Hospital and unit variables of missed nursing care in acute care hospitals: A cross‐sectional study

Aims and Objectives To investigate hospital, unit and staff variables as the correlates of missed nursing care (MNC) in Czech hospitals. Background There is a considerable variability in patterns of MNC across different hospital, unit and staff characteristics. Design A cross‐sectional study was con...

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Bibliographic Details
Published in:Journal of clinical nursing 2021-04, Vol.30 (7-8), p.1099-1110
Main Authors: Jarošová, Darja, Gurková, Elena, Zeleníková, Renáta, Plevová, Ilona, Janíková, Eva
Format: Article
Language:English
Subjects:
Cross-sectional studies
Inpatient care
Medical errors
missed nursing care
Nursing
Nursing care
Patient safety
staff
Work environment
Workloads
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Summary:Aims and Objectives To investigate hospital, unit and staff variables as the correlates of missed nursing care (MNC) in Czech hospitals. Background There is a considerable variability in patterns of MNC across different hospital, unit and staff characteristics. Design A cross‐sectional study was conducted. The STROBE guidelines for reporting observational studies were followed for reporting of the research study. Methods A sample of 513 nurses working in nine acute care hospitals was recruited. MNC activities were measured with the MISSCARE Survey. Data were analysed using descriptive statistics and univariate logistic regression. Results Type of unit was confirmed as a significant predictor of MNC. Staff characteristics (nurses’ work position, level of education and perceived adequacy of unit staff) and hospital variables did not contribute significantly to MNC. Conclusions The study replicated the patterns of MNC across different conceptual approaches. MNC was influenced by work environment characteristics rather than individual staff variables. Relevance to clinical practice The results of this research showed that missed nursing care is influenced by work environment characteristics rather than individual staff variables.
ISSN:0962-1067
1365-2702
DOI:10.1111/jocn.15655