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[The missed care in Nursing Homes: a pilot study]
Assistenza Infermieristica E Ricerca : AIR
|October 11, 2018
Summary
Missed nursing care occurs in nursing homes, impacting 22% of residents. Staff shortages and unforeseen events contribute to these omissions, highlighting a need for improved care delivery in these settings.
Area of Science:
- Nursing Home Care
- Patient Safety
- Healthcare Quality
Background:
- Missed nursing care has been primarily documented in hospital settings.
- There is a lack of data regarding the prevalence and nature of missed care in nursing homes (NH).
Purpose of the Study:
- To investigate and describe instances of missed nursing care within nursing home residents.
- To identify the perceived impact and seriousness of missed care events on residents.
Main Methods:
- A pilot study was conducted across 10 nursing homes in Piedmont.
- Nurses reported omitted or delayed care for 20 residents over three consecutive days.
- Data collected included the type of care, resident information, and organizational factors.
Main Results:
- Fifty-seven instances of missed care were reported for 44 out of 200 residents (22%).
- Medium/high severity missed care (25 instances) frequently involved drug therapies (56%) and vital sign monitoring (20%).
- Common reasons for missed care included unplanned events (28.1%), nurse shortages (21.1%), and residents' clinical conditions (15.7%).
Conclusions:
- Missed nursing care is a reality in nursing home environments.
- While staff shortages are a significant modifiable factor, some omissions are linked to unpredictable events.
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