Missed care and support figures: Preliminary investigation in some surgical ward

Missed care and support figures: Preliminary investigation in some surgical ward

Authors

Keywords:

Missed Nursing Care, Health Care Assistance, Surgery

Abstract

Introduction: Missed Nursing care (MNC) is defined as planned care in the patients care process that is omitted or delayed. Despite their importance in Italy, there are just few studies that measure MNC’s prevalence and causes. We are not aware of studies published in literature that have related MNC with the presence or absence of support staff.

Objectives: This study’s objective, was to measure nurse’s perception and reasons for missed care in surgical wards with or without Health Care Assistants (HCA), and, to assess whether there is a significant difference between the two groups of nurses.

Methodology: A Cross-sectional observational study was conducted through the administration of the “Missed Nursing Care Survey” in the Italian Version to nurses of the wards surveyed.

Results: Results have confirmed that the most frequent MNC are hygiene and mobilisation activities as reported in other Italian and foreign studies, with higher frequency in wards without HCAs. Also, the study confirmed other Italian and foreign study results recognising the most significant motivation for MNC’s as the lack of staff and unexpected events.

Conclusions: Without wishing to attribute a cause/effect relation, it is interesting to assess the results, which seem to show that the presence of HCAs contributes to reduce the prevalence of missed activities. The lack of staff has revealed higher average of MNC for both groups, which seems to direct our attention not only towards the presence of HCAs but in regards to their inclusion in care activities. It may be necessary to reflect on the priority that nurses give to certain activities.

References

(1) Kalisch, B.J., Missed nursing care: A qualitative study, J. Nurs. Care Qual. 2006; 21(4):306–13. https://doi.org/10.1097/00001786-200610000-00006.

(2) Kalisch, B.J., Landstrom, G.L., Hinshaw, A.S. Missed nursing care: a concept analysis. J. Adv. Nurs. 2009; 65(7):1509–17. https://doi.org/10.1111/j.1365-2648.2009.05027.x.

(3) Kalisch, B.J., Xie, B. Errors of Omission: Missed Nursing Care. West. J. Nurs. Res. 2014;36 (7): 875–90. https://doi.org/10.1177/0193945914531859.

(4) Sochalski, J. Is More Better? The Relationship Between Nurse Staffing and the Quality of Nursing Care in Hospitals, Med. Care. 2004;42:1167-73. https://doi.org/10.1097/01.mlr.0000109127.76128.aa.

(5) Schubert, M., Glass, T.R., Clarke, S.P., et al. Rationing of nursing care and its relationship to patient outcomes: The Swiss extension of the International Hospital Outcomes Study. Int. J. Qual. Heal. Care. 2008;20(4): 227–37. https://doi.org/10.1093/intqhc/mzn017.

(6) Bassi, E., Tartaglini, D., Palese, A. Missed nursing care terminologies, theoretical concepts and measurement instruments: a literature review. Assist. Inferm. e Ric. 2018; 37 (1): 12–24.

(7) Krishnagopalan, S., Johnson, E.W., Low, L.L. et al. Body positioning of intensive care patients: Clinical practice versus standards, Crit. Care Med. 2002;30(11): 2588–92. https://doi.org/10.1097/00003246-200211000-00031.

(8) Ball, J.E., Griffiths, P., Rafferty, A.M. et al. A cross-sectional study of ‘care left undone’ on nursing shifts in hospitals. J. Adv. Nurs. 2016; 72 (9): 2086–97. https://doi.org/10.1111/jan.12976.

(9) Ball, J.E., Bruyneel, L., Aiken, L.H. et al. Post-operative mortality, missed care and nurse staffing in nine countries: A cross-sectional study. Int. J. Nurs. Stud. 2018; 78:10–15. https://doi.org/10.1016/j.ijnurstu.2017.08.004.

(10) Lake, E.T., Germack, H.D., Viscardi, M.K. Missed nursing care is linked to patient satisfaction: A cross-sectional study of US hospitals, BMJ Qual. Saf.2016;25(7): 535–43. https://doi.org/10.1136/bmjqs-2015-003961.

(11) Palese, A., Ambrosi, E., Prosperi, L. et al. Missed nursing care and predicting factors in the Italian medical care setting. Intern. Emerg. Med.2015;10:693–702. https://doi.org/10.1007/s11739-015-1232-6.

(12) Muzzana, C., Saiani, L., Mantovan, F.et al. Extent and type of implicit rationing of nursing care in seven South Tyrolean hospitals: a descriptive study. Assist. Inferm. Ric.2018; 37(3):128–35. https://doi.org/10.1702/2996.29981.

(13) Sist, L., Contini, C., Bandini, A., Palese, A., Ferraresi, A. et al. MISSCARE Survey - Italian Version: findings from an Italian validation study. Ig. Sanita Pubbl.2018; 73 (1): 29–45.

(14) Pegoraro. S. Missed Care: Indagine esplorativa nelle medicine dell'USL 15 (Missed Care: Exploratory investigation into the medicines of the USL 15), 2015.

(15) Zúñiga, F., Ausserhofer D., Hamers, J.P.H., et al. The relationship of staffing and work environment with implicit rationing of nursing care in Swiss nursing homes - A cross-sectional study. Int. J. Nurs. Stud.2014; 52 (9): 1463–1474. https://doi.org/10.1016/j.ijnurstu.2015.05.005.

(16) Bragadóttir, H., Kalisch, B.J., Tryggvadóttir G.B. Correlates and predictors of missed nursing care in hospitals. J. Clin. Nurs; 2017; 26(11-12):1524–34. https://doi.org/10.1111/jocn.13449.

(17) Gravlin,G., Bittner, N.P. Nurses’ and Nursing Assistants’ Reports of Missed Care and Delegation, Jona. 2010;40(7/8): 329–35.

(18) Kalisch, B.J., Gosselin, K., Choi, S.H. A comparison of patient care units with high versus low levels of missed nursing care. Health Care Manage. Rev. 2012; 37 (4): 320–28. https://doi.org/10.1097/HMR.0b013e318249727e.

(19) Tan, S. Misuses of kr-20 and cronbach’s alpha reliability coefficients Education and Science.2009; 34 (152): 101–112.

(20) European Union. regulation 2016/679 of the European Parlament and the Council of the European Union Off J Eur Communities. Published online 2016

(21) B.J. Kalisch, G. Landstrom, R.A Williams, Missed nursing care: Errors of omission, Nurs. Outlook. 57 (2009) 3–9. https://doi.org/10.1016/j.outlook.2008.05.007.

(22) Kalisch, B.J., Terzioglu, F., Duygulu, S. The Misscare Survey-Turkish: Psychometric properties and findings. Nurs. Econ. 2012; 30 (1): 29–37. https://pubmed.ncbi.nlm.nih.gov/22479961/ (accessed February 7, 2021).

(23) Bragadóttir, H., Kalisch, B.J.,, Smáradóttir, S.B. et al. Translation and psychometric testing of the Icelandic version of the MISSCARE Survey. Scand. J. Caring Sci. 2015; 29 (3): 563–72. https://doi.org/10.1111/scs.12150.

(24) Sironi, C. Un saluto a tutti gli Associati e Lettori di Professioni Infermieristiche Assistenza di base : tutto tranne che di base (Greetings to all Nursing Associates and Readers Basic care: anything but basic). Prof. Inferm. 2018;71 (4) 193.

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Published

03-08-2023

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Section

HEALTH PROFESSIONS

How to Cite

1.
Sollami A, Begarani F, Marletta G, Romano R. Missed care and support figures: Preliminary investigation in some surgical ward. Acta Biomed [Internet]. 2023 Aug. 3 [cited 2024 Jul. 17];94(4):e2023193. Available from: https://www.mattioli1885journals.com/index.php/actabiomedica/article/view/14531