This is a descriptive, correlational and cross-sectional study. Data were collected from 897 nurses working in 25 private hospitals in Turkey through an online survey, which included an Introductory Information Form, MISSCARE Survey, Professional Quality of Life and Work Alienation Scales.

Results

The most frequently missed nursing care was ambulation, and the least was patient assessment. Measurements of the missed nursing care statistically differed in terms of nurses’ gender, weekly work hours, overtime work and perception of nurse adequacy, and the hospital's accreditation status. There was a correlation between the missed nursing care and Powerlessness subscale of work alienation.

Conclusion

Nurses missed less complex care more frequently, and long working hours and inadequacy of nurses increased missed care. There is no correlation between the professional quality of life and missed care.

Implications for nursing management

Nurse managers should plan actions to reduce nursing workloads and the instances of missed nursing care. Furthermore, they should develop solutions to make nursing care meaningful and allow nurses to feel empowered.

CONFLICT OF INTEREST

No conflict of interest has been declared between the authors.

REFERENCES

Ausserhofer, D., Zander, B., Busse, R., Schubert, M., De Geest, S., Rafferty, A. M., … Schwendimann, R. (2014). Prevalence, patterns and predictors of nursing care left undone in European hospitals: Results from the multicountry cross-sectional RN4CAST study. BMJ Quality and Safety, 23(2), 126–135.
10.1136/bmjqs-2013-002318
PubMed Web of Science® Google Scholar
Aydın, E., & Özeren, E. (2019). The phenomenon of work alienation in academia: A qualitative field study on research assistants. International Journal of Economics and Administrative Studies, 159–178.
Google Scholar
Ball, J. E., Griffiths, P., Rafferty, A. M., Lindqvist, R., Murrells, T., & Tishelman, C. (2016). A cross-sectional study of ‘care left undone’ on nursing shifts in hospitals. Journal of Advanced Nursing, 72(9), 2086–2097.
10.1111/jan.12976
PubMed Web of Science® Google Scholar
Blackman, I., Henderson, J., Willis, E., Hamilton, P., Toffoli, L., Verrall, C., … Harvey, C. (2015). Factors influencing why nursing care is missed. Journal of Clinical Nursing, 24(1–2), 47–56.
10.1111/jocn.12688
PubMed Web of Science® Google Scholar
Bragadottir, H., Kalisch, B. J., Smáradóttir, S. B., & Jónsdóttir, H. H. (2016). The psychometric testing of the nursing team-work survey in Iceland. International Journal of Nursing Practice, 22, 267–274.
10.1111/ijn.12422
PubMed Web of Science® Google Scholar
Bragadóttir, H., Kalisch, B. J., & Tryggvadóttir, G. B. (2017). Correlates and predictors of missed nursing care in hospitals. Journal of Clinical Nursing, 26(11–12), 1524–1534.
10.1111/jocn.13449
PubMed Web of Science® Google Scholar
Brooks-Carthon, J. M., Lasater, K. B., Rearden, J., Holland, S., & Sloane, D. M. (2016). Unmet nursing care linked to rehospitalizations among older black AMI patients: A cross-sectional study of US hospitals. Medical Care, 54(5), 457.
10.1097/MLR.0000000000000519
PubMed Web of Science® Google Scholar
Caqueo-Urizar, A., Alessandrini, M., Zendjidjian, X., Urzua, A., Boyer, L., & Williams, D. R. (2016). Religion involvement and quality of life in caregivers of patients with schizophrenia in Latin-America. Psychiatry Research, 246, 769–775.
10.1016/j.psychres.2016.07.063
PubMed Web of Science® Google Scholar
Carthon, J. M. B., Lasater, K. B., Sloane, D. M., & Kutney-Lee, A. (2015). The quality of hospital work environments and missed nursing care is linked to heart failure readmissions: A cross-sectional study of US hospitals. BMJ Quality & Safety, 24(4), 255–263.
10.1136/bmjqs-2014-003346
PubMed Web of Science® Google Scholar
Cohen, C. C., Auslander, G., Dror, Y. F., & Breuer, G. S. (2016). Functional and existential tasks of family caregiving for end-of-life, hospitalized older adults. Journal of Gerontological Nursing, 42(7), 55–64.
10.3928/00989134-20160406-04
PubMed Web of Science® Google Scholar
Donabedian, A. (2005). Evaluating the quality of medical care. The Milbank Quarterly, 83(4), 691–729.
10.1111/j.1468-0009.2005.00397.x
CAS PubMed Web of Science® Google Scholar
Drach-Zahavy, A., & Srulovici, E. (2019). The personality profile of the accountable nurse and missed nursing care. Journal of Advanced Nursing, 75(2), 368–379.
10.1111/jan.13849
PubMed Web of Science® Google Scholar
Duffy, J. R., Culp, S., & Padrutt, T. (2018). Description and factors associated with missed nursing care in an acute care community hospital. Journal of Nursing Administration, 48(7/8), 361–367.
10.1097/NNA.0000000000000630
PubMed Web of Science® Google Scholar
Fitzpatrick, J. J. (2018). Missed nursing care: Research on interventions? Applied Nursing Research, 40, 163.
10.1016/j.apnr.2018.02.003
PubMed Web of Science® Google Scholar
Griffiths, P., Recio-Saucedo, A., Dall'Ora, C., Briggs, J., Maruotti, A., Meredith, P., … Ball, J. (2018). The association between nurse staffing and omissions in nursing care: A systematic review. Journal of Advanced Nursing, 74, 1474–1487.
10.1111/jan.13564
PubMed Web of Science® Google Scholar
Hagedoorn, E. I., Keers, J. C., Jaarsma, T., van der Schans, C. P., Luttik, M. L. A., & Paans, W. (2019). The association of collaboration between family caregivers and nurses in the hospital and their preparedness for caregiving at home. Geriatric Nursing, (In press).
10.1016/j.gerinurse.2019.02.004
Web of Science® Google Scholar
International Labour Organization (ILO) (1977). Nursing personnel recommendation (No. 157). Retrieved from https://www.ilo.org/dyn/normlex/en/f?p=NORMLEXPUB:12100:0:NO:P12100_INSTRUMENT_ID:312495
Google Scholar
Jones, T. L., Hamilton, P., & Murry, N. (2015). Unfinished nursing care, missed care, and implicitly rationed care: State of the science review. International Journal of Nursing Studies, 52(6), 1121–1137.
10.1016/j.ijnurstu.2015.02.012
PubMed Web of Science® Google Scholar
Kalisch, B. J. (2016). Errors of omission: How missed nursing care imperils patients. Journal of Nursing Regulation, 7(3), 64.
10.1016/S2155-8256(16)32323-7
Web of Science® Google Scholar
Kalisch, B. J., Gosselin, K., & Choi, S. H. (2012a). A comparison of patient care units with high versus low levels of missed nursing care. Health Care Management Review, 37(4), 320–328.
10.1097/HMR.0b013e318249727e
PubMed Web of Science® Google Scholar
Kalisch, B. J., & Lee, K. H. (2010). The impact of teamwork on missed nursing care. Nurse Outlook, 58, 233–241.
10.1016/j.outlook.2010.06.004
PubMed Web of Science® Google Scholar
Kalisch, B. J., & Lee, K. H. (2012). Missed nursing care: Magnet versus non-Magnet hospitals. Nursing Outlook, 60(5), e32–e39.
10.1016/j.outlook.2012.04.006
PubMed Google Scholar
Kalisch, B. J., Terzioglu, F., & Duygulu, S. (2012b). The MISSCARE Survey-Turkish: Psychometric properties and findings. Nursing Economics, 30(1), 29–37.
PubMed Web of Science® Google Scholar
Kalisch, B. J., Tschannen, D., Lee, H., & Friese, C. R. (2011). Hospital variation in missed nursing care. American Journal of Medical Quality, 26(4), 291–299.
10.1177/1062860610395929
PubMed Web of Science® Google Scholar
Kalisch, B. J., & Williams, R. A. (2009). Development and psychometric testing of a tool to measure missed nursing care. The Journal of Nursing Administration, 39(5), 211–219.
10.1097/NNA.0b013e3181a23cf5
PubMed Web of Science® Google Scholar
Kalisch, B. J., Xie, B., & Ronis, D. L. (2013). Train-the-trainer intervention to increase nursing teamwork and decrease missed nursing care in acute care patient units. Nursing Research, 62(6), 405–413.
10.1097/NNR.0b013e3182a7a15d
PubMed Web of Science® Google Scholar
Kim, K. J., Yoo, M. S., & Seo, E. J. (2018). Exploring the influence of nursing work environment and patient safety culture on missed nursing care in Korea. Asian Nursing Research, 12(2), 121–126.
10.1016/j.anr.2018.04.003
Web of Science® Google Scholar
Labrague, L. J., De los Santos, J. A. A., Tsaras, K., Galabay, J. R., Falguera, C. C., Rosales, R. A., & Firmo, C. N. (2019). The association of nurse caring behaviours on missed nursing care, adverse patient events, and perceived quality of care: A cross-sectional study. Journal of Nursing Management (in press), https://doi.org/10.1111/jonm.12894
10.1111/jonm.12894
PubMed Web of Science® Google Scholar
Lake, E. T., Germack, H. D., & Viscardi, M. K. (2016). Missed nursing care is linked to patient satisfaction: A cross-sectional study of US hospitals. BMJ Quality & Safety, 25(7), 535–543.
10.1136/bmjqs-2015-003961
PubMed Web of Science® Google Scholar
Min, A., Yoon, Y. S., Hong, H. C., & Kim, Y. M. (2019). Association between nurses’ breaks, missed nursing care and patient safety in Korean hospitals. Journal of Nursing Management, https://doi.org/10.1111/jonm.12831 (in press)
10.1111/jonm.12831
Web of Science® Google Scholar
Mottaz, C. J. (1981). Some determinants of Work Alienation. Sociological Quarterly, 22(4), 515–529.
10.1111/j.1533-8525.1981.tb00678.x
Web of Science® Google Scholar
Nemati, S., Rassouli, M., Ilkhani, M., & Baghestani, A. R. (2018). Perceptions of family caregivers of cancer patients about the challenges of caregiving: A qualitative study. Scandinavian Journal of Caring Sciences, 32(1), 309–316.
10.1111/scs.12463
PubMed Web of Science® Google Scholar
Organization for Economic Co-operation and Development (OECD) (2019). Health at a Glance 2019: OECD indicators. Paris, France: OECD Publishing.
Google Scholar
Orique, S. B., Patty, C. M., & Woods, E. (2016). Missed nursing care and unit-level nurse workload in the acute and post-acute settings. Journal of Nursing Care Quality, 31(1), 84–89.
10.1097/NCQ.0000000000000140
PubMed Web of Science® Google Scholar
Palese, A., Ambrosi, E., Prosperi, L., Guarnier, A., Barelli, P., Zambiasi, P., … Saiani, L. (2015). Missed nursing care and predicting factors in the Italian medical care setting. Internal and Emergency Medicine, 10(6), 693–702.
10.1007/s11739-015-1232-6
PubMed Web of Science® Google Scholar
Papastavrou, E., Andreou, P., & Efstathiou, G. (2014). Rationing of nursing care and nurse–patient outcomes: A systematic review of quantitative studies. The International Journal of Health Planning and Management, 29(1), 3–25.
10.1002/hpm.2160
PubMed Web of Science® Google Scholar
Sayü, P. (2014). The relationship between organizational justice and work alienation. (Unpublished master thesis). Marmara University/Social Sciences Institute/Department of Organizational Behavior, Istanbul.
Google Scholar
Schubert, M., Clarke, S. P., Aiken, L. H., & De Geest, S. (2012). Associations between rationing of nursing care and inpatient mortality in Swiss hospitals. International Journal for Quality in Health Care, 24(3), 230–238.
10.1093/intqhc/mzs009
PubMed Web of Science® Google Scholar
Smith, J. G., Morin, K. H., Wallace, L. E., & Lake, E. T. (2018). Association of the nurse work environment, collective efficacy, and missed care. Western Journal of Nursing Research, 40(6), 779–798.
10.1177/0193945917734159
PubMed Web of Science® Google Scholar
Stamm, B. H. (2005). The ProQOL manual: The professional quality of life scale: Compassion satisfaction, burnout & compassion fatigue/secondary trauma scales. Brooklandville, MD: Sidran Press.
Google Scholar
The Official Gazette (2014). Law on amendments in statutory decree on the organization and duties of ministry of health and its subsidiary institutions and some laws. The Law number: 28886. Retrieved from https://www.resmigazete.gov.tr/eskiler/%202014/01/20140118.pdf
Google Scholar
Walton, M., Woodward, H., Van Staalduinen, S., Lemer, C., Greaves, F., Noble, D., … Barraclough, B. (2010). The WHO patient safety curriculum guide for medical schools. BMJ Quality & Safety, 19(6), 542–546.
10.1136/qshc.2009.036970
Web of Science® Google Scholar
Willis, E., Henderson, J., Hamilton, P., Toffoli, L., Blackman, I., Couzner, L., & Verrall, C. (2015). Work intensification as missed care. Labour and Industry, 25(2), 118–133.
10.1080/10301763.2015.1060811
Web of Science® Google Scholar
Yeşil, A., Ergün, U., Amasyalı, C., Er, F., Olgun, N. N., & Aker, A. T. (2010). Validity and reliability of the Turkish version of the professional quality of life scale. Archives of Neuropsychiatry, 47(2), 111–118.
Google Scholar

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A cross-sectional study of the determinants of missed nursing care in the private sector: Hospital/unit/staff characteristics, professional quality of life and work alienation

Abstract

Aim

Background

Methods

Results

Conclusion

Implications for nursing management

CONFLICT OF INTEREST

REFERENCES

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References

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A cross-sectional study of the determinants of missed nursing care in the private sector: Hospital/unit/staff characteristics, professional quality of life and work alienation

Abstract

Aim

Background

Methods

Results

Conclusion

Implications for nursing management

CONFLICT OF INTEREST

REFERENCES

Citing Literature

References

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