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Missed nursing care as reported by paediatric nurses: A cross-sectional study
Dominika Kohanová1,2, Daniela Bartoníčková3, Katarína Žiaková2
1Department of Nursing, Faculty of Social Sciences and Health Care, Constantine the Philosopher University in Nitra, Nitra, Slovakia.
Journal of Clinical Nursing
|November 20, 2023
Summary
Missed nursing care (MNC) is prevalent in pediatric units, with 92.7% of nurses reporting missed activities. Labor shortages were the main cause, highlighting the need to address nurse staffing for patient safety.
Area of Science:
- Nursing Science
- Patient Safety Research
- Healthcare Management
Background:
- Missed nursing care (MNC) impacts patient safety and quality, yet research in pediatric settings is limited.
- Understanding MNC in pediatric care is crucial for improving healthcare delivery.
Purpose of the Study:
- To determine the prevalence, patterns, correlates, factors, and predictors of MNC in pediatric care units.
- To investigate MNC in two Central European countries.
Main Methods:
- A descriptive, cross-sectional comparative study was conducted.
- Data were collected from 441 registered nurses in the Czech Republic and Slovakia using the MISSCARE Survey-Pediatric.
- Statistical analysis included descriptive and inferential statistics.
Main Results:
- Nearly all nurses (92.7%) reported missing at least one nursing activity.
- The most frequently missed care was promoting neuroevolutionary development, primarily due to labor resources.
- MNC correlated with nurse experience and was predicted by country, education, and overtime hours.
Conclusions:
- The prevalence of MNC in pediatric settings, though moderate, warrants attention as it is an under-researched area.
- Addressing nurse staff shortages and other contributing factors is essential to reduce MNC.
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