Article type
Abstract
Background
Worldwide, nursing care is carried out in complex healthcare systems that focus on task completion, reducing cost and increasing productivity. Hospitalized patients have complex care needs that are not always met, and numerous studies have evidenced the seriousness of missed nursing care in hospital settings. Missed nursing care, defined as care that is delayed, partially completed, or not completed at all, has several negative consequences. These include adverse patient outcomes including infections, pressure ulcers, falls, medication errors, and higher mortality rates. To tackle the global challenges of missed nursing care, it is imperative to develop intervention programs targeting the reasons for missed nursing care. However, the reasons for missed nursing care are multiple and comprise a complex interplay of factors including lack of time, workload, low nurse-to-patient ratio, insufficient experience among staff, leadership, organizational priorities, and teamwork. There is a need to synthesize global evidence on nurses’ perceptions of reasons for missed nursing care and to use this knowledge in developing local intervention programs tackling missed nursing care.
Objectives
To tackle the challenges of missed nursing care by developing local intervention programs at hospitals in Denmark based on synthesized international qualitative evidence on nurses’ perceptions of reasons for missed nursing care.
Methods
A meta synthesis of nurses’ perceptions of reasons for missed nursing care in hospitals will be conducted following the JBI guidelines. A protocol outlining the process has been published in JBI Evidence Synthesis. Furthermore, a participatory design involving participant observations, interviews and workshop series will be used to get specific insight into the local contexts and to develop intervention programs.
Results
Currently, 1475 identified studies are being scrutinized for eligibility. The synthesized findings will provide an overall knowledge of reasons for MNC in hospital settings. This will be used to inform the identification of reasons for MNC in selected local departments at hospitals and to guide the development of local intervention programs.
Conclusion
The global evidence from the meta synthesis and the development of local intervention programs are expected to reduce missed nursing care and enhance patient safety and quality of care.
Worldwide, nursing care is carried out in complex healthcare systems that focus on task completion, reducing cost and increasing productivity. Hospitalized patients have complex care needs that are not always met, and numerous studies have evidenced the seriousness of missed nursing care in hospital settings. Missed nursing care, defined as care that is delayed, partially completed, or not completed at all, has several negative consequences. These include adverse patient outcomes including infections, pressure ulcers, falls, medication errors, and higher mortality rates. To tackle the global challenges of missed nursing care, it is imperative to develop intervention programs targeting the reasons for missed nursing care. However, the reasons for missed nursing care are multiple and comprise a complex interplay of factors including lack of time, workload, low nurse-to-patient ratio, insufficient experience among staff, leadership, organizational priorities, and teamwork. There is a need to synthesize global evidence on nurses’ perceptions of reasons for missed nursing care and to use this knowledge in developing local intervention programs tackling missed nursing care.
Objectives
To tackle the challenges of missed nursing care by developing local intervention programs at hospitals in Denmark based on synthesized international qualitative evidence on nurses’ perceptions of reasons for missed nursing care.
Methods
A meta synthesis of nurses’ perceptions of reasons for missed nursing care in hospitals will be conducted following the JBI guidelines. A protocol outlining the process has been published in JBI Evidence Synthesis. Furthermore, a participatory design involving participant observations, interviews and workshop series will be used to get specific insight into the local contexts and to develop intervention programs.
Results
Currently, 1475 identified studies are being scrutinized for eligibility. The synthesized findings will provide an overall knowledge of reasons for MNC in hospital settings. This will be used to inform the identification of reasons for MNC in selected local departments at hospitals and to guide the development of local intervention programs.
Conclusion
The global evidence from the meta synthesis and the development of local intervention programs are expected to reduce missed nursing care and enhance patient safety and quality of care.