| The purpose of this study was a secondary analysis in order to determine missed nursing care and reasons for missed nursing care in a hospital system located in the southwest United States. Data was collected from a system-wide parent project in which bedside and specialty nursing personnel completed the MISSCARE Nursing Survey. Interventions for basic care were missed by 45.7% of bedside nursing staff, while individual needs and planning were missed by >35% and assessment was missed by >20%. Reasons for missed care were lack of labor resources (63.2%), material resources (36.7%), and communication (31.9%). Specialty nursing staff revealed 12 elements of missed care (ambulation, turning, hygiene, intake/output documentation, surveillance, documentation, assessments, and medication) and 7 themes for reasons of missed care. Key words: patient care, nursing practice, missed nursing care, quality of care, outcomes, hospital staffing, and effective communication... |
