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Work Intensification and Quality Assurance: Missed Nursing Care
Eileen Willis1, Clare Harvey, Shona Thompson
1College of Nursing and Health Sciences, Flinders University, Adelaide, Australia (Dr Willis); School of Nursing and Midwifery, Central Queensland University, Queensland, Australia (Dr Harvey); and School of Nursing (Dr Thompson and Ms Meyer) and School of Recreation and Sport and School of Nursing (Ms Pearson), Eastern Institute of Technology, Taradale, Hawke's Bay, New Zealand.
Abstract:
This article examines nurses' commentaries from a survey conducted in New Zealand that studied contradictions between quality assurance and work intensification in nursing care. Nurse managers were blamed for either avoiding or not recognizing work intensification affecting quality care delivery. However, the data illustrate key structural issues resulting in missed care that impact on patient safety, rather than a problem directly attributable to managers. Until these structural issues are addressed, missed care and adverse events will continue to affect the quality of care.
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