Volume 28, Issue 8 pp. 2103-2112
SPECIAL ISSUE PAPER

Relationship between the implementation of primary nursing model and the reduction of missed nursing care

Elaine Cristina Carvalho Moura RN MSN PhD

Corresponding Author

Elaine Cristina Carvalho Moura RN MSN PhD

Associate Professor

Department of Nursing, Universidade Federal do Piauí, Teresina, PI, Brazil

Correspondence

Elaine Cristina Carvalho Moura, Piauí Federal University, Campus Ministro Petrônio Portella, Ininga Avenue, 64049-550 Teresina, Piauí, Brazil.

Email: [email protected]

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Magno Batista Lima RN MSN

Magno Batista Lima RN MSN

Professor

Technological Institute, Universidade Federal do Piauí, Bom Jesus, PI, Brazil

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Aida Maris Peres RN MSN PhD

Aida Maris Peres RN MSN PhD

Associate Professor

Department of Nursing, Universidade Federal do Paraná, Curitiba, PI, Brazil

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Violeta Lopez RN PhD FACN

Violeta Lopez RN PhD FACN

Professor

College of Nursing, Hubei University of Medicine, Shiyan, China

Alice Lee Centre for Nursing Studies, National University of Singapore, Singapore

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Maria Eliete Moura Batista RN MSN PhD

Maria Eliete Moura Batista RN MSN PhD

Associate Professor

Department of Nursing, Universidade Federal do Piauí, Teresina, PI, Brazil

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Francisca das Chagas Sheyla Almeida Gomes Braga RN MSN

Francisca das Chagas Sheyla Almeida Gomes Braga RN MSN

Nurse Educator

University Hospital of the Universidade Federal do Piauí, Teresina, PI, Brazil

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First published: 21 August 2019
Citations: 28

Abstract

Aims

To evaluate and predict the relationship between the implementation of the primary nursing model and the reduction of missed nursing care.

Background

Primary nursing can provide hospital leaders and nursing staff with guidance in implementing safe, patient-centred care, with responsibility and accountability during the nursing process. The implementation can be measured in terms of missed nursing care.

Methods

A predictive correlational study was used. The study was conducted in four inpatient units at the University Hospital, Northeast, Brazil. Data were collected from 96 nursing professionals, using the MISSCARE instrument at four and seven months after the implementation of the primary nursing model.

Results

Missed nursing care was reduced by 78.5%. Job title and staff satisfaction showed significant associations with decreased missed care (p < .05).

Conclusion

The predictive effect between efficacy in reducing missed nursing care and reasons and efficiency in the management of nursing care, using the primary nursing model, was verified.

Implications for Nursing Management

Nursing staff and managers should consider adopting a Primary Nursing Model of care to reduce missed nursing care.

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