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Analysis of the Prevalence of Missed Nursing Care Using Three Workload Assessment Methods: A Nationwide
Anaëlle Caillet1, Jérôme E Dauvergne2, Laurent Poiroux3
1Department of Anesthesiology and Intensive Care, University Hospital Lyon Sud, Hospices Civils de Lyon, Pierre-Bénite, France.
Background:
Increased workload is associated with a higher prevalence of missed nursing care.
Aim:
Describe the prevalence of missed care in intensive care units (ICUs) and identify the workload scale most strongly associated with this prevalence.
Study Design:
A cross-sectional survey was combined with a longitudinal study conducted in 2024, between 15 January and 15 April, in France to assess the workload. A total of 1271 nurses working in 61 ICUs completed the questionnaire one time per shift.
Results:
A total of 72.3% of nurses reported at least one missed care. The Nursing Activities Score provided the strongest association with the prevalence of missed care compared to patient-to-nurse ratio and the Practice Environment Scale of the Nursing Work Index.
Conclusion:
The prevalence of missed care and nursing workload was high. Nurses tended to focus on direct patient care.
Relevance To Clinical Practice:
Continuously assessing the prevalence of missed care can be a valuable tool for managing workload in ICUs.
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