Volume 28, Issue 8 pp. 2174-2184

SPECIAL ISSUE PAPER

Variables associated with missed nursing care in Alabama: A cross-sectional analysis

Caitlin Marley Campbell BSN, RN,

Corresponding Author

Caitlin Marley Campbell BSN, RN

PhD Student

[email protected]

orcid.org/0000-0001-8994-6967

School of Nursing, University of Alabama at Birmingham, South Birmingham, Alabama

Correspondence

Caitlin Marley Campbell, School of Nursing, University of Alabama at Birmingham, 1720 2nd Avenue, South Birmingham, AL 35294-1210, USA.

Email: [email protected]

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Aoyjai Prapanjaroensin PhD, BSN,

Aoyjai Prapanjaroensin PhD, BSN

Postdoctoral researcher

orcid.org/0000-0003-4649-1258

School of Nursing, University of Alabama at Birmingham, South Birmingham, Alabama

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Colleen V. Anusiewicz BSN, RN,

Colleen V. Anusiewicz BSN, RN

PhD Candidate

School of Nursing, University of Alabama at Birmingham, South Birmingham, Alabama

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Marianne Baernholdt PhD, MPH, RN, FAAN,

Marianne Baernholdt PhD, MPH, RN, FAAN

Professor and Associate Dean for Global Initiatives

orcid.org/0000-0001-5499-7457

School of Nursing, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina

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Terry Jones PhD, RN,

Terry Jones PhD, RN

Associate Professor

School of Nursing, Virginia Commonwealth University, Richmond, Virginia

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Patricia A. Patrician PhD, RN, FAAN,

Patricia A. Patrician PhD, RN, FAAN

Endowed Professor

orcid.org/0000-0002-9608-1866

School of Nursing, University of Alabama at Birmingham, South Birmingham, Alabama

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Caitlin Marley Campbell BSN, RN,

Corresponding Author

Caitlin Marley Campbell BSN, RN

PhD Student

[email protected]

orcid.org/0000-0001-8994-6967

School of Nursing, University of Alabama at Birmingham, South Birmingham, Alabama

Correspondence

Caitlin Marley Campbell, School of Nursing, University of Alabama at Birmingham, 1720 2nd Avenue, South Birmingham, AL 35294-1210, USA.

Email: [email protected]

Search for more papers by this author

Aoyjai Prapanjaroensin PhD, BSN,

Aoyjai Prapanjaroensin PhD, BSN

Postdoctoral researcher

orcid.org/0000-0003-4649-1258

School of Nursing, University of Alabama at Birmingham, South Birmingham, Alabama

Search for more papers by this author

Colleen V. Anusiewicz BSN, RN,

Colleen V. Anusiewicz BSN, RN

PhD Candidate

School of Nursing, University of Alabama at Birmingham, South Birmingham, Alabama

Search for more papers by this author

Marianne Baernholdt PhD, MPH, RN, FAAN,

Marianne Baernholdt PhD, MPH, RN, FAAN

Professor and Associate Dean for Global Initiatives

orcid.org/0000-0001-5499-7457

School of Nursing, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina

Search for more papers by this author

Terry Jones PhD, RN,

Terry Jones PhD, RN

Associate Professor

School of Nursing, Virginia Commonwealth University, Richmond, Virginia

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Patricia A. Patrician PhD, RN, FAAN,

Patricia A. Patrician PhD, RN, FAAN

Endowed Professor

orcid.org/0000-0002-9608-1866

School of Nursing, University of Alabama at Birmingham, South Birmingham, Alabama

Search for more papers by this author

First published: 18 February 2020

https://doi.org/10.1111/jonm.12979

Citations: 25

Funding information

This work was supported by the Rachel Z. Booth Endowment at the University of Alabama at Birmingham School of Nursing and the 2017 American Association of Occupational Health Nurses New Investigator Research Grant, funded by Kelly Services.

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Abstract

Aim

To discover the extent of and factors associated with missed nursing care in Alabama.

Background

Missed nursing care is a well-documented phenomenon. However, it has not been studied in U.S. southern states that consistently rank poorly in health outcomes, such as Alabama.

Methods

The Perceived Implicit Rationing of Nursing Care Instrument was administered as part of the Alabama Hospital Staff Nurse Study. Analyses were run on 950 surveys completed by inpatient registered nurses.

Results

Overall missed nursing care scores vary significantly by gender, unit type, job satisfaction and quality of nursing care. Overall missed nursing care scores are correlated with the work environment and number of patients assigned to each nurse. Unit type, quality of nursing care and the work environment are important factors associated with missed nursing care.

Conclusion

The results of this study advance nursing science by adding to the growing body of knowledge surrounding missed nursing care. The results reveal opportunities where nurses may need support in their bedside practice.

Implications for Nursing Management

Nursing management must monitor the nursing work environment, periodically measure missed nursing care to assess for improvement opportunities, and watch for interventions that could decrease missed nursing care.

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Variables associated with missed nursing care in Alabama: A cross-sectional analysis

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Variables associated with missed nursing care in Alabama: A cross-sectional analysis

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