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Table 4 Reasons for missed nursing care measured by the MISSCARE survey part 2

From: Missed nursing care in surgical care– a hazard to patient safety: a quantitative study within the inCHARGE programme

   

All

   

RN

   

AN

   

REASONS FOR MNC

 

n¹

Mean (SD)

Rank

 

n¹

Mean (SD)

Rank

 

n¹

Mean (SD)

Rank

 

p-value RN vs. AN

Inadequate number of staff

 

114

1.30 (0.59)

1

 

60

1.28 (0.59)

1

 

50

1.30 (0.61)

1

 

0.92

Unexpected rise in patient volume and/or acuity on the unit

 

115

1.36 (0.61)

2

 

60

1,32 (0.57)

2

 

50

1.38 (0.64)

2

 

0.65

Urgent patient situations (e.g., patient’s condition worsening)

 

114

1.86 (0.85)

3

 

60

1.88 (0.45)

3

 

49

1.78 (0.87)

3

 

0.42

Unbalanced patient assignments

 

114

1.95 (0.81)

4

 

60

2.03 (0.84)

5

 

49

1.82 (0.73)

4

 

0.19

Heavy admission and discharge activity

 

108

2.19 (0.94)

5

 

60

2.0 (0.84)

4

 

43

2.47 (1.03)

11/12

 

< 0.05*

Tension or communication breakdowns with the medical staff

 

114

2.22 (0.82)

6

 

60

2.27 (0.84)

6

 

49

2.18 (0.78)

5

 

0.61

NA did not communicate that care was not done

 

115

2.31 (0.87)

7

 

60

2.38 (0.87)

7

 

50

2.24 (0.87)

7

 

0.34

Lack of back-up support from team members

 

114

2.40 (0.94)

8

 

60

2.58 (0.87)

9

 

49

2.20 (0.96)

6

 

< 0.05*

Caregivers off unit or unavailable

 

114

2.48 (0.83)

9

 

60

2.45 (0.75)

8

 

49

2.47 (0.94)

11/12

 

0.85

Tension or communication breakdowns within the nursing team

 

115

2.53 (0.90)

10

 

60

2.62 (0.83)

10/11

 

50

2.40 (0.99)

8

 

0.17

Medications were not available when needed

 

101

2.56 (0.84)

11

 

60

2.62 (0.76)

10/11

 

37

2.43 (0.96)

9

 

0.21

Tension or communication breakdowns with other support deparments

 

114

2.61 (0.83)

12

 

60

2.70 (0.74)

12

 

49

2.49 (0.94)

13

 

0.18

Inadequate hand-off from previous shift or sending unit

 

115

2.63 (0.80)

13

 

60

2.80 (0.71)

13

 

50

2.44 (0.88)

10

 

< 0.05*

Other departments did not provide the care needed

 

113

2.79 (0.94)

14

 

60

2.95 (0.83)

15

 

48

2.54 (1.03)

15

 

< 0.05*

Supplies/equipment not available when needed

 

112

2.80 (0.95)

15

 

60

2.98 (0.81)

16

 

47

2.53 (1.06)

14

 

< 0.05*

Inadequate number of assistive personnel (e.g., NA, techs etc.)

 

114

2.81 (0.84)

16

 

60

2.85 (0.78)

14

 

49

2.71 (0.91)

17

 

0.33

Supplies/equipment not functioning properly

 

113

2.91 (0.89)

17

 

60

3.08 (0.72)

17

 

48

2.65 (1.02)

16

 

< 0.05*

  1. NOTE: The ranking of reported strongest reason [1] to least of a reason [17] for missed nursing care elements. Answers are given on a four-point Likert scale from 1 - “significant cause” to 4 - “not a cause”. When rank is the same for two nursing care elements they received the same mean score. Abbreviations: MNC. Missed Nursing Care; RNs. Registred Nurses; NAs. Nursing Assistants. ¹When numbers do not add up there is missing data
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BMC Nursing

ISSN: 1472-6955

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