on the results of previous research conducted by Kalisch in developing the MISSCARE research survey tool and now applies it to an Australian context. Design This study engages a nonexperimental exploratory approach where 16 latent variables are identified and estimated using structural equation modelling to determine the capacity each of these factors has in predicting the reasons for reported missed nursing care. Methods Data were obtained from an electronic survey sent to nursing members of the Australian Nursing and Midwifery Federation of South Australia. A self‐report, Likert‐type instrument was used to capture the strength and direction of consensus derived from a sample of 289 nurses and midwives. Results/Findings Eight variables were identified as having direct predictor effects as to why nursing care was being missed, and included shift type, nursing resource allocation, health professional communication, workload intensity, workload predictability, the nurses' satisfaction with their current job and their intention to remain working. Additional indirect effects of other variables explained 34% of the variance of the total scores for why nursing care was reported as being missed. Conclusion Historically, the MISSCARE survey has identified and quantified what types of nursing care is missed. This paper takes this concept further by producing an interactional model identifying the effects different variables have on why nursing care is missed. Relevance to clinical practice These Australian findings not only contribute to other international studies that identify why nursing care is omitted, it provides a framework for why reported episodes of missed care can be predicted and subsequently addressed.

Suggested Citation

  • Ian Blackman & Julie Henderson & Eileen Willis & Patricia Hamilton & Luisa Toffoli & Claire Verrall & Elizabeth Abery & Clare Harvey, 2015. "Factors influencing why nursing care is missed," Journal of Clinical Nursing, John Wiley & Sons, vol. 24(1-2), pages 47-56, January.
    • Handle: RePEc:wly:jocnur:v:24:y:2015:i:1-2:p:47-56
    DOI: 10.1111/jocn.12688
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    References listed on IDEAS

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    1. Brown, Claire & Arnetz, Bengt & Petersson, Ove, 2003. "Downsizing within a hospital: cutting care or just costs?," Social Science & Medicine, Elsevier, vol. 57(9), pages 1539-1546, November.
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    Cited by:

    1. Tahani J Saqer & Raeda F AbuAlRub, 2018. "Missed nursing care and its relationship with confidence in delegation among hospital nurses," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(13-14), pages 2887-2895, July.
    2. Rebecca M. Jedwab & Alison M. Hutchinson & Elizabeth Manias & Rafael A. Calvo & Naomi Dobroff & Nicholas Glozier & Bernice Redley, 2021. "Nurse Motivation, Engagement and Well-Being before an Electronic Medical Record System Implementation: A Mixed Methods Study," IJERPH, MDPI, vol. 18(5), pages 1-22, March.
    3. McKnight, Jacob & Nzinga, Jacinta & Jepkosgei, Joyline & English, Mike, 2020. "Collective strategies to cope with work related stress among nurses in resource constrained settings: An ethnography of neonatal nursing in Kenya," Social Science & Medicine, Elsevier, vol. 245(C).
    4. Shahrzad Yektatalab & Marzieh Momennasab & Soroor Parvizy & Noushin Mousazadeh, 2022. "Improving Nurses’ Job Satisfaction: an Action Research Study," Systemic Practice and Action Research, Springer, vol. 35(1), pages 15-32, February.

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