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Missed nursing care: A cross‐sectional and multi‐centric study from Turkey

Fatma Dursun Ergezen, Bahar Çiftçi, Hayat Yalın, Emine Geçkil, Ayşegül Korkmaz Doğdu, Sümeyra Mihrap İlter, Banu Terzi̇, Emine Kol, Mağfiret Kaşıkçı, Şule Ecevit Alpar

2023International Journal of Nursing Practice14 citationsDOIOpen Access PDF

Abstract

AIM: The aim of this study is to explore the extent of missed nursing care in Turkey and identify its predictors. DESIGN: This was a descriptive, cross-sectional, multicentre study. METHODS: A total of 477 nurses working in seven public hospitals participated in this study from March to July 2019. The survey included two components: a personal and professional characteristics data form and the MISSCARE survey. RESULTS: The study revealed that emotional support, patient bathing and ambulation were the most frequently missed nursing care activities. An inadequate number of assistive personnel and staff, along with an unexpected increase in patient volume, were identified as the primary reasons for missed nursing care. Of the 21 missed nursing care activities, nine predictive models showed statistical significance (p < 0.05). Factors such as the type of unit, years of work experience, working hours, number of patients cared for in a shift and intention to leave the unit were found to be significant predictors of seven missed nursing care activities (p < 0.05). CONCLUSION: This study found that numerous variables influence each care activity, which suggests the need to devise more targeted and specific strategies to minimize missed nursing care. Thorough investigation into the impact of these strategies on each care activity is essential.

Topics & Concepts

MedicineNursingCross-sectional studyBathingNursing carePrimary nursingFamily medicineDescriptive statisticsNurse educationMathematicsPathologyStatisticsNursing education and managementSleep and Work-Related FatigueHospital Admissions and Outcomes