Why do nurses miss nursing care? A qualitative meta‐synthesis

Aim The aim of this qualitative meta‐synthesis was to discover the factors impacting on missed nursing care of nurses through systematic thinking. Background Although nurses are responsible for high‐quality care, missed nursing care is common, endangering patient safety. Understanding of the causes...

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Bibliographic Details
Published in:Japan journal of nursing science : JJNS 2024-04, Vol.21 (2), p.e12578-n/a
Main Authors: Peng, Mengyun, Saito, Shinya, Mo, Wenping, Guan, Hong
Format: Article
Language:English
Subjects:
Humans
Medical errors
meta‐synthesis
missed nursing care
Nurse Administrators
Nurse's Role
Nurses
Nursing administration
Nursing Care
Patient safety
Qualitative Research
Quality of Health Care
Workloads
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Summary:Aim The aim of this qualitative meta‐synthesis was to discover the factors impacting on missed nursing care of nurses through systematic thinking. Background Although nurses are responsible for high‐quality care, missed nursing care is common, endangering patient safety. Understanding of the causes related to missed nursing care could help nursing managers improve the quality of nursing care. Design A qualitative meta‐synthesis guided by the Preferred Reporting Items for Systematic Reviews and Meta‐analyses (PRISMA). Methods As a method designed to contribute to knowledge development, meta‐synthesis allows for integration of qualitative study findings using thematic synthesis. Six databases were searched up to October 2021; nine studies met the inclusion and quality assessment criteria and meta‐synthesis were conducted. Results Three themes related to the causes why nurses missed nursing care were found. The themes included intrinsic resources (professional and ethical values, ambiguous nurse role, prioritization, education system, and knowledge), system structure (staff and resources shortage, heavy workload but limited time, and organizational management failure), and social environment (communication, working relationship and skill mix, and inappropriate ward layout). Conclusion The phenomenon of missed nursing care is a global tissue, with variations in its elements but also notable similarities. Meta‐synthesis provides evidence of intrinsic and extrinsic factors that contribute to missed nursing care. Relevance to Clinical Practice Recognizing and understanding the causes of missed nursing care is essential for nursing managers to ensure patient safety and the provision of high‐quality care.
ISSN:1742-7932
1742-7924
DOI:10.1111/jjns.12578