Relationship between the implementation of primary nursing model and the reduction of missed nursing care.
J Nurs Manag 2019;
28:2103-2112. [PMID:
31433878 DOI:
10.1111/jonm.12846]
[Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2019] [Revised: 08/15/2019] [Accepted: 08/16/2019] [Indexed: 11/29/2022]
Abstract
AIMS
To evaluate and predict the relationship between the implementation of the primary nursing model and the reduction of missed nursing care.
BACKGROUND
Primary nursing can provide hospital leaders and nursing staff with guidance in implementing safe, patient-centred care, with responsibility and accountability during the nursing process. The implementation can be measured in terms of missed nursing care.
METHODS
A predictive correlational study was used. The study was conducted in four inpatient units at the University Hospital, Northeast, Brazil. Data were collected from 96 nursing professionals, using the MISSCARE instrument at four and seven months after the implementation of the primary nursing model.
RESULTS
Missed nursing care was reduced by 78.5%. Job title and staff satisfaction showed significant associations with decreased missed care (p < .05).
CONCLUSION
The predictive effect between efficacy in reducing missed nursing care and reasons and efficiency in the management of nursing care, using the primary nursing model, was verified.
IMPLICATIONS FOR NURSING MANAGEMENT
Nursing staff and managers should consider adopting a Primary Nursing Model of care to reduce missed nursing care.
Collapse