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. 2020 Nov;28(8):1929-1939.
doi: 10.1111/jonm.12935. Epub 2020 Feb 4.

A qualitative descriptive inquiry of the influences on nurses' missed care decision-making processes in acute hospital paediatric care

Annamaria Bagnasco  1 , Nicoletta Dasso  1 , Silvia Rossi  1 , Fiona Timmins  2 , Giuseppe Aleo  1 , Gianluca Catania  1 , Milko Zanini  1 , Loredana Sasso  1
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A qualitative descriptive inquiry of the influences on nurses' missed care decision-making processes in acute hospital paediatric care

Annamaria Bagnasco et al. J Nurs Manag. 2020 Nov.

Abstract

Aim: To explore influences on nurses' missed care decision-making processes in acute hospital paediatric care.

Background: Many contemporary studies describe the phenomenon of missed care. It is clear that environment and organizational culture influence the nursing activities; however, what influences their decision-making processes has not been investigated.

Method: A descriptive qualitative inquiry was performed using semi-structured interviews with paediatric nurses (n = 20) from one Italian paediatric hospital.

Findings: Thematic analysis revealed four themes: nurses' value system; hospital logistics, structures and resources; prioritization processes; and the informal caregiver's role.

Conclusion: This paper offers insights into the various factors involved in nurses' decision-making process when contemplating missed care that will be of use to managers when planning care or addressing missed care in the paediatric clinical setting.

Implications for nursing management: Knowledge and awareness of missed care in children's nursing needs greater exploration, especially in relation to what influences nurses' decision-making choices around missed care. Overall, a greater understanding of this will help managers to manage situations effectively and ethically so that missed care does not impact on outcomes for children in health care.

Keywords: decision-making; missed nursing care; paediatric nurse; patient care planning.

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