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Missed Nursing Care in Pediatric and Neonatal Care Settings: An Integrative Review
Anisa A Ogboenyiya1, Heather L Tubbs-Cooley, Elaine Miller
1Dr. Anisa A. Ogboenyiya is an Adjunct Assistant Professor, The Ohio State University College of Nursing, Martha S. Pitzer Center for Women, Children, and Youth, Columbus, OH. Dr. Ogboenyiya can be reached via email at Ogboenyiya.1@osu.edu Dr. Heather L. Tubbs-Cooley is an Associate Professor, The Ohio State University College of Nursing, Martha S. Pitzer Center for Women, Children, and Youth, Columbus, OH. Dr. Elaine Miller is a Professor, University of Cincinnati, College of Nursing, Cincinnati, OH. Dr. Kimberly Johnson is an Assistant Professor, University of Cincinnati, College of Nursing, Cincinnati, OH. Dr. Tamilyn Bakas is a Professor and Jane E. Procter Endowed Chair, University of Cincinnati, College of Nursing, Cincinnati, OH.
Introduction:
Missed nursing care is required care that is delayed, incomplete, or left undone during a nurse's working shift. Missed nursing care is most often studied in adult populations; however, it may have significant consequences in pediatric and neonatal care settings. The purpose of this integrative review is to describe missed nursing care in pediatric and neonatal nursing care settings.
Methods:
SCOPUS and PubMed were used in the literature search. Multiple combinations of the keywords and phrases "missed nursing care," "pediatric," "neonatal," "care left undone," or "nursing care rationing" were used for the literature search. Missed nursing care is a relatively new topic as the first article on the subject was published in 2006; therefore, inclusion criteria were set to English articles published between January 1, 2006 and October 11, 2019 that reported on missed nursing care in pediatric and neonatal inpatient care settings.
Results:
Fourteen articles met inclusion criteria. Missed nursing care in pediatric and neonatal nursing care settings is associated with workload, patient acuity, work environment, and nurse characteristics, and is related to prolonged hospitalization of preterm infants.
Clinical Implications:
Providing nurses with an adequate amount of resources and tools to avoid missed nursing care will continue to improve care delivery. Missed nursing care and related patient and nurse outcomes in diverse pediatric and neonatal samples remains an area for future research.
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