The Factor Associated with Missed Nursing Care in Hospital: A Systematic Review

Nur Miladiyah Rahmah; Rr. Tutik Sri Hariyati; Rita Sekarsari; Trevino Pakasi

doi:10.3889/oamjms.2022.9719

Authors

Nur Miladiyah Rahmah Doctoral Nursing Program
Rr. Tutik Sri Hariyati Department of Basic Science and Fundamentals of Nursing, Faculty of Nursing, Depok, Indonesia
Rita Sekarsari General Hospitals Hearts Center Harapan Kita
Trevino Pakasi Department of Community Medicine, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia

DOI:

https://doi.org/10.3889/oamjms.2022.9719

Keywords:

Missed nursing care, Lack of staffing, Nurse competency, Working environment

Abstract

Background: Patient safety is a major concern in the healthcare industry worldwide. Increasing patient safety is critical for avoiding negative outcomes in nursing care and achieving goals at the desired level of quality. One of the indicators of this quality care given to patient is known as missed care.

Aim: Aims of this study to explore the factors influencing missed care in order to improve the quality of nursing care.

Methods: This study is a systematic review that explores the factors influencing missed nursing care in hospitals. Meanwhile, the literature search was carried out in the CINAHL Pubmed, Ebsco, Science Direct, Proquest, Willey, Sage from 2017 to 2021.

Results: The results from six databases (n=3702) were sorted into 22 collected articles which include 18 quantitative, 2 qualitative, and 2 mixed methods. These findings highlighted three factors that influence missed nursing care: a lack of staffing, nurse competency, and the working environment.

Conclusion: The factors that contribute with missed nursing care in hospitals include lack of nurse staff, competency, and work environment. As a result, the nursing manager's critical role is to create adequate nursing staff, improve their competency, and foster a positive work environment.

Keywords: missed nursing care, lack of staffing, nurse competency, working environment

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

Plum Analytics Artifact Widget Block

References

Bacaksiz FE, Alan H, Eskici GT, Gumus E. A cross-sectional study of the determinants of missed nursing care in the private sector: Hospital/unit/staff characteristics, professional quality of life and work alienation. J Nurs Manag. 2020;28(8):1975-85. https://doi.org/10.1111/jonm.12999 PMid:32153061 DOI: https://doi.org/10.1111/jonm.12999

Cho SH, Lee JY, You SJ, Song KJ, Hong KJ. Nurse staffing, nurses prioritization, missed care, quality of nursing care, and nurse outcomes. Int J Nurs Pract. 2020;26(1):e12803. https://doi.org/10.1111/ijn.12803 PMid:31850645 DOI: https://doi.org/10.1111/ijn.12803

Labrague LJ, Santos JA, Fronda DC. Factors associated with missed nursing care and nurse-assessed quality of care during the Covid-19 pandemic. J Nurs Manag. 2022;30(1):62-70. https://doi.org/10.1111/jonm.13483 PMid:34590383 DOI: https://doi.org/10.1111/jonm.13483

Kalisch BJ, Landstrom G, Williams RA. Missed nursing care: Errors of omission. Nurs Outlook. 2009;57(1):3-9. https://doi.org/10.1016/j.outlook.2008.05.007 PMid:19150261 DOI: https://doi.org/10.1016/j.outlook.2008.05.007

Kalisch BJ, Lee KH. Missed nursing care: Magnet versus nonmagnet hospitals. Nurs Outlook. 2012;60(5):e32-9. https://doi.org/10.1016/j.outlook.2012.04.006 PMid:22824471 DOI: https://doi.org/10.1016/j.outlook.2012.04.006

Zeleníková R, Jarošová D, Plevová I, Janíková E. Nurses’ perceptions of professional practice environment and its relation to missed nursing care and nurse satisfaction. Int J Environ Res Public Health. 2020;17(11):3805. https://doi.org/10.3390/ijerph17113805 PMid:32471133 DOI: https://doi.org/10.3390/ijerph17113805

Albsoul R, FitzGerald G, Finucane J, Borkoles E. Factors influencing missed nursing care in public hospitals in Australia: An exploratory mixed methods study. Int J Health Plann Manage. 2019;34(4):e1820-32. https://doi.org/10.1002/hpm.2898 PMid:31448478 DOI: https://doi.org/10.1002/hpm.2898

Cho SH, Mark BA, Knafl G, Chang HE, Yoon HJ. Relationships between nurse staffing and patients’ experiences, and the mediating effects of missed nursing care. J Nurs Scholarsh. 2017;49(3):347-55. https://doi.org/10.1111/jnu.12292 PMid:28388827 DOI: https://doi.org/10.1111/jnu.12292

Griffiths P, Recio-Saucedo A, Dall’Ora C, Briggs J, Maruotti A, Meredith P, et al. The association between nurse staffing and omissions in nursing care: A systematic review. J Adv Nurs. 2018;74(7):1474-87. https://doi.org/10.1111/jan.13564 PMid:29517813 DOI: https://doi.org/10.1111/jan.13564

Ball JE, Bruyneel L, Aiken LH, Sermeus W, Sloane DM, Rafferty AM, et al. Post-operative mortality, missed care and nurse staffing in nine countries: A cross-sectional study. Int J Nurs Stud. 2018;78:10-5. https://doi.org/10.1016/j.ijnurstu.2017.08.004 PMid:28844649 DOI: https://doi.org/10.1016/j.ijnurstu.2017.08.004

Recio-Saucedo A, Dall’Ora C, Maruotti A, Ball J, Briggs J, Meredith P, et al. What impact does nursing care left undone have on patient outcomes? Review of the literature. J Clin Nurs. 2018;27(11-12):2248-59. https://doi.org/10.1111/jocn.14058 PMid:28859254 DOI: https://doi.org/10.1111/jocn.14058

Haftu M, Girmay A, Gebremeskel M, Aregawi G, Gebregziabher D, Robles C. Commonly missed nursing cares in the obstetrics and gynecologic wards of Tigray general hospitals; Northern Ethiopia. PLoS One. 2019;14(12):e0225814. https://doi.org/10.1371/journal.pone.0225814 PMid:31869340 DOI: https://doi.org/10.1371/journal.pone.0225814

Simonetti M, Cerón C, Galiano A, Lake ET, Aiken LH. Hospital work environment, nurse staffing and missed care in Chile: A cross-sectional observational study. J Clin Nurs. 2021;00:1-12. https://doi.org/10.1111/jocn.16068 PMid:34723415 DOI: https://doi.org/10.1111/jocn.16068

Moura EC, Lima MB, Peres AM, Lopez V, Batista ME, Braga FD. Relationship between the implementation of primary nursing model and the reduction of missed nursing care. J Nurs Manag. 2020;28(8):2103-12. https://doi.org/10.1111/jonm.12846 PMid:31433878 DOI: https://doi.org/10.1111/jonm.12846

Al-Faouri I, Obaidat DM, AbuAlRub RF. Missed nursing care, staffing levels, job satisfaction, and intent to leave among Jordanian nurses. Nurs Forum. 2021;56(2):273-83. https://doi.org/10.1111/nuf.12537 PMid:33345335 DOI: https://doi.org/10.1111/nuf.12537

Saville C, Dall’Ora C, Griffiths P. The association between 12-hour shifts and nurses-in-charge’s perceptions of missed care and staffing adequacy: A retrospective cross-sectional observational study. Int J Nurs Stud. 2020;112:103721. https://doi.org/10.1016/j.ijnurstu.2020.103721 PMid:32703685 DOI: https://doi.org/10.1016/j.ijnurstu.2020.103721

Thomas-Hawkins C, Flynn L, Dillon J. Registered nurse staffing, workload, and nursing care left undone, and their relationships to patient safety in hemodialysis units. Nephrol Nurs J. 2020;47(2):133-42. https://doi.org/10.37526/1526-744x.2020.47.2.133 PMid:32343087 DOI: https://doi.org/10.37526/1526-744X.2020.47.2.133

Blackman I, Lye CY, Darmawan IG, Henderson J, Giles T, Willis E, et.al. Modeling missed care: Implications for evidence-based practice. Worldviews Evid Based Nurs. 2018;15(3):178-88. https://doi.org/10.1111/wvn.12285 PMid:29569380 DOI: https://doi.org/10.1111/wvn.12285

Bragadóttir H, Kalisch BJ. Comparison of reports of missed nursing care: Registered nurses vs. practical nurses in hospitals. Scand J Caring Sci. 2018;32(3):1227-36. https://doi.org/10.1111/scs.12570 PMid:29603312 DOI: https://doi.org/10.1111/scs.12570

Labrague LJ, De Los Santos JA, Tsaras K, Galabay JR, Falguera CC, Rosales RA, et al. The association of nurse caring behaviours on missed nursing care, adverse patient events and perceived quality of care: A cross-sectional study. J Nurs Manag. 2020;28(8):2257-65. https://doi.org/10.1111/jonm.12894 PMid:31660656 DOI: https://doi.org/10.1111/jonm.12894

Kim C, Lee Y. Effects of compassion competence on missed nursing care, professional quality of life and quality of life among Korean nurses. J Nurs Manag. 2020;28(8):2118-27. https://doi.org/10.1111/jonm.13004 PMid:32166797 DOI: https://doi.org/10.1111/jonm.13004

Kim WJ, Park JH. The effects of debate-based ethics education on the moral sensitivity and judgment of nursing students: A quasi-experimental study. Nurse Educ Today. 2019;83:104200. https://doi.org/10.1016/j.nedt.2019.08.018 PMid:31491613 DOI: https://doi.org/10.1016/j.nedt.2019.08.018

Dutra CK, Guirardello ED. Nurse work environment and its impact on reasons for missed care, safety climate, and job satisfaction: A cross-sectional study. J Adv Nurs. 2021;77(5):2398-406. https://doi.org/10.1111/jan.14764 PMid:33565146 DOI: https://doi.org/10.1111/jan.14764

Bagnasco A, Dasso N, Rossi S, Timmins F, Aleo G, Catania G, et al. A qualitative descriptive inquiry of the influences on nurses’ missed care decision-making processes in acute hospital paediatric care. J Nurs Manag. 2020;28(8):1929-39. https://doi.org/10.1111/jonm.12935 PMid:31845542 DOI: https://doi.org/10.1111/jonm.12935

Catania G, Zanini M, Signori A, Molin AD, Pilastri P, Bottino M, et al. Providing a nurse-led complex nursing intervention focused on quality of life assessment on advanced cancer patients: The INFO-QoL pilot trial. Eur J Oncol Nurs. 2021;52:101961. https://doi.org/10.1016/j.ejon.2021.101961 PMid:33984605 DOI: https://doi.org/10.1016/j.ejon.2021.101961

Chegini Z, Jafari-Koshki T, Kheiri M, Behforoz A, Aliyari S, Mitra U, et al. Missed nursing care and related factors in Iranian hospitals: A cross-sectional survey. J Nurs Manag. 2020;28(8):2205-15. https://doi.org/10.1111/jonm.13055 PMid:32472718 DOI: https://doi.org/10.1111/jonm.13055

Campbell CM, Prapanjaroensin A, Anusiewicz CV, Baernholdt M, Jones T, Patrician PA. Variables associated with missed nursing care in Alabama: A cross-sectional analysis. J Nurs Manag. 2020;28(8):2174-84. https://doi.org/10.1111/jonm.12979 PMid:32072688 DOI: https://doi.org/10.1111/jonm.12979

Audet LA, Bourgault P, Rochefort CM. Associations between nurse education and experience and the risk of mortality and adverse events in acute care hospitals: A systematic review of observational studies. Int J Nurs Stud. 2018;80:128-46. https://doi.org/10.1016/j.ijnurstu.2018.01.007 PMid:29407346 DOI: https://doi.org/10.1016/j.ijnurstu.2018.01.007

Liu X, Liu J, Liu K, Baggs JG, Wang J, Zheng J, et al. Association of changes in nursing work environment, non-professional tasks, and nursing care left undone with nurse job outcomes and quality of care: A panel study. Int J Nurs Stud. 2021;115:103860. https://doi.org/10.1016/j.ijnurstu.2020.103860 PMid:33517080 DOI: https://doi.org/10.1016/j.ijnurstu.2020.103860

Lee YW, Dai YT, Chang MY, Chang YC, Yao KG, Liu M. Quality of work life, nurses’ intention to leave the profession, and nurses leaving the profession : A one-year prospective survey. 2017;49(4):438-44. https://doi.org/10.1111/jnu.12301 PMid:28605164 DOI: https://doi.org/10.1111/jnu.12301

Srulovici E, Drach-Zahavy A. Nurses’ personal and ward accountability and missed nursing care: A cross-sectional study. Int J Nurs Stud. 2017;75:163-71. https://doi.org/10.1016/j.ijnurstu.2017.08.003 PMid:28829974 DOI: https://doi.org/10.1016/j.ijnurstu.2017.08.003

Park SH, Hanchett M, Ma C. Practice environment characteristics associated with missed nursing care. J Nurs Scholarsh. 2018;50(6):722-30. https://doi.org/10.1111/jnu.12434 PMid:30242957 DOI: https://doi.org/10.1111/jnu.12434

Shin N, Park J. The effect of intentional nursing rounds based on the care model on patients’ perceived nursing quality and their satisfaction with nursing services. Asian Nurs Res (Korean Soc Nurs Sci). 2018;12(3):203-8. https://doi.org/10.1016/j.anr.2018.08.003 PMid:30138700 DOI: https://doi.org/10.1016/j.anr.2018.08.003

Cho SH, Kim YS, Yeon KN, You SJ, Lee ID. Effects of increasing nurse staffing on missed nursing care. Int Nurs Rev. 2015;62(2):267-74. https://doi.org/10.1111/inr.12173 PMid:25762430 DOI: https://doi.org/10.1111/inr.12173

Cho E, Lee NJ, Kim EY, Kim S, Lee K, Park KO. Nurse staffing level and overtime associated with patient safety, quality of care, and care left undone in hospitals: A cross-sectional study. Int J Nurs Stud. 2016;60:263-71. https://doi.org/10.1016/j.ijnurstu.2016.05.009 PMid:27297386 DOI: https://doi.org/10.1016/j.ijnurstu.2016.05.009

Zeleníková R, Gurková E, Jarošová D. Missed nursing care measured by misscare survey-the first pilot study in the Czech republic and Slovakia. Cent Eur J Nurs Midwifery. 2019;10(1):958-66. https://doi.org/10.15452/CEJNM.2019.10.0002 DOI: https://doi.org/10.15452/CEJNM.2019.10.0002

White EM, Aiken LH, McHugh MD. Registered nurse burnout, job dissatisfaction, and missed care in nursing homes. J Am Geriatr Soc. 2019;67(10):2065-71. https://doi.org/10.1111/jgs.16051 PMid:31334567 DOI: https://doi.org/10.1111/jgs.16051