Reference Citation Analysis: Find an Article, Find a Category, Find a Journal, Find a Scholar

For: Ogboenyiya AA, Tubbs-cooley HL, Miller E, Johnson K, Bakas T. Missed Nursing Care in Pediatric and Neonatal Care Settings: An Integrative Review. MCN Am J Matern Child Nurs 2020;45:254-64. [DOI: 10.1097/nmc.0000000000000642] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]

For:	Ogboenyiya AA, Tubbs-cooley HL, Miller E, Johnson K, Bakas T. Missed Nursing Care in Pediatric and Neonatal Care Settings: An Integrative Review. MCN Am J Matern Child Nurs 2020;45:254-64. [DOI: 10.1097/nmc.0000000000000642] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]

Number

Cited by Other Article(s)

Jia W, Chen X, Fang J, Cao H. Association of Teamwork, Moral Sensitivity and Missed Nursing Care in ICU Nurses: A Cross-Sectional Study. J Clin Nurs 2025;34:1801-1807. [PMID: 39739563 DOI: 10.1111/jocn.17439] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2024] [Revised: 07/18/2024] [Accepted: 09/01/2024] [Indexed: 01/02/2025]

Abstract

AIM

To investigate the correlation between intensive care unit (ICU) nurses' demographic characteristics, teamwork, moral sensitivity and missed nursing care.

BACKGROUND

Teamwork, moral sensitivity and missed nursing care are important health challenges among ICU nurses. Clarifying the relationship between variables is benefit to improve the quality of patients care. Nevertheless, a comprehensive conceptualisation of the relationship between teamwork, moral sensitivity and missed nursing care remains lacking.

DESIGN

A cross-sectional design.

METHODS

This study follows the STROBE checklist. ICU nurses were recruited by two hospitals between November 2023 and January 2024, in Shandong Province, China. The demographic characteristic questionnaire, teamwork perceptions questionnaire, moral sensitivity questionnaire-revised version into Chinese and the Chinese version of the missed nursing care questionnaire were used for investigation. Multiple linear regression was used to clarify the factors affecting missed nursing care. Pearson correlation was used to test the correlation between teamwork, moral sensitivity and missed nursing care.

RESULTS

The level of missed nursing care for ICU nurses was low, with overall mean score of 37.49. Missed nursing care for ICU nurses in the labour dispatch were much higher than nurses with the contract system and personnel agency (p < 0.05). The 12-h shifts of ICU nurses also influenced missed nursing care. Furthermore, teamwork has a positive relationship with moral sensitivity (r = 0.653, p < 0.001).

CONCLUSION

Hospital and nursing managers should pay attention to the clinical sense of belonging of ICU nurses, reasonably set the working shifts, which will help to reduce the occurrence of missed nursing care.

RELEVANCE TO CLINICAL PRACTICE

It is recommended that nursing managers should invest in strategies to enhance nurse teamwork and implement a 12-h shift pattern, which can alleviate moral distress and improve quality of care.

PATIENT OR PUBLIC CONTRIBUTION

No patient or public contribution. (The data of this were collected from nurses and not related to patients. They were informed of the research process and precautions, signed informed consent.).

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Avanoğlu E, Calikusu Incekar M. Missed Nursing Care of Nurses in Neonatal Intensive Care Units During COVID-19 Period: A Cross-Sectional Descriptive Study. Compr Child Adolesc Nurs 2025;48:60-70. [PMID: 39903663 DOI: 10.1080/24694193.2025.2463019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2024] [Accepted: 01/28/2025] [Indexed: 02/06/2025]

Cesare M, D' Agostino F, Damiani G, Nurchis MC, Ricciardi W, Cocchieri A. Exploring the Impact of Medical Complexity on Nursing Complexity of Care in Paediatric Patients: A Retrospective Observational Study. J Clin Nurs 2024. [PMID: 39381892 DOI: 10.1111/jocn.17460] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2024] [Revised: 08/29/2024] [Accepted: 09/06/2024] [Indexed: 10/10/2024]

Abstract

AIMS

To explore the impact of medical complexity, defined by the number of chronic conditions, on the complexity of care, as described by the frequency of nursing diagnoses (NDs) and nursing actions (NAs), in paediatric patients.

DESIGN

Retrospective observational study.

METHODS

This study was conducted in an Italian university hospital and involved the analysis of electronic health records for neonatal and paediatric patients who were consecutively admitted from January to December 2022. The sample was classified into three categories-non-chronic, single chronic and multimorbid patients-according to their clinical profiles. NDs recorded within the first 24 h from patient hospital admission and NAs performed throughout the hospital stay were counted for each group.

RESULTS

Distinct variations in the prevalence and patterns of NDs and NAs were observed across different levels of medical complexity. A significant moderate positive correlation between the number of NDs and NAs was found. However, the frequency of NDs did not directly correlate with the number of chronic conditions. Conversely, a weak but significant negative correlation was identified between the quantity of NAs and the number of chronic conditions. While the frequency of NDs showed a stable but decreasing trend as the number of chronic conditions increased, a higher number of chronic conditions were associated with a lower quantity of NAs.

CONCLUSIONS

We discovered a notable variation in the complexity of care across varying levels of medical complexity in paediatric patients. Our findings suggest that the complexity of care does not necessarily correspond to the degree of medical complexity. The observed negative relationship between the number of chronic conditions and the quantity of NAs underscores the need for further research to explore this unexpected finding and its implications for clinical practice.

IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE

Without the adoption of standardised nursing terminologies, such as nursing diagnoses (NDs) and nursing actions (NAs), assessing the complexity of care in paediatric settings can be challenging. Integrating clinical nursing information systems that incorporate standardised NDs and NAs into electronic health records is crucial for accurately documenting and analysing the complexity of care and its relationship with medical complexity.

IMPACT

In paediatric patients, the frequency of nursing diagnoses (NDs) at hospital admission is significantly associated with the quantity of nursing actions (NAs) delivered during hospitalisation. However, there is no correlation between the frequency of NDs and medical complexity, as defined by the number of chronic disorders. Specifically, the frequency of NDs decreases with increasing medical complexity, while the quantity of NAs is negatively associated with the number of chronic disorders. This indicates that the complexity of care cannot be inferred solely from medical complexity, and additional factors need to be explored. These findings enhance understanding of how complexity of care relates to medical complexity in paediatric patients. Insights into the prevalence and patterns of NDs and NAs can benefit nurses, managers, researchers and policymakers by informing clinical and organisational decision-making to ensure high-quality care.

REPORTING METHOD

The study adhered to the RECORD Statement.

PATIENT OR PUBLIC CONTRIBUTION

Patients, service users, caregivers or public members were not directly involved in the design, conduct, analysis and interpretation of data or in writing this paper. Patients contributed only to data collection.

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Messina G, Natale G, Sagnelli C, Vicidomini G, Mancino D, Cerullo G, De Gregorio S, De Angelis S, Otranto C, Leonardi B, Dattolo S, Giorgiano NM, De Masi A, Esposito F, Puca MA, Vicario G, Fiorelli A, Sica A. The Impact of Assessment of Nurses' Experiences in Thoracic Surgery in Onco-Hematological Patients. Healthcare (Basel) 2024;12:1843. [PMID: 39337184 PMCID: PMC11431484 DOI: 10.3390/healthcare12181843] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2024] [Revised: 08/22/2024] [Accepted: 09/03/2024] [Indexed: 09/30/2024] Open

Affiliation(s)

Gaetana Messina Thoracic Surgery Unit, Azienda Ospedaliera Universitaria “Luigi Vanvitelli”, University of Campania “Luigi Vanvitelli”, 80131 Naples, Italy; (G.M.); (G.N.); (G.V.); (D.M.); (G.C.); (S.D.G.); (S.D.A.); (C.O.); (B.L.); (S.D.); (N.M.G.); (A.D.M.); (F.E.); (M.A.P.); (G.V.); (A.F.)
Giovanni Natale Thoracic Surgery Unit, Azienda Ospedaliera Universitaria “Luigi Vanvitelli”, University of Campania “Luigi Vanvitelli”, 80131 Naples, Italy; (G.M.); (G.N.); (G.V.); (D.M.); (G.C.); (S.D.G.); (S.D.A.); (C.O.); (B.L.); (S.D.); (N.M.G.); (A.D.M.); (F.E.); (M.A.P.); (G.V.); (A.F.)
Caterina Sagnelli Department of Mental Health and Public Medicine, Section of Infectious Diseases, University of Campania “Luigi Vanvitelli”, 80131 Naples, Italy
Giovanni Vicidomini Thoracic Surgery Unit, Azienda Ospedaliera Universitaria “Luigi Vanvitelli”, University of Campania “Luigi Vanvitelli”, 80131 Naples, Italy; (G.M.); (G.N.); (G.V.); (D.M.); (G.C.); (S.D.G.); (S.D.A.); (C.O.); (B.L.); (S.D.); (N.M.G.); (A.D.M.); (F.E.); (M.A.P.); (G.V.); (A.F.)
Diana Mancino Thoracic Surgery Unit, Azienda Ospedaliera Universitaria “Luigi Vanvitelli”, University of Campania “Luigi Vanvitelli”, 80131 Naples, Italy; (G.M.); (G.N.); (G.V.); (D.M.); (G.C.); (S.D.G.); (S.D.A.); (C.O.); (B.L.); (S.D.); (N.M.G.); (A.D.M.); (F.E.); (M.A.P.); (G.V.); (A.F.)
Giuseppe Cerullo Thoracic Surgery Unit, Azienda Ospedaliera Universitaria “Luigi Vanvitelli”, University of Campania “Luigi Vanvitelli”, 80131 Naples, Italy; (G.M.); (G.N.); (G.V.); (D.M.); (G.C.); (S.D.G.); (S.D.A.); (C.O.); (B.L.); (S.D.); (N.M.G.); (A.D.M.); (F.E.); (M.A.P.); (G.V.); (A.F.)
Simona De Gregorio Thoracic Surgery Unit, Azienda Ospedaliera Universitaria “Luigi Vanvitelli”, University of Campania “Luigi Vanvitelli”, 80131 Naples, Italy; (G.M.); (G.N.); (G.V.); (D.M.); (G.C.); (S.D.G.); (S.D.A.); (C.O.); (B.L.); (S.D.); (N.M.G.); (A.D.M.); (F.E.); (M.A.P.); (G.V.); (A.F.)
Sabrina De Angelis Thoracic Surgery Unit, Azienda Ospedaliera Universitaria “Luigi Vanvitelli”, University of Campania “Luigi Vanvitelli”, 80131 Naples, Italy; (G.M.); (G.N.); (G.V.); (D.M.); (G.C.); (S.D.G.); (S.D.A.); (C.O.); (B.L.); (S.D.); (N.M.G.); (A.D.M.); (F.E.); (M.A.P.); (G.V.); (A.F.)
Carmela Otranto Thoracic Surgery Unit, Azienda Ospedaliera Universitaria “Luigi Vanvitelli”, University of Campania “Luigi Vanvitelli”, 80131 Naples, Italy; (G.M.); (G.N.); (G.V.); (D.M.); (G.C.); (S.D.G.); (S.D.A.); (C.O.); (B.L.); (S.D.); (N.M.G.); (A.D.M.); (F.E.); (M.A.P.); (G.V.); (A.F.)
Beatrice Leonardi Thoracic Surgery Unit, Azienda Ospedaliera Universitaria “Luigi Vanvitelli”, University of Campania “Luigi Vanvitelli”, 80131 Naples, Italy; (G.M.); (G.N.); (G.V.); (D.M.); (G.C.); (S.D.G.); (S.D.A.); (C.O.); (B.L.); (S.D.); (N.M.G.); (A.D.M.); (F.E.); (M.A.P.); (G.V.); (A.F.)
Silvia Dattolo Thoracic Surgery Unit, Azienda Ospedaliera Universitaria “Luigi Vanvitelli”, University of Campania “Luigi Vanvitelli”, 80131 Naples, Italy; (G.M.); (G.N.); (G.V.); (D.M.); (G.C.); (S.D.G.); (S.D.A.); (C.O.); (B.L.); (S.D.); (N.M.G.); (A.D.M.); (F.E.); (M.A.P.); (G.V.); (A.F.)
Noemi Maria Giorgiano Thoracic Surgery Unit, Azienda Ospedaliera Universitaria “Luigi Vanvitelli”, University of Campania “Luigi Vanvitelli”, 80131 Naples, Italy; (G.M.); (G.N.); (G.V.); (D.M.); (G.C.); (S.D.G.); (S.D.A.); (C.O.); (B.L.); (S.D.); (N.M.G.); (A.D.M.); (F.E.); (M.A.P.); (G.V.); (A.F.)
Andrea De Masi Thoracic Surgery Unit, Azienda Ospedaliera Universitaria “Luigi Vanvitelli”, University of Campania “Luigi Vanvitelli”, 80131 Naples, Italy; (G.M.); (G.N.); (G.V.); (D.M.); (G.C.); (S.D.G.); (S.D.A.); (C.O.); (B.L.); (S.D.); (N.M.G.); (A.D.M.); (F.E.); (M.A.P.); (G.V.); (A.F.)
Francesco Esposito Thoracic Surgery Unit, Azienda Ospedaliera Universitaria “Luigi Vanvitelli”, University of Campania “Luigi Vanvitelli”, 80131 Naples, Italy; (G.M.); (G.N.); (G.V.); (D.M.); (G.C.); (S.D.G.); (S.D.A.); (C.O.); (B.L.); (S.D.); (N.M.G.); (A.D.M.); (F.E.); (M.A.P.); (G.V.); (A.F.)
Maria Antonietta Puca Thoracic Surgery Unit, Azienda Ospedaliera Universitaria “Luigi Vanvitelli”, University of Campania “Luigi Vanvitelli”, 80131 Naples, Italy; (G.M.); (G.N.); (G.V.); (D.M.); (G.C.); (S.D.G.); (S.D.A.); (C.O.); (B.L.); (S.D.); (N.M.G.); (A.D.M.); (F.E.); (M.A.P.); (G.V.); (A.F.)
Giuseppe Vicario Thoracic Surgery Unit, Azienda Ospedaliera Universitaria “Luigi Vanvitelli”, University of Campania “Luigi Vanvitelli”, 80131 Naples, Italy; (G.M.); (G.N.); (G.V.); (D.M.); (G.C.); (S.D.G.); (S.D.A.); (C.O.); (B.L.); (S.D.); (N.M.G.); (A.D.M.); (F.E.); (M.A.P.); (G.V.); (A.F.)
Alfonso Fiorelli Thoracic Surgery Unit, Azienda Ospedaliera Universitaria “Luigi Vanvitelli”, University of Campania “Luigi Vanvitelli”, 80131 Naples, Italy; (G.M.); (G.N.); (G.V.); (D.M.); (G.C.); (S.D.G.); (S.D.A.); (C.O.); (B.L.); (S.D.); (N.M.G.); (A.D.M.); (F.E.); (M.A.P.); (G.V.); (A.F.)
Antonello Sica Department of Precision Medicine, University of Campania “Luigi Vanvitelli”, 80131 Naples, Italy;

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Gallagher TT, McKechnie AC. Missed care and equitable breastfeeding support: An integrative review of exposure to in-hospital care by patient characteristics and breastfeeding outcomes. J Adv Nurs 2024;80:3086-3102. [PMID: 38297430 DOI: 10.1111/jan.16077] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2023] [Revised: 12/27/2023] [Accepted: 01/05/2024] [Indexed: 02/02/2024]

Abstract

AIM

To synthesize the literature on breastfeeding outcomes associated with exposure to internationally recognized best practices, such as the Baby-Friendly Hospital Initiative, for patients in the United States during the postpartum period, contextualized within the Missed Care Model.

DESIGN

The authors employed Whittemore and Knafl's integrative review framework and the 2020 PRISMA guidelines for data extraction, synthesis, reporting and assessment.

METHODS

Five electronic databases were searched for articles published between 2007 and 2023. Eligible articles reported on exposure to breastfeeding best practices and outcomes or the experiences, views, perceptions and attitudes of parents, nurses or lactation consultants regarding hospital breastfeeding support. Extracted data were compared to identify in-hospital exposure to breastfeeding best practices and breastfeeding outcomes, and differences in exposure and outcomes based on patient and provider characteristics.

RESULTS

Twenty-one quantitative, qualitative and mixed methods articles met inclusion criteria. A higher reported adherence to best practices was associated with greater odds of breastfeeding; some practices demonstrated greater effects overall or for specific groups. Higher exposures to best practices and higher breastfeeding rates were found for non-Hispanic white patients, and those with more education, private insurance and who live in urban areas. Disparities in support and outcomes were related to patients' race/ethnicity, language, weight and age. Qualitative findings reflected missed care concepts, such as internal processes related to habits and group norms, relevant to breastfeeding support.

CONCLUSION

Review findings also include an adapted Missed Care Model specific to breastfeeding support, which can inform future research related to providers' internal processes that may influence breastfeeding or equitable breastfeeding care.

IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE

Missed care can be influenced by a variety of factors, including providers' internal values and beliefs. Study findings suggest the existence of inequities in breastfeeding care and underscore the need to address and eliminate breastfeeding disparities.

IMPACT

This study addressed how patient exposure to best practices in breastfeeding support relates to breastfeeding outcomes and whether exposure and outcomes differ by patient or provider characteristics, connecting this to the Missed Care in Breastfeeding Support Model. The main findings were that higher reported exposure to best practices in breastfeeding support related to improved breastfeeding outcomes; inequities exist in exposure to best practices; and patients and providers identify the importance of providers' internal processes in the delivery of breastfeeding support, which aligns with the Missed Care in Breastfeeding Support Model. Study findings will have the potential to impact how nurses, lactation consultants and other providers who deliver breastfeeding support in the postpartum hospital setting.

REPORTING METHOD

The authors adhered to relevant 2020 PRISMA reporting guidelines.

PATIENT OR PUBLIC CONTRIBUTION

No patient or public contribution.

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Kohanová D, Zrubcová D, Bartoníčková D, Solgajová A. Unmet care needs in psychiatric healthcare context: A systematized literature review. J Psychiatr Ment Health Nurs 2024. [PMID: 39016194 DOI: 10.1111/jpm.13083] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/24/2024] [Revised: 06/11/2024] [Accepted: 07/05/2024] [Indexed: 07/18/2024]

Abstract

WHAT IS KNOWN ON THE SUBJECT

Missed, rationed or unfinished nursing care represents a global problem that jeopardizes the provision of quality and safe care. This phenomenon is frequently observed in adult, paediatric and child healthcare facilities and various care units.

WHAT THE PAPER ADDS TO EXISTING KNOWLEDGE

The findings of this review contribute valuable information to inform evidence-based practices, foster organizational improvements and ultimately optimize the overall quality of care in psychiatric healthcare settings. In addition, the review illuminates the far-reaching consequences of care on both patient and nurse outcomes, emphasizing the urgent need for tailored strategies to mitigate these effects.

WHAT ARE THE IMPLICATIONS FOR PRACTICE

Based on the synthesis of the literature, a thorough and continuous assessment of patient care needs in the physical, psychological and social domains is needed, primarily utilizing standardized instruments designed for psychiatric settings to ensure a comprehensive understanding of unmet needs. Based on identified unmet needs, nurses should develop individualized care plans and tailor interventions to address them. In addition, nurse managers must adopt and implement regular monitoring mechanisms to track the prevalence of unmet care needs and at the same time establish reporting systems that capture the proportion of unmet needs, allowing timely interventions and adjustments to care delivery. Lastly, nurse managers must not only emphasize the importance of ethical care practices and dignity-focused interventions but also educate healthcare providers, especially nurses, on the potential threats to patient dignity arising from unmet care needs.

ABSTRACT

INTRODUCTION: Despite frequent observations of unmet care needs in acute care adult settings, there are a limited number of studies that focus on investigating this phenomenon in the psychiatric setting.

AIM

To synthesize the existing empirical research on unmet care needs in psychiatric healthcare settings.

METHODS

The search was carried out in August 2023 in four scientific databases, PubMed, ProQuest, Web of Science and OVID Nursing, based on their institutional availability. The search produced 1129 studies. The search and retrieval process reflected the recommendations of the Preferred Reporting Items for systematic reviews and meta-analyses.

RESULTS

This review included 14 studies investigating unmet care needs in the psychiatric healthcare setting. Unmet care needs included three domains: physical, psychological and social. The analysis of the factors revealed factors related to the characteristics of the organization, nurse and patient.

DISCUSSION

The classification of unmet needs provides a comprehensive understanding of the various challenges facing people in psychiatric healthcare settings.

IMPLICATION FOR PRACTICE

Identified factors that influence the occurrence of unmet care needs will help prevent the occurrence of unmet care needs and timely assessment. The resolution of needs helps to achieve patient and nurse outcomes, increase the quality of care provided and patient satisfaction in a psychiatric healthcare setting.

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Takashima M, Gibson V, Borello E, Galluzzo L, Gill FJ, Kinney S, Newall F, Ullman AJ. Pediatric invasive device utility and harm: a multi-site point prevalence survey. Pediatr Res 2024;96:148-158. [PMID: 38200324 PMCID: PMC11257939 DOI: 10.1038/s41390-023-03014-1] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/22/2023] [Revised: 12/14/2023] [Accepted: 12/15/2023] [Indexed: 01/12/2024]

Abstract

BACKGROUND AND AIMS

Invasive devices are widely used in healthcare settings; however, pediatric patients are especially vulnerable to invasive device-associated harm. This study aimed to explore invasive device utility, prevalence, harm, and clinical practice across three Australian pediatric tertiary hospitals.

METHODS

In 2022-2023, a multi-center, observational, rolling-point-prevalence survey was conducted. Fifty-per-cent of inpatients were systemically sampled by random allocation. Patients with devices were then followed for up to 3-days for device-related complications/failures and management/removal characteristics.

RESULTS

Of the 285 patients audited, 78.2% had an invasive device (n = 412 devices), with a median of 1 device-per-patient (interquartile range 1-2), with a maximum of 13 devices-per-patient. Over half of devices were vascular access devices (n = 223; 54.1%), followed by gastrointestinal devices (n = 112; 27.2%). The point-prevalence of all device complications on Day 0 was 10.7% (44/412 devices) and period-prevalence throughout the audit period was 27.7% (114/412 devices). The period-prevalence of device failure was 13.4% (55/412 devices).

CONCLUSIONS

The study highlighted a high prevalence of invasive devices among hospitalized patients. One-in-ten devices failed during the audit period. These findings underscore the need for vigilant monitoring and improved strategies to minimize complications and enhance the safety of invasive devices in pediatric hospital settings.

IMPACT

A high prevalence of invasive devices among hospitalized patients was reported. Of the 285 patients audited, almost 80% had an invasive device (total 412 devices), with a median of 1 device-per-patient and a maximum of 13 devices-per-patient. The most common devices used in pediatric healthcare are vascular access devices (n = 223; 54.1%), however, 16% (n = 36) of these devices failed, and one-third had complications. The point prevalence of all device complications at day 0 was 10.7% (44 out of 412 devices), with a period prevalence of 27.7% (114 out of 412 devices) throughout the audit period.

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Nist MD, Spurlock EJ, Pickler RH. Barriers and Facilitators of Parent Presence in the Neonatal Intensive Care Unit. MCN Am J Matern Child Nurs 2024;49:137-144. [PMID: 38240753 DOI: 10.1097/nmc.0000000000001000] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/30/2024]

Kohanová D, Bartoníčková D, Žiaková K. Missed nursing care as reported by paediatric nurses: A cross-sectional study. J Clin Nurs 2024;33:1444-1458. [PMID: 37985425 DOI: 10.1111/jocn.16935] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2023] [Revised: 10/10/2023] [Accepted: 11/01/2023] [Indexed: 11/22/2023]

Abstract

AIMS

Missed nursing care (MNC) significantly affects patient safety and quality of care. It is a widely used concept that has been studied in different settings, but research in paediatric care is quite limited. Therefore, this descriptive cross-sectional study aimed to report the prevalence, patterns, correlates, factors and predictors of MNC in paediatric care units in two central European countries.

DESIGN

A cross-sectional comparative study.

METHODS

Data collection was carried out between June and November 2021 using the MISSCARE Survey-Pediatric. The study included 441 registered nurses working in paediatric care units in the Czech Republic and Slovakia. Data were analysed using descriptive and inferential statistics in the SPSS 25.0 statistical program.

RESULTS

Almost all nurses, 92.7% of nurses missed at least one nursing activity during the last shift. The most missed care activity in both countries was the promotion of neuroevolutionary development, and the most prominent reasons were labour resources. MNC was weakly but significantly correlated with nurse experience in the current position and was predicted by the country, nurse education and overtime hours (p ≤ .05). Differences in prevalence of MNC and reasons for MNC were identified based on several variables (p ≤ .05).

CONCLUSION

The assessment of MNC in paediatric settings is often a neglected area, although the prevalence in this study was moderate.

IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE

Nurse staff shortages, as a global problem, have many impacts on patient outcomes in the delivery of nursing care. However, there are also many factors that can reduce the prevalence of MNC. More research should focus on a closer examination of these factors that involve hospital and nurse variables.

REPORTING METHOD

The study was carried out according to the STROBE checklist and the RANCARE guideline.

PATIENT OR PUBLIC CONTRIBUTION

No patient or public contribution.

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Dasso N, Catania G, Zanini M, Rossi S, Aleo G, Signori A, Scelsi S, Petralia P, Watson R, Hayter M, Sasso L, Bagnasco A. Informal carers' experiences with their children's care during hospitalization in Italy: Child HCAHPS results from RN4CAST@IT-Ped cross-sectional study. J Pediatr Nurs 2024;74:10-16. [PMID: 37980795 DOI: 10.1016/j.pedn.2023.11.003] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/13/2022] [Revised: 11/01/2023] [Accepted: 11/04/2023] [Indexed: 11/21/2023]

Danski MTR, Pontes L, Secco IL, Pereira HP, Vieira SCM, Freitas ED, de Azevedo JS, Afonso RQ. Fugulin scale for classifying pediatric patients in a respiratory inpatient unit: experience report. Rev Esc Enferm USP 2023;57:e20220454. [PMID: 37738313 PMCID: PMC10516481 DOI: 10.1590/1980-220x-reeusp-2022-0454en] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2022] [Accepted: 07/12/2023] [Indexed: 09/24/2023] Open

Shi XP, Dychangco MEA, Yang XM, Olivar JJR. Development and Validation of the Missed Nursing Care Tool for Pre-Operative Patients with Lung Cancer in China. Patient Prefer Adherence 2023;17:1451-1465. [PMID: 37350778 PMCID: PMC10284153 DOI: 10.2147/ppa.s413585] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/09/2023] [Accepted: 06/06/2023] [Indexed: 06/24/2023] Open

Abstract

Introduction

Current research suggests that missed nursing care is widespread in preoperative lung cancer patients in China, and preoperative airway management nursing care for lung cancer patients is not standardized. Missed nursing care for preoperative lung cancer patients, on the other hand, is rarely investigated, particularly from the patient's perspective. This study aimed to develop and validate the MISSCARE Survey for pre-operative patients with lung cancer in China.

Methods

This study generated the preliminary draft of the MISSCARE Survey - Lung Cancer Patient (MS-LCP) and tested its reliability and stability through three rounds of lung cancer resection (494, 50, and 309 cases, respectively). 20 patients and 6 experts determined the face and content validity. EFA and CFA assessed construct and convergent validity. Internal consistency, including Cronbach's alpha, Spearman-Brown reliability, and re-test reliability, was also examined.

Results

The scale contained 15 items, including specific care, communicative care, timely care, and basic care. KMO was 0.932 (> 0.6), and Bartlett's Test of Sphericity showed P = 0.000 (<0.05). The attribution factor's item loads ranged from 0.765 to 0.853, accounting for 82.20% of the variation. The scale's Cronbach's alpha, Spearman-Brown, and retest reliability were 0.945, 0.879, and 0.824. CFA showed goodness of fit (RMSEA = 0.021, χ²/df = 1.138, GFI = 0.900, AGFI = 0.945, CFI = 0.996, NFI = 0.967, IFI = 0.996). For each dimension, AVE ranged from 0.555 to 0.717 (>0.50) and CR from 0.861 to 0.904 (>0.70).

Conclusion

The MS-LCP was reliable and valid in this study, making it appropriate for the Chinese lung cancer patient population. This tool is more objective in its presentation of missed nursing care, assisting nursing staff in optimizing nursing procedures before surgery, increasing the implementation of higher-quality tumor care, and promoting the recovery of lung cancer surgery patients.

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Lake ET, Staiger D, Smith JG, Rogowski JA. The Association of Missed Nursing Care With Very Low Birthweight Infant Outcomes. Med Care Res Rev 2023;80:293-302. [PMID: 36692294 PMCID: PMC10121798 DOI: 10.1177/10775587221150950] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/25/2023]

Zhong J, Simpson KR, Spetz J, Gay CL, Fletcher J, Landstrom GL, Lyndon A. Linking Patient Safety Climate With Missed Nursing Care in Labor and Delivery Units: Findings From the LaborRNs Survey. J Patient Saf 2023;19:166-172. [PMID: 36728161 PMCID: PMC10050088 DOI: 10.1097/pts.0000000000001106] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]

Abstract

OBJECTIVE

This study aimed to explore the association of nurses' perceptions of patient safety climate with missed nursing care in labor and delivery (L&D) units.

METHODS

We recruited nurse respondents via email distribution of an electronic survey between February 2018 and July 2019. Hospitals with L&D units were recruited from states with projected availability of 2018 state inpatient data in the United States. Measures included the Safety Attitudes Questionnaire Safety Climate Subscale and the Perinatal Missed Care Survey. We estimated the relationship between safety climate and missed care using Kruskal-Wallis tests and mixed-effects linear regression.

RESULTS

The analytic sample included 3429 L&D registered nurses from 253 hospitals (response rate, 35%). A majority of respondents (65.7%) reported a perception of good safety climate in their units, with a mean score of 4.12 (±0.73) out of 5. The mean number of aspects of care occasionally, frequently, or always missed on respondents' units was 11.04 (±6.99) out of 25. χ2 Tests showed that six mostly commonly missed aspects of care (e.g., timely documentation) and three reasons for missed care (communications, material resources, and labor resources) were associated with safety climate groups ( P < 0.001). The adjusted mixed-effects model identified a significant association between better nurse-perceived safety climate and less missed care ( β = -2.65; 95% confidence interval, -2.97 to -2.34; P < 0.001) after controlling for years of experience and highest nursing education.

CONCLUSIONS

Our findings suggest that improving safety climate-for example, through better teamwork and communication-may improve nursing care quality during labor and birth through decreasing missed nursing care. Conversely, it is also possible that strategies to reduce missed care-such as staffing improvements-may improve safety climate.

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Alfuqaha OA, Alhalaiqa FN, Alqurneh MK, Ayed A. Missed nursing care before and during the COVID-19 pandemic: A comparative cross-sectional study. Int Nurs Rev 2023;70:100-110. [PMID: 35947610 PMCID: PMC9538371 DOI: 10.1111/inr.12795] [Citation(s) in RCA: 20] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2021] [Accepted: 07/22/2022] [Indexed: 11/28/2022]

Abstract

AIM

This study aimed to compare perception of nurses about missed care for the patients before and during the coronavirus disease 2019 (COVID-19) in Jordan. It also examined how nurses differed in terms of the type of missed care and the factors that contributed to it before and during the COVID-19 pandemic. Additionally, socio-demographic factors, including gender, educational level, length of clinical experience, work position, age, and type of shift, were examined to evaluate their association with missed nursing care.

BACKGROUND

Missed nursing care refers to omission of any aspect of required patient care. Missed care lowers patient satisfaction and also leads to adverse hospital outcomes.

METHODS

We adopted a cross-sectional design among 260 nurses working in medical/surgical wards and intensive care units. Views of 130 nurses before COVID-19 were compared with views of 130 nurses during the COVID-19 pandemic. We used the Arabic version of the MISSCARE survey. Data were collected between November 2019 and May 2020.

RESULTS

During COVID-19, nurses had significantly higher satisfaction levels and lower levels of absence and intention to leave than nurses before the COVID-19 pandemic. Differences were observed between nurses' perceptions of missed care before and during the COVID-19 pandemic. It was observed that missed nursing care increased during COVID-19. The inadequate number of staff nurses was the main reason for missed care activities among both groups. Additionally, age and shift type were significantly associated with an increased reason for missed nursing care among both groups.

CONCLUSION AND IMPLICATIONS FOR NURSING

Nurses reported higher satisfaction levels and fewer absences and planned departures during this period. Nurse managers should pay attention by maintaining high satisfaction levels and formulating appropriate policies to reduce missed care levels and thus improve patient care quality.

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Feldman K, Rohan AJ. Data-Driven Nurse Staffing in the Neonatal Intensive Care Unit. MCN Am J Matern Child Nurs 2022;47:249-264. [PMID: 35960217 DOI: 10.1097/nmc.0000000000000839] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]

Standards for Professional Registered Nurse Staffing for Perinatal Units. Nurs Womens Health 2022;26:e1-e94. [PMID: 35750618 DOI: 10.1016/j.nwh.2022.02.001] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/27/2023]

Standards for Professional Registered Nurse Staffing for Perinatal Units. J Obstet Gynecol Neonatal Nurs 2022;51:e5-e98. [PMID: 35738987 DOI: 10.1016/j.jogn.2022.02.003] [Citation(s) in RCA: 20] [Impact Index Per Article: 6.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open

Simpson KR, Roth CK, Hering SL, Landstrom GL, Lyndon A, Tinsley JM, Zimmerman J, Hill CM. AWHONN Members' Recommendations on What to Include in Updated Standards for Professional Registered Nurse Staffing for Perinatal Units. Nurs Womens Health 2021;25:329-336. [PMID: 34602165 DOI: 10.1016/j.nwh.2021.08.001] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/23/2021] [Revised: 05/10/2021] [Accepted: 08/03/2021] [Indexed: 06/13/2023]

Abstract

OBJECTIVE

To solicit advice from members of the Association of Women's Health, Obstetric, and Neonatal Nurses (AWHONN) on what to include in an update of nurse staffing standards.

DESIGN

Online, single-question survey with thematic analysis of responses.

SETTING

Electronic survey link sent via e-mail.

PARTICIPANTS

AWHONN members who shared their e-mail with the association and who responded to the survey (n = 1,813).

MEASURES

Participants were asked to answer this single question: "The AWHONN (2010) Guidelines for Professional Registered Nurse Staffing for Perinatal Units are being updated. During their initial development, feedback from nearly 900 AWHONN members was extremely helpful in providing specific details for the nurse staffing guidelines. We'd really like to hear from you again. Please give the writing team your input. What should AWHONN consider when updating the AWHONN nurse staffing guidelines?"

RESULTS

The e-mail was successfully delivered to 20,463 members; 8,050 opened the e-mail, and 3,050 opened the link to the survey. There were 1,892 responses. After removing duplicate and blank responses, 1,813 responses were available for analysis. They represented all hospital practice settings for maternity and newborn care and included nurses from small-volume and rural hospitals. Primary concerns of respondents centered on two aspects of patient acuity-the increasing complexity of clinical cases and the need to link nurse staffing standards to patient acuity. Other themes included maintaining current nurse-to-patient ratios, needing help with implementation in the context of economic challenges, and changing wording from "guidelines" to "standards" to promote widespread adoption.

CONCLUSION

In a single-question survey, AWHONN members offered rich, detailed recommendations that were used in the updating of the AWHONN nurse staffing standards.

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Implications of Missed Care, Nurse Staffing, and the Nursing Work Environment on Patient Outcomes in Maternity, Neonatal, and Pediatric Inpatient Settings. MCN Am J Matern Child Nurs 2021;45:253. [PMID: 33095542 DOI: 10.1097/nmc.0000000000000652] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]