Missed nursing care and nurses' intention to leave: An integrative review
Corresponding Author
Hattan Alsubhi MSc, BSc
Phd candidate
Faculty of Education and Health Sciences, Department of Nursing and Midwifery, Health Research Institute, University of Limerick, Limerick, Ireland
Correspondence
Hattan Alsubhi, Faculty of Education and Health Sciences, Department of Nursing and Midwifery, University of Limerick, Limerick, Ireland.
Email: [email protected]
Search for more papers by this authorPauline Meskell MSc, BSc, Phd
Faculty of Education and Health Sciences, Department of Nursing and Midwifery, Health Research Institute, University of Limerick, Limerick, Ireland
Search for more papers by this authorDeirdre O. Shea Psychol.Ps.S.I., MSc, BSc (Hons), PhD
Department of Work & Employment, Studies, Health Research Institute, Kemmy Business School, University of Limerick, Limerick, Ireland
Search for more papers by this authorOwen Doody RNID, MSc, BSc, Phd
Faculty of Education and Health Sciences, Department of Nursing and Midwifery, Health Research Institute, University of Limerick, Limerick, Ireland
Search for more papers by this authorCorresponding Author
Hattan Alsubhi MSc, BSc
Phd candidate
Faculty of Education and Health Sciences, Department of Nursing and Midwifery, Health Research Institute, University of Limerick, Limerick, Ireland
Correspondence
Hattan Alsubhi, Faculty of Education and Health Sciences, Department of Nursing and Midwifery, University of Limerick, Limerick, Ireland.
Email: [email protected]
Search for more papers by this authorPauline Meskell MSc, BSc, Phd
Faculty of Education and Health Sciences, Department of Nursing and Midwifery, Health Research Institute, University of Limerick, Limerick, Ireland
Search for more papers by this authorDeirdre O. Shea Psychol.Ps.S.I., MSc, BSc (Hons), PhD
Department of Work & Employment, Studies, Health Research Institute, Kemmy Business School, University of Limerick, Limerick, Ireland
Search for more papers by this authorOwen Doody RNID, MSc, BSc, Phd
Faculty of Education and Health Sciences, Department of Nursing and Midwifery, Health Research Institute, University of Limerick, Limerick, Ireland
Search for more papers by this authorFunding information
This is a commentary paper and not part of a funded project.
Abstract
Aim
To identify the factors that are associated with missed nursing care and the nurses’ intention to leave.
Background
Errors and mistakes are an inevitable part of work, but there is increased evidence that missed care is a concerning issue affecting nurses’ ability to effectively coordinate, provide and evaluate care interventions delivered to patients globally.
Evaluation
An integrative review of qualitative and quantitative studies examining the consequences of missed nursing care, including intention to leave.
Key issues
Eight papers met the inclusion criteria. Thematic analysis generated three themes: Prevalence of missed nursing care, Factors associated with missed nursing care, Factors that impact on missed care and influence the intention to leave.
Conclusion
The outcomes of this review demonstrate the need for critical interventions to address the factors that can impact the provision of high-quality nursing care.
Implications for Practice
Missed nursing care is not only a patient safety issue but may also contribute to the inadequate staffing levels. And, better understanding of the factors that affect the intention to leave by nurse managers can stimulate the development of appropriate leadership styles in combination with adjustment of workplace to prevent intention to leave.
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