Eileen T Lake1, Rachel French1, Kathleen O'Rourke2, Jordan Sanders3, Sindhu K Srinivas4. 1. Center for Health Outcomes and Policy Research, School of Nursing, University of Pennsylvania, Philadelphia, Pennsylvania. 2. Nursing Department, Women's Health, University of Pennsylvania Health System, Philadelphia, Pennsylvania. 3. Nursing Department, University of Vermont Medical Center, Burlington, Vermont. 4. Department of Obstetrics and Gynecology, Maternal and Child Health Research Program, University of Pennsylvania, Perelman School of Medicine, Philadelphia, Pennsylvania.
Abstract
AIM: To measure the association between the nurse work environment (NWE) and missed nursing care on labour and delivery (L&D) units. BACKGROUND: L&D units provide a sizable fraction of acute hospital services to a unique population that is a national and global priority. L&D nurses are the frontline providers during labour. Maternal morbidity and mortality may be influenced by the NWE and missed care. METHODS: This cross-sectional study utilized secondary data from 1,313 L&D staff nurses in 247 hospitals from a four-state nurse survey collected in 2005-2008. RESULTS: Half of nurses missed care (range: zero to 100% across hospitals). Nurses on average missed 1.25 of 10 activities. The most commonly missed activities were comforting/talking with patients and teaching/counselling. In better as compared to poor NWEs, the odds and frequency of missed care were significantly lower. CONCLUSIONS: L&D nurses routinely miss necessary nursing activities. Labouring women's psychosocial, comfort and educational needs are compromised most often, likely impacting quality and outcomes. Nurse communication with colleagues and managers about missed care is warranted. IMPLICATIONS FOR NURSING MANAGEMENT: The L&D NWE is modifiable and appears to influence missed care. Managers should discuss missed care with staff and measure their NWE to identify actionable weaknesses.
AIM: To measure the association between the nurse work environment (NWE) and missed nursing care on labour and delivery (L&D) units. BACKGROUND: L&D units provide a sizable fraction of acute hospital services to a unique population that is a national and global priority. L&D nurses are the frontline providers during labour. Maternal morbidity and mortality may be influenced by the NWE and missed care. METHODS: This cross-sectional study utilized secondary data from 1,313 L&D staff nurses in 247 hospitals from a four-state nurse survey collected in 2005-2008. RESULTS: Half of nurses missed care (range: zero to 100% across hospitals). Nurses on average missed 1.25 of 10 activities. The most commonly missed activities were comforting/talking with patients and teaching/counselling. In better as compared to poor NWEs, the odds and frequency of missed care were significantly lower. CONCLUSIONS: L&D nurses routinely miss necessary nursing activities. Labouring women's psychosocial, comfort and educational needs are compromised most often, likely impacting quality and outcomes. Nurse communication with colleagues and managers about missed care is warranted. IMPLICATIONS FOR NURSING MANAGEMENT: The L&D NWE is modifiable and appears to influence missed care. Managers should discuss missed care with staff and measure their NWE to identify actionable weaknesses.
Authors: Eileen T Lake; Douglas Staiger; Erika Miles Edwards; Jessica G Smith; Jeannette A Rogowski Journal: Health Serv Res Date: 2017-09-14 Impact factor: 3.402
Authors: E Brie Thumm; Denise C Smith; Allison P Squires; Ginger Breedlove; Paula M Meek Journal: Health Serv Res Date: 2022-01-06 Impact factor: 3.402
Authors: Olga Maria Pimenta Lopes Ribeiro; Letícia de Lima Trindade; André Filipe Morais Pinto Novo; Carla Gomes da Rocha; Clemente Neves Sousa; Paulo João Figueiredo Cabral Teles; Ana Catarina Rodrigues da Silva Reis; Alessandro Rodrigues Perondi; Karen Cristina Kades Andrigue; Soraia Cristina de Abreu Pereira; Paula Cristina da Silva Leite; João Miguel Almeida Ventura-Silva Journal: Healthcare (Basel) Date: 2022-02-09