Feride Eskin Bacaksiz1, Handan Alan2, Gulcan Taskiran Eskici3, Emel Gumus4. 1. Department of Nursing Administration, Hamidiye Faculty of Nursing, University of Health Sciences, Istanbul, Turkey. 2. Department of Nursing Administration, Florence Nightingale Faculty of Nursing, Istanbul University-Cerrahpasa, Istanbul, Turkey. 3. Department of Nursing Administration, Faculty of Health Sciences, Ondokuz Mayis University, Samsun, Turkey. 4. MLPCARE, Istanbul, Turkey.
Abstract
AIM: To analyse missed nursing care in a sample of private hospitals. BACKGROUND: The nursing research on understanding and preventing missed nursing care, a critical element in omitted patient safety, is increasing. METHODS: This is a descriptive, correlational and cross-sectional study. Data were collected from 897 nurses working in 25 private hospitals in Turkey through an online survey, which included an Introductory Information Form, MISSCARE Survey, Professional Quality of Life and Work Alienation Scales. RESULTS: The most frequently missed nursing care was ambulation, and the least was patient assessment. Measurements of the missed nursing care statistically differed in terms of nurses' gender, weekly work hours, overtime work and perception of nurse adequacy, and the hospital's accreditation status. There was a correlation between the missed nursing care and Powerlessness subscale of work alienation. CONCLUSION: Nurses missed less complex care more frequently, and long working hours and inadequacy of nurses increased missed care. There is no correlation between the professional quality of life and missed care. IMPLICATIONS FOR NURSING MANAGEMENT: Nurse managers should plan actions to reduce nursing workloads and the instances of missed nursing care. Furthermore, they should develop solutions to make nursing care meaningful and allow nurses to feel empowered.
AIM: To analyse missed nursing care in a sample of private hospitals. BACKGROUND: The nursing research on understanding and preventing missed nursing care, a critical element in omitted patient safety, is increasing. METHODS: This is a descriptive, correlational and cross-sectional study. Data were collected from 897 nurses working in 25 private hospitals in Turkey through an online survey, which included an Introductory Information Form, MISSCARE Survey, Professional Quality of Life and Work Alienation Scales. RESULTS: The most frequently missed nursing care was ambulation, and the least was patient assessment. Measurements of the missed nursing care statistically differed in terms of nurses' gender, weekly work hours, overtime work and perception of nurse adequacy, and the hospital's accreditation status. There was a correlation between the missed nursing care and Powerlessness subscale of work alienation. CONCLUSION: Nurses missed less complex care more frequently, and long working hours and inadequacy of nurses increased missed care. There is no correlation between the professional quality of life and missed care. IMPLICATIONS FOR NURSING MANAGEMENT: Nurse managers should plan actions to reduce nursing workloads and the instances of missed nursing care. Furthermore, they should develop solutions to make nursing care meaningful and allow nurses to feel empowered.
Authors: Dominika Kalánková; Daniela Bartoníčková; Ewelina Kolarczyk; Katarína Žiaková; Agnieszka Młynarska Journal: Int J Environ Res Public Health Date: 2022-01-08 Impact factor: 3.390