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. 2015 Dec;3(4):60-65.
doi: 10.5430/cns.v3n4p60.

The Impact of the Nursing Practice Environment on Missed Nursing Care

Amanda J Hessels  1 , Linda Flynn  2 , Jeannie P Cimiotti  3 , Edna Cadmus  4 , Robyn R M Gershon  5
Affiliations

The Impact of the Nursing Practice Environment on Missed Nursing Care

Amanda J Hessels et al. Clin Nurs Stud. 2015 Dec.

Abstract

Objectives: Missed nursing care is an emerging problem negatively impacting patient outcomes. There are gaps in our knowledge of factors associated with missed nursing care. The aim of this study was to determine the relationship between the nursing practice environment and missed nursing care in acute care hospitals.

Methods: This is a secondary analysis of cross sectional data from a survey of over 7.000 nurses from 70 hospitals on workplace and process of care. Ordinary least squares and multiple regression models were constructed to examine the relationship between the nursing practice environment and missed nursing care while controlling for characteristics of nurses and hospitals.

Results: Nurses missed delivering a significant amount of necessary patient care (10-27%). Inadequate staffing and inadequate resources were the practice environment factors most strongly associated with missed nursing care events.

Conclusions: This multi-site study examined the risk and risk factors associated with missed nursing care. Improvements targeting modifiable risk factors may reduce the risk of missed nursing care.

Keywords: hospital; missed nursing care; practice environment.

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Conflict of interest statement

The authors declare that they have no competing interests.

Figures

Figure 1
Figure 1
Conceptual model guiding this study adapted from: Missed Nursing Care Model in Kalisch BJ, Tschannen D, Lee H, Friese CR. Hospital Variation in Missed Nursing Care. American Journal of Medical Quality. 2011.
See this image and copyright information in PMC

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