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

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