Correlates of Patient and Nurse Missed Care: A Multi-Hospital Cross-Sectional Study.
Dilay Hacıdursunoğlu Erbaş, Evin Korkmaz, Güneş Feyizoğlu and 2 others
PMID 41944515WHAT IT FOUND
Surgical inpatients reported missed oral care, body care and mobilization.
Nurses reported missed vital sign checks, emotional support and repositioning. Patients with vascular access events reported higher missed care.
Key findings
01Patients reported missed oral care (51.7%), body care (51.1%) and mobilization (37.6%).
02Nurses reported that regular vital sign assessment was rarely completed as scheduled by 73%, and emotional support and repositioning every 2 h were inconsistently carried out by 27% and 22.5%.
03Most nurses reported insufficient auxiliary and technical personnel and unexpected increases in patient numbers or unit overcrowding as major reasons for missed care (78.7%).
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
Read the rest of this summary
You get three full summaries a month, free, and we do not ask for a card. Search, the TL;DRs and your library stay unlimited either way.
What it does not show
Data were collected over only a 3-day period, which may not capture weekend staffing shortages or other day-to-day changes in care delivery. Some subgroup sample sizes were small, which may have reduced statistical power for comparisons. The MISSCARE Survey-Nurse frequency section had very high internal consistency (α = 0.94), which the authors say may reflect item redundancy. Only three of the four eligible city hospitals participated because one did not grant permission.
Declared interests
The authors report no funding and no conflicts of interest.
The easy way to misread this
Do not conclude that adding nurses or changing communication will reduce missed care or vascular events. The study was a 3-day cross-sectional survey, so it describes what patients and nurses reported at one time and cannot show cause.