. Care left undone during nursing shifts: associations with workload and perceived quality of care.
Open accessAbstract
BACKGROUND: There is strong evidence to show that lower nurse staffing levels in hospitals are associated with worse patient outcomes. One hypothesised mechanism is the omission of necessary nursing care caused by time pressure-'missed care'. AIM: To examine the nature and prevalence of care left undone by nurses in English National Health Service hospitals and to assess whether the number of missed care episodes is associated with nurse staffing levels and nurse ratings of the quality of nursing care and patient safety environment. METHODS: Cross-sectional survey of 2917 registered nurses working in 401 general medical/surgical wards in 46 general acute National Health Service hospitals in England. RESULTS: Most nurses (86%) reported that one or more care activity had been left undone due to lack of time on their last shift. Most frequently left undone were: comforting or talking with patients (66%), educating patients (52%) and developing/updating nursing care plans (47%). The number of patients per registered nurse was significantly associated with the incidence of 'missed care' (p<0.001). A mean of 7.8 activities per shift were left undone on wards that are rated as 'failing' on patient safety, compared with 2.4 where patient safety was rated as 'excellent' (p < 0.001). CONCLUSIONS: Nurses working in English hospitals report that care is frequently left undone. Care not being delivered may be the reason low nurse staffing levels adversely affects quality and safety. Hospitals could use a nurse-rated assessment of 'missed care' as an early warning measure to identify wards with inadequate nurse staffing.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
The quality of nursing care measure has been validated by associations with hospital-level mortality, patient satisfaction, and care processes.
“This measure has been validated by associations with hospitallevel mortality, patient satisfaction, and care processes. 27”
From Nurses’ Shift Length and Overtime Working in 12 European Countries: The Association With Perceived Quality of Care and Patient Safety (2014) · cites this paper as [27]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Hospital Nurse Staffing and Patient Mortality, Nurse Burnout, and Job Dissatisfaction
Aiken, L. H. (2002) · JAMA · doi:10.1001/jama.288.16.1987 · Cited by 5,226 · see citing works
Development of the practice environment scale of the nursing work index†‡
Lake, E. T. (2002) · Research in Nursing & Health · doi:10.1002/nur.10032 · Cited by 1,769 · cited 10× · see citing works
“The average (mean) number of patients The practice environment (PES-28) was also significantly associated with missed care.”
BackgroundInfluentialThe Association of Registered Nurse Staffing Levels and Patient Outcomes
Kane, R. L., Shamliyan, T., Mueller, C., Duval, S., & Wilt, T. J. (2007) · Medical Care · doi:10.1097/mlr.0b013e3181468ca3 · Cited by 1,101 · cited 1× · see citing works
“7 For example, in intensive care units (ICUs) higher RN staffing was associated with lower levels of hospital related mortality; each additional full time equivalent RN per patient day corresponds to a 9% reduction in odds of death in ICUs (ORs, 0.91; 95% CI 0.86 to 0.96), which would save 5 lives…”
BackgroundInfluentialNurse Staffing and Inpatient Hospital Mortality
Needleman, J., Buerhaus, P., Pankratz, V. S., Leibson, C. L., Stevens, S. R., & Harris, M. (2011) · New England Journal of Medicine · doi:10.1056/nejmsa1001025 · Cited by 942 · cited 1× · see citing works
“13 In the USA, Needleman et al 14 used a retrospective observational study to analyse 176 000 shifts.”
BackgroundEffects of Hospital Care Environment on Patient Mortality and Nurse Outcomes
Aiken, L. H., Clarke, S. P., Sloane, D. M., Lake, E. T., & Cheney, T. (2008) · JONA: The Journal of Nursing Administration · doi:10.1097/01.nna.0000312773.42352.d7 · Cited by 860 · cited 1× · see citing works
“21 A failure to properly observe and respond to patient deterioration is also identified as being part of the causal pathway in the association between low staffing and death from treatable complications (often referred to as ‘ failure to rescue ’ ), although the staffing outcome relationship here…”
BackgroundEffects of Hospital Care Environment on Patient Mortality and Nurse Outcomes
Aiken, L. H., Clarke, S. P., Sloane, D. M., Lake, E. T., & Cheney, T. (2009) · JONA The Journal of Nursing Administration · doi:10.1097/nna.0b013e3181aeb4cf · Cited by 799 · see citing works
Rafferty, A. M., Clarke, S. P., Coles, J., Ball, J., James, P., McKee, M., & Aiken, L. H. (2006) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2006.08.003 · Cited by 522 · cited 1× · see citing works
“12 Other research shows that in some cases variation in staffing levels and patient outcomes within hospitals is greater than that between hospitals, which can mask the effect of any relationship between nurse staffing and patient outcomes.”
BackgroundImportance of work environments on hospital outcomes in nine countries
Aiken, L. H., Sloane, D. M., Clarke, S. P., Poghosyan, L., Cho, E., You, L., Finlayson, C. M., Kanai‐Pak, M., & Aungsuroch, Y. (2011) · International Journal for Quality in Health Care · doi:10.1093/intqhc/mzr022 · Cited by 465 · see citing works
Schubert, M., Glass, T. R., Clarke, S. P., Aiken, L. H., Schaffert-Witvliet, B., Sloane, D. M., & Geest, S. D. (2008) · International Journal for Quality in Health Care · doi:10.1093/intqhc/mzn017 · Cited by 407 · cited 1× · see citing works
“29 These were: ▸ adequate patient surveillance ▸ adequate documentation of nursing care ▸ administering medication on time ▸ comfort/talk with patients ▸ develop or update nursing care plans/care pathways ▸ educating patients and/or family ▸ frequent changing of patient ’ s position ▸ oral hygiene…”
BackgroundNurse forecasting in Europe (RN4CAST): Rationale, design and methodology
Sermeus, W., Aiken, L. H., den Heede, K. V., Rafferty, A. M., Griffiths, P., Moreno‐Casbas, T., Busse, R., Lindqvist, R., Scott, P. A., Bruyneel, L., et al. (2011) · BMC Nursing · doi:10.1186/1472-6955-10-6 · Cited by 399 · see citing works
Multilevel modelling of medical data
Goldstein, H., Browne, W. J., & Rasbash, J. (2002) · Statistics in Medicine · doi:10.1002/sim.1264 · Cited by 388 · see citing works
Reducing patient mortality in hospitals: the role of human resource management
West, M. A., Guthrie, J. P., Dawson, J., Borrill, C. S., & Carter, M. R. (2006) · Journal of Organizational Behavior · doi:10.1002/job.396 · Cited by 283 · cited 1× · see citing works
“40 Many of the constructs of the nursing practice environment are consistent with West et al ’ s high performance human resource management system 42 including training, performance management, participation, decentralisa-tion, involvement, use of teams and employment security which were related to…”
MethodHam, C. (1999) · Routledge eBooks · doi:10.1007/978-1-137-01397-2 · Cited by 270 · see citing works
Nurse Staffing and Healthcare Outcomes
Lankshear, A. J., Sheldon, T., & Maynard, A. (2005) · Advances in Nursing Science · doi:10.1097/00012272-200504000-00008 · Cited by 261 · see citing works
Sochalski, J. A. (2004) · Medical Care · doi:10.1097/01.mlr.0000109127.76128.aa · Cited by 259 · see citing works
Global Use of the Practice Environment Scale of the Nursing Work Index
Warshawsky, N. E., & Havens, D. S. (2010) · Nursing Research · doi:10.1097/nnr.0b013e3181ffa79c · Cited by 249 · cited 1× · see citing works
“20 Data from the USA have been used to estimate that the increase in mortality associated with a change from good to mixed quality practice environment is greater than the change in mortality associated with a nurse caring for one more patient per shift.”
Thinking About Process Safety Indicators
(2008) · Safety Science · doi:10.1016/j.ssci.2007.12.006 · Cited by 194 · see citing works
Do staffing levels predict missed nursing care?
Kalisch, B. J., Tschannen, D. J., & Lee, K. H. (2011) · International Journal for Quality in Health Care · doi:10.1093/intqhc/mzr009 · Cited by 181 · cited 1× · see citing works
“23 There is some evidence that unfinished care by nurses, or ‘ missed care ’ could be used as an indicator of overall quality, 24 explaining over 40% of the variation in care quality ratings in one US study.”
Backgroundden Heede, K. V., Lesaffre, E. M. E. H., Diya, L., Vleugels, A., Clarke, S. P., Aiken, L. H., & Sermeus, W. (2009) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2008.12.018 · Cited by 163 · see citing works
More thinking about process safety indicators
Ale, B. J. M. (2008) · Safety Science · doi:10.1016/j.ssci.2008.07.012 · Cited by 160 · see citing works
Nurse Staffing and Patient Mortality in Intensive Care Units
Cho, S.-H., Hwang, J.-H., & Kim, J. (2008) · Nursing Research · doi:10.1097/01.nnr.0000313498.17777.71 · Cited by 130 · see citing works
Bolton, L. B., Aydin, C. E., Donaldson, N. E., Brown, D. S., Sandhu, M., Fridman, M., & Aronow, H. U. (2007) · Policy Politics & Nursing Practice · doi:10.1177/1527154407312737 · Cited by 119 · see citing works
Numata, Y., Schulzer, M., van der Wal, R., Globerman, J., Semeniuk, P., Balka, E., & FitzGerald, J. M. (2006) · Journal of Advanced Nursing · doi:10.1111/j.1365-2648.2006.03941.x · Cited by 108 · cited 1× · see citing works
“26”
Psychometric properties of the Hospital Survey on Patient Safety Culture: findings from the UK
Waterson, P. E., Griffiths, P. L., Stride, C., Murphy, J. K., & Hignett, S. M. (2010) · BMJ Quality & Safety · doi:10.1136/qshc.2008.031625 · Cited by 107 · see citing works
Skill mix changes: substitution or service development?
Richardson, G., Maynard, A., Cullum, N. A., & Kindig, D. A. (1998) · Health Policy · doi:10.1016/s0168-8510(98)00038-4 · Cited by 106 · cited 1× · see citing works
“34 35 If a particular group of workers In multilevel logistic regression model the residual variance at the nurse level is a function of the estimated model parameters and will therefore vary for each individual nurse unless the data (independent variables) for one or more nurses are the same.”
Background5?20: a model of minimum nurse-to-patient ratios in Victoria, Australia
Gerdtz, M. F., & Nelson, S. (2006) · Journal of Nursing Management · doi:10.1111/j.1365-2934.2006.00657.x · Cited by 78 · see citing works
The Cost of Nurse-Sensitive Adverse Events
Pappas, S. H. (2008) · JONA The Journal of Nursing Administration · doi:10.1097/01.nna.0000312770.19481.ce · Cited by 74 · see citing works
Nursing a Grievance? The Role of Healthcare Assistants in a Modernized National Health Service
Bach, S., Kessler, I., & Heron, P. (2009) · Gender Work and Organization · doi:10.1111/j.1468-0432.2009.00502.x · Cited by 67 · cited 1× · see citing works
“By contrast, although sub-stitution for nurses by assistant practitioners is proposed as a means of improving the efficiency of care delivery 33 we found no evidence that HCSWs were acting as substitutes or complements for RNs for the nursing tasks we studied.”
BackgroundPsychometric testing of the Chinese version of nursing practice environment scale
Chiang, H., & Lin, S. (2008) · Journal of Clinical Nursing · doi:10.1111/j.1365-2702.2008.02433.x · Cited by 60 · see citing works
A certain ratio? The policy implications of minimum staffing ratios in nursing
Buchan, J. (2005) · Journal of Health Services Research & Policy · doi:10.1258/135581905774414204 · Cited by 60 · see citing works
The mid Staffordshire NHS Foundation trust inquiry
(2013) · Nurse Education Today · doi:10.1016/j.nedt.2013.02.003 · Cited by 58 · see citing works
Will Mandated Minimum Nurse Staffing Ratios Lead to Better Patient Outcomes?
Sochalski, J. A., Konetzka, R. T., Zhu, J., & Volpp, K. G. M. (2008) · Medical Care · doi:10.1097/mlr.0b013e3181648e5c · Cited by 56 · see citing works
Griffiths, P., Jones, S., & Bottle, A. (2012) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2012.10.016 · Cited by 51 · see citing works
Skilful anticipation: maternity nurses' perspectives on maintaining safety
Lyndon, A. (2010) · BMJ Quality & Safety · doi:10.1136/qshc.2007.024547 · Cited by 51 · see citing works
Diya, L., den Heede, K. V., Sermeus, W., & Lesaffre, E. M. E. H. (2011) · Journal of Advanced Nursing · doi:10.1111/j.1365-2648.2011.05812.x · Cited by 49 · see citing works
Safety in numbers: nurse-to-patient ratios and the future of health care
(2008) · Choice Reviews Online · doi:10.5860/choice.46-0327 · Cited by 39 · see citing works
Benchmarking nurse staffing levels: the development of a nationwide feedback tool
den Heede, K. V., Diya, L., Lesaffre, E. M. E. H., Vleugels, A., & Sermeus, W. (2008) · Journal of Advanced Nursing · doi:10.1111/j.1365-2648.2008.04724.x · Cited by 27 · see citing works
California's Minimum-Nurse-Staffing Legislation And Nurses' Wages
Mark, B. A., Harless, D. W., & Spetz, J. (2009) · Health Affairs · doi:10.1377/hlthaff.28.2.w326 · Cited by 26 · see citing works
Weyden, M. B. V. D. (2009) · The Medical Journal of Australia · doi:10.5694/j.1326-5377.2009.tb02411.x · Cited by 26 · see citing works
Spilsbury, K., Adamson, J., Atkin, K. M., Bloor, K. E., Carr‐Hill, R., McCaughan, D., McKenna, H., & Wakefield, A. B. (2011) · Journal of Health Services Research & Policy · doi:10.1258/jhsrp.2011.010106 · Cited by 21 · cited 1× · see citing works
“34 35 If a particular group of workers In multilevel logistic regression model the residual variance at the nurse level is a function of the estimated model parameters and will therefore vary for each individual nurse unless the data (independent variables) for one or more nurses are the same.”
BackgroundGriffiths, P., Jones, S., & Bottle, A. (2013) · Cited by 16 · see citing works
Variations in Nurse Staffing in Adult and Neonatal Intensive Care Units
Cho, S.-H., Hwang, J.-H., Kim, Y., & Kim, J. S. (2006) · Daehan ganho haghoeji · doi:10.4040/jkan.2006.36.5.691 · Cited by 10 · see citing works
Pai, H., Lee, S., & Chang, T. H. (2011) · Journal of Clinical Nursing · doi:10.1111/j.1365-2702.2010.03544.x · Cited by 9 · cited 1× · see citing works
“16 A series of research studies internationally have used the Practice Environment Scale (PES) 15 — for example, in Belgium, 17 Taiwan, 18 and China 19 — to show that practice environment characteristics have an association with a range of patient outcome measures.”
BackgroundDiya, L., Lesaffre, E. M. E. H., den Heede, K. V., Sermeus, W., & Vleugels, A. (2010) · Statistics in Medicine · doi:10.1002/sim.3756 · Cited by 9 · see citing works
Pal, L. A. (2000) · Oxford University Press eBooks · Cited by 5 · see citing works
Introducing the Health Service Ombudsman
Ombudsman, T. H. S. (2011) · Bulletin of The Royal College of Surgeons of England · doi:10.1308/147363511x588828 · Cited by 3 · see citing works
Flagged first, then by citations
Research works printed but not linked: 1
- [41]Hendrich A Chow M Maximising the impact of nursing quality: a closer look at the hospital work environment and the nurse's impact on patient-care quality. Healthc Leadersh White Paper Ser 2008; 4: 1– 21
Cited by
Sorted by citations
Unfinished nursing care, missed care, and implicitly rationed care: State of the science review
Jones, T., Hamilton, P., & Murry, N. (2015) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2015.02.012 · Cited by 756 · see citing works
“The three parent instruments for these respective approaches included: tasks undone survey with seven items (TU-7; Aiken et al., 2001b); Basal Extent of Rationing of Nursing Care (BERNCA) Instrument (Schubert et al., 2007); and The Missed Nursing Care (MISSCARE) Survey (Kalisch and Williams, 2009).”
BackgroundInfluentialAiken, L. H., Sloane, D. M., Griffiths, P., Rafferty, A. M., Bruyneel, L., McHugh, M. D., Maier, C. B., Moreno‐Casbas, T., Ball, J., Ausserhofer, D., et al. (2016) · BMJ Quality & Safety · doi:10.1136/bmjqs-2016-005567 · Cited by 746 · see citing works
The association between nurse staffing and omissions in nursing care: A systematic review
Griffiths, P., Recio-Saucedo, A., Dall'ora, C., Briggs, J. S., Maruotti, A., Meredith, P., Smith, G. B., & Ball, J. (2018) · Journal of Advanced Nursing · doi:10.1111/jan.13564 · Cited by 545 · see citing works
“Four studies explored aspects of skill mix (Ball et al., 2014; Ball et al., 2016; Dabney & Kalisch, 2015; Palese et al., 2015).”
BackgroundAusserhofer, D., Zander, B., Busse, R., Schubert, M., Geest, S. D., Rafferty, A. M., Ball, J., Scott, P. A., Kinnunen, J., Heinen, M. M., et al. (2013) · BMJ Quality & Safety · doi:10.1136/bmjqs-2013-002318 · Cited by 585 · see citing works
Post-operative mortality, missed care and nurse staffing in nine countries: A cross-sectional study
Ball, J., Bruyneel, L., Aiken, L. H., Sermeus, W., Sloane, D. M., Rafferty, A. M., Lindqvist, R., Tishelman, C., & Griffiths, P. (2017) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2017.08.004 · Cited by 545 · see citing works
“Previously published analysis has explored the prevalence and nature of care left undone by care activity type and found a pattern: clinical activities were less likely to be reported as missed due to lack of time compared with communication and planning activity (Ball et al., 2014; Jones et al., 2015).”
InfluentialWhat impact does nursing care left undone have on patient outcomes? Review of the literature
Recio‐Saucedo, A., Dall'Ora, C., Maruotti, A., Ball, J., Briggs, J., Meredith, P., Redfern, O. C., Kovacs, C., Prytherch, D., Smith, G. B., et al. (2018) · Journal of Clinical Nursing · doi:10.1111/jocn.14058 · Cited by 479 · see citing works
Patient satisfaction with hospital care and nurses in England: an observational study
Aiken, L. H., Sloane, D. M., Ball, J., Bruyneel, L., Rafferty, A. M., & Griffiths, P. (2018) · BMJ Open · doi:10.1136/bmjopen-2017-019189 · Cited by 360 · see citing works
“37 What makes the variability in staffing and work environments across hospitals of considerable importance is that when RNs have high patient loads, and when RNs practice in poor work environments, necessary nursing care can be missed because of lack of time.(21) Nurses in this study were asked whether any of 13 impo…”
BackgroundGriffiths, P., Dall’Ora, C., Simon, M., Ball, J., Lindqvist, R., Rafferty, A.-M., Schoonhoven, L., Tishelman, C., & Aiken, L. H. (2014) · Medical Care · doi:10.1097/mlr.0000000000000233 · Cited by 316 · see citing works
Griffiths, P., Ball, J., Drennan, J., Dall’Ora, C., Jones, J., Maruotti, A., Pope, C. J., Recio‐Saucedo, A., & Simon, M. (2016) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2016.03.012 · Cited by 284 · see citing works
Association of Nurse Workload With Missed Nursing Care in the Neonatal Intensive Care Unit
Tubbs‐Cooley, H. L., Mara, C. A., Carle, A. C., Mark, B. A., & Pickler, R. H. (2018) · Archives of Pediatrics and Adolescent Medicine · doi:10.1001/jamapediatrics.2018.3619 · Cited by 286 · see citing works
Nurse staffing, nurses prioritization, missed care, quality of nursing care, and nurse outcomes
Cho, S., Lee, J.-Y., You, S. J., Song, K. J., & Hong, K. J. (2019) · International Journal of Nursing Practice · doi:10.1111/ijn.12803 · Cited by 249 · see citing works
Cho, E., Lee, N., Kim, E., Kim, S., Lee, K., Park, K.-O., & Sung, Y. H. (2016) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2016.05.009 · Cited by 227 · see citing works
The Impact of Heavy Perceived Nurse Workloads on Patient and Nurse Outcomes
MacPhee, M., Dahinten, V. S., & Havaei, F. (2017) · Administrative Sciences · doi:10.3390/admsci7010007 · Cited by 205 · see citing works
“that urged employers and regulators to focus on leading nurse indicators that have the potential to proactively address quality and safety deficiencies [5].”
BackgroundInfluentialCorrelates and predictors of missed nursing care in hospitals
Bragadóttir, H., Kalisch, B. J., & Tryggvadottir, G. B. (2016) · Journal of Clinical Nursing · doi:10.1111/jocn.13449 · Cited by 205 · see citing works
Missed nursing care is linked to patient satisfaction: a cross-sectional study of US hospitals
Lake, E. T., Germack, H. D., & Viscardi, M. K. (2015) · BMJ Quality & Safety · doi:10.1136/bmjqs-2015-003961 · Cited by 189 · see citing works
Kim, K.-J., Yoo, M. S., & Seo, E. J. (2018) · Asian Nursing Research · doi:10.1016/j.anr.2018.04.003 · Cited by 191 · see citing works
Bail, K. S., & Grealish, L. A. (2016) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2016.08.001 · Cited by 176 · see citing works
Rationing of nursing care, a deviation from holistic nursing: A systematic review
Mandal, L., Seethalakshmi, A., & Rajendrababu, A. (2019) · Nursing Philosophy · doi:10.1111/nup.12257 · Cited by 176 · see citing works
A cross‐sectional study of ‘care left undone’ on nursing shifts in hospitals
Ball, J., Griffiths, P., Rafferty, A. M., Lindqvist, R., Murrells, T., & Tishelman, C. (2016) · Journal of Advanced Nursing · doi:10.1111/jan.12976 · Cited by 170 · see citing works
“Thus, the same association between staffing and care left undone is found in Sweden, as has been reported using RN4Cast data from England (Ball et al. 2014) and across Europe (Ausserhofer et al.”
BackgroundMethodResultInfluentialEthical dilemmas in nursing: An integrative review
Rainer, J., Schneider, J. K., & Lorenz, R. A. (2018) · Journal of Clinical Nursing · doi:10.1111/jocn.14542 · Cited by 167 · see citing works
“Rationing or missed care (Ball et al., 2014) has been only moderately explored in the US literature.”
BackgroundEffects of increasing nurse staffing on missed nursing care
Cho, S. ‐., Kim, Y.-S., Yeon, K. N., You, S. J., & Lee, I. D. (2015) · International Nursing Review · doi:10.1111/inr.12173 · Cited by 164 · see citing works
Carthon, J. M. B., Lasater, K. B., Sloane, D. M., & Kutney-Lee, A. M. (2015) · BMJ Quality & Safety · doi:10.1136/bmjqs-2014-003346 · Cited by 147 · see citing works
Improved work environments and staffing lead to less missed nursing care: A panel study
Lake, E. T., Connell, K. A., & Sloane, D. M. (2020) · Journal of Nursing Management · doi:10.1111/jonm.12970 · Cited by 148 · see citing works
“This missed care question has been used in five international samples (Aiken et al., 2012; Al-Kandari & Thomas, 2009; Ausserhofer et al., 2014; Ball et al., 2014; Zhu et al., 2012).”
MethodGriffiths, P., Ball, J., Bloor, K. E., Böhning, D., Briggs, J., Dall’Ora, C., de Iongh, A., Jones, J., Kovacs, C., Maruotti, A., et al. (2018) · Health Services and Delivery Research · doi:10.3310/hsdr06380 · Cited by 144 · see citing works
“Studies found no association between assistant staffing level and mortality,(46) failure to rescue,(47) length of stay,(46) venous thromboembolism(48) or missed care.(19) However, higher assistant staffing was associated with higher rates of falls,(43,49) pressure ulcers,(50) readmission rates,(51) medication errors(5…”
BackgroundResultInfluentialMissed, rationed or unfinished nursing care: A scoping review of patient outcomes
Kohanová, D., Kirwan, M., Bartoníčková, D., Cubelo, F., Žiaková, K., & Kurucová, R. (2020) · Journal of Nursing Management · doi:10.1111/jonm.12978 · Cited by 144 · see citing works
Missed nursing care in newborn units: A cross- sectional direct observational study \n
Gathara, D., Brownie, S. M., Murphy, G. A. V., Jackson, D., Serem, G., Obengo, A., Tallam-Kimaiyo, E., & English, M. (2019) · Wintec Research Archive (Waikato Institute of Technology) · Cited by 143 · see citing works
Zúñiga, F., Ausserhofer, D., Hamers, J. P. H., Engberg, S. J., Simon, M., & Schwendimann, R. (2015) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2015.05.005 · Cited by 141 · see citing works
Griffiths, P., Ball, J., Murrells, T., Jones, S., & Rafferty, A. M. (2016) · BMJ Open · doi:10.1136/bmjopen-2015-008751 · Cited by 141 · see citing works
Maghsoud, F., Rezaei, M., Asgarian, F. S., & Rassouli, M. (2022) · BMC Nursing · doi:10.1186/s12912-022-01055-1 · Cited by 140 · see citing works
Bruyneel, L., Li, B., Ausserhofer, D., Lesaffre, E. M. E. H., Dumitrescu, I., Smith, H. L., Sloane, D. M., Aiken, L. H., & Sermeus, W. (2015) · Medical Care Research and Review · doi:10.1177/1077558715589188 · Cited by 137 · see citing works
Resource allocation and rationing in nursing care: A discussion paper
Scott, P. A., Harvey, C. L., Felzmann, H., Suhonen, R., Habermann, M., Halvorsen, K., Christiansen, K., Toffoli, L., & Papastavrou, E. (2018) · Nursing Ethics · doi:10.1177/0969733018759831 · Cited by 136 · see citing works
Missed nursing care and predicting factors in the Italian medical care setting
Palese, A., Ambrosi, E., Prosperi, L., Guarnier, A., Barelli, P., Zambiasi, P., Allegrini, E., Bazoli, L., Casson, P., Marin, M., et al. (2015) · Internal and Emergency Medicine · doi:10.1007/s11739-015-1232-6 · Cited by 133 · see citing works
Richards, D. A., Hilli, A., Pentecost, C., Goodwin, V. A., & Frost, J. (2017) · Journal of Clinical Nursing · doi:10.1111/jocn.14150 · Cited by 133 · see citing works
Missed nursing care and related factors in Iranian hospitals: A cross‐sectional survey
Chegini, Z., Jafari‐Koshki, T., Kheiri, M., Behforoz, A., Aliyari, S., Mitra, U., & Islam, S. M. S. (2020) · Journal of Nursing Management · doi:10.1111/jonm.13055 · Cited by 132 · see citing works
The impact of the nursing practice environment on missed nursing care
Hessels, A., Flynn, L. T., Cimiotti, J. P., Cadmus, E., & Gershon, R. (2015) · Clinical Nursing Studies · doi:10.5430/cns.v3n4p60 · Cited by 130 · see citing works
“Missed nursing care was measured using a composite score on a measure referred to as “Tasks Left Undone”, a scale developed by Lucero and colleagues and used in other high impact research.[8, 20] This is a 12-item scale that asks nurses to identify patient care activities on their last shift that they thought were nec…”
MethodZúñiga, F., Ausserhofer, D., Hamers, J. P. H., Engberg, S. J., Simon, M., & Schwendimann, R. (2015) · Journal of the American Medical Directors Association · doi:10.1016/j.jamda.2015.04.012 · Cited by 119 · see citing works
“mortality rates [30-38].”
Bray, B., Ayis, S. A., Campbell, J. T., CLOUD, G. C., James, M. A., Hoffman, A., Tyrrell, P. J., Wolfe, C. D. A., & Rudd, A. G. (2014) · PLoS Medicine · doi:10.1371/journal.pmed.1001705 · Cited by 117 · see citing works
“The mechanism for this is unclear, but there is evidence that basic care needs are more likely to be missed when nurses are busy [37], and higher nurse ratios might prevent mortality through quicker recognition and management of deterioration, prevention of stroke complications [38], and allowing staff more time to at…”
BackgroundAssociation of registered nurse and nursing support staffing with inpatient hospital mortality.
Needleman, J., Liu, J., Shang, J., Larson, E. L., & Stone, P. W. (2020) · BMJ Quality & Safety · doi:10.1136/bmjqs-2018-009219 · Cited by 115 · see citing works
Knopp‐Sihota, J., Niehaus, L., Squires, J. E., Norton, P., & Estabrooks, C. A. (2015) · Journal of Clinical Nursing · doi:10.1111/jocn.12887 · Cited by 113 · see citing works
Missed Nursing Care in Pediatrics
Lake, E. T., de Cordova, P. B., Barton, S. J., Singh, S. R., Agosto, P. D., Ely, B., Roberts, K. E., & Aiken, L. H. (2017) · Hospital Pediatrics · doi:10.1542/hpeds.2016-0141 · Cited by 113 · see citing works
Carragher, M., Steel, G., O’Halloran, R., Torabi, T., Johnson, H., Taylor, N. F., & Rose, M. L. (2020) · Disability and Rehabilitation · doi:10.1080/09638288.2020.1722264 · Cited by 108 · see citing works
“is the first activity to be omitted during busy periods on the ward [15]: 66% of nurses reported not comforting or talking with patients while 52% reported not educating patients.”
BackgroundA descriptive study of nurse‐reported missed care in neonatal intensive care units
Tubbs‐Cooley, H. L., Pickler, R. H., Younger, J. B., & Mark, B. A. (2014) · Journal of Advanced Nursing · doi:10.1111/jan.12578 · Cited by 106 · see citing works
Staffing levels and nursing‐sensitive patient outcomes: Umbrella review and qualitative study
Blume, K. S., Dietermann, K., Kirchner‐Heklau, U., Winter, V., Fleischer, S., Kreidl, L. M., Meyer, G., & Schreyögg, J. (2021) · Health Services Research · doi:10.1111/1475-6773.13647 · Cited by 106 · see citing works
“The former is a measure of overall quality of nursing care received by patients in a hospital or a hospital unit 21-23 or its improvement over time.”
Nursing workload in the acute-care setting: A concept analysis of nursing workload
Swiger, P. A., Vance, D. E., & Patrician, P. A. (2016) · Nursing Outlook · doi:10.1016/j.outlook.2016.01.003 · Cited by 104 · see citing works
Bautista, J. R., Lauria, P. A. S., Contreras, M. C. S., Maranion, M. M. G., Villanueva, H. H., Sumaguingsing, R. C., & Abeleda, R. D. (2019) · International Journal of Nursing Practice · doi:10.1111/ijn.12774 · Cited by 103 · see citing works
Association between workload of the nursing staff and patient safety outcomes
de Magalhães, A. M. M., da Costa, D. G., Riboldi, C. D. O., Mergen, T., Barbosa, A. D. S., & de Moura, G. M. S. S. (2017) · Revista da Escola de Enfermagem da USP · doi:10.1590/s1980-220x2016021203255 · Cited by 102 · see citing works
“At an international level, research on the association between the workload of the nursing team and patient safety outcomes includes in the discussion the number of patients assigned to each nurse or nursing assistant and the conditions of the working environment(1,3-4,8-11).”
BackgroundWynendaele, H., Willems, R. P., & Trybou, J. (2019) · Journal of Nursing Management · doi:10.1111/jonm.12764 · Cited by 101 · see citing works
Antecedents of unfinished nursing care: a systematic review of the literature
Chiappinotto, S., Papastavrou, E., Efstathiou, G., Andreou, P., Stemmer, R., Ströhm, C., Schubert, M., de Wolf‐Linder, S., Longhini, J., & Palese, A. (2022) · BMC Nursing · doi:10.1186/s12912-022-00890-6 · Cited by 103 · see citing works
“Twenty-one studies were conducted in the United States [29, 34, 36–54]; five in Australia [11, 55–58]; three each in Switzerland [59–61] and Cyprus [8, 62, 63]; and two each in England [32, 64], South Korea [65, 66], Israel [67, 68] and China [69, 70].”
BackgroundMethodInfluentialImpact of teamwork on missed care in four Australian hospitals
Chapman, R., Rahman, A. R., Courtney, M. D., & Chalmers, C. (2016) · Journal of Clinical Nursing · doi:10.1111/jocn.13433 · Cited by 99 · see citing works
“2014); comfort and talking with patients (Ball et al. 2014); hand hygiene after toileting or before eating (Burnett 2009); bathing (Kalisch et al.”
BackgroundInfluentialNurse Staffing Levels and Patient-Reported Missed Nursing Care
Dabney, B. W., & Kalisch, B. J. (2015) · Journal of Nursing Care Quality · doi:10.1097/ncq.0000000000000123 · Cited by 97 · see citing works
Association of Work Environment With Missed and Rushed Care Tasks Among Care Aides in Nursing Homes
Song, Y., Hoben, M., Norton, P., & Estabrooks, C. A. (2020) · JAMA Network Open · doi:10.1001/jamanetworkopen.2019.20092 · Cited by 94 · see citing works
Jangland, E., Teodorsson, T., Molander, K., & Athlin, Å. M. (2017) · Journal of Clinical Nursing · doi:10.1111/jocn.14095 · Cited by 91 · see citing works
Characteristics of the NICU Work Environment Associated With Breastfeeding Support
Hallowell, S. G., Spatz, D. L., Hanlon, A. L., Rogowski, J., & Lake, E. T. (2014) · Advances in Neonatal Care · doi:10.1097/anc.0000000000000102 · Cited by 90 · see citing works
Work environment issues and intention-to-leave in Portuguese nurses: A cross-sectional study
Leone, C., Bruyneel, L., Anderson, J. E., Murrells, T., Dussault, G., de Jesus, E. H., Sermeus, W., Aiken, L. H., & Rafferty, A. M. (2015) · Health Policy · doi:10.1016/j.healthpol.2015.09.006 · Cited by 90 · see citing works
Examining missed care in community nursing: A cross section survey design
Phelan, A. A., McCarthy, S., & Adams, E. (2017) · Journal of Advanced Nursing · doi:10.1111/jan.13466 · Cited by 89 · see citing works
Unmet nursing care needs on medical and surgical wards: A scoping review of patients’ perspectives
Bagnasco, A., Dasso, N., Rossi, S., Galanti, C., Varone, G., Catania, G., Zanini, M. P., Aleo, G., Watson, R. A., Hayter, M., et al. (2019) · Journal of Clinical Nursing · doi:10.1111/jocn.15089 · Cited by 89 · see citing works
Unfinished nursing care: An important performance measure for nursing care systems.
VanFosson, C. A., Jones, T., & Yoder, L. (2016) · Nursing Outlook · doi:10.1016/j.outlook.2015.12.010 · Cited by 71 · see citing works
Speaking Up for Fundamental Care: the ILC Aalborg Statement
Kitson, A. A., Carr, D., Conroy, T., Feo, R., Grønkjær, M., Waal, G. H., Jackson, D. W., Jeffs, L. P., Merkley, J., Athlin, Å. M., et al. (2019) · BMJ Open · doi:10.1136/bmjopen-2019-033077 · Cited by 88 · see citing works
Missed Nursing Care in Hospitalized Patients
Moreno-Monsiváis, M. G., Moreno-Rodríguez, C., & Interial‐Gúzman, M. G. (2015) · Aquichan · doi:10.5294/aqui.2015.15.3.2 · Cited by 88 · see citing works
“The literature reports lower rates of missed care among nurses with professional status, higher levels of education, and more work experience, length of service and professional experience (10, 11, 12, 13, 14).”
BackgroundCarragher, J., & Gormley, K. J. (2016) · Journal of Advanced Nursing · doi:10.1111/jan.13141 · Cited by 88 · see citing works
“…also and this issue has been linked to staff shortages, poor skill-mix, lack of caring and compassion among staff as well as incompetent leadership (Institute of Medicine (US) 2002, Wakefield 2008, Australian Nursing Federation 2009, Ball et al. 2014, Dawson et al. 2014, Hanafin & O’Reilly 2016).”
Robot use self-efficacy in healthcare work (RUSH): development and validation of a new measure
Turja, T., Rantanen, T., & Oksanen, A. (2017) · AI & Society · doi:10.1007/s00146-017-0751-2 · Cited by 85 · see citing works
“This is shown by the healthcare workers’ reports about their overly heavy workloads and administrative tasks that take away from the actual care work and interaction with patients (Ball et al. 2014; Erkkilä et al. 2016; Menon 2015).”
BackgroundPractice Environment Characteristics Associated With Missed Nursing Care
Park, S. H., Hanchett, M., & Ma, C. (2018) · Journal of Nursing Scholarship · doi:10.1111/jnu.12434 · Cited by 84 · see citing works
Factors influencing the missed nursing care in patients from a private hospital
Hernández-Cruz, R., Moreno-Monsiváis, M. G., Cheverría-Rivera, S., & Oviedo, A. D. (2017) · Revista Latino-Americana de Enfermagem · doi:10.1590/1518-8345.1227.2877 · Cited by 84 · see citing works
“Care omissions while walking have been associated with falls in hospitalized patients(17).”
BackgroundResultWensley, C. J., Botti, M. A., McKillop, A., & Merry, A. (2020) · BMJ Open · doi:10.1136/bmjopen-2019-033336 · Cited by 84 · see citing works
“…may be used to drive a culture of care that maximises patient comfort, beginning with the message that comfort-related care is essential work 19 57–61 encompassing a caring, compassionate response to human distress 54–56 for which healthcare leaders have accountability to promote, monitor and…”
BackgroundKirwan, M., Riklikienė, O., Gotlib, J., Fuster, P., & Borta, M. (2019) · Nurse Education in Practice · doi:10.1016/j.nepr.2019.04.013 · Cited by 82 · see citing works
Linking the work environment to missed nursing care in labour and delivery
Lake, E. T., French, R., O’Rourke, K. M., Sanders, J., & Srinivas, S. K. (2019) · Journal of Nursing Management · doi:10.1111/jonm.12856 · Cited by 81 · see citing works
Dall’Ora, C., Griffiths, P., Hope, J., Briggs, J., Jeremy, J., Gerry, S., & Redfern, O. (2021) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2021.103921 · Cited by 79 · see citing works
Missed nursing care during the COVID‐19 pandemic: A comparative observational study
von Vogelsang, A., Göransson, K. E., Falk, A., & Nymark, C. (2021) · Journal of Nursing Management · doi:10.1111/jonm.13392 · Cited by 79 · see citing works
“The impact of having lower educated personnel, for example nursing assistants (NAs), has been reported to have a less prominent effect on mortality, in comparison with the nurse/patient ratio (Ball et al., 2014, 2016).”
BackgroundInfluentialFinnish healthcare professionals' attitudes towards robots: Reflections on a population sample
Turja, T., Aerschot, L. V., Särkikoski, T., & Oksanen, A. (2018) · Nursing Open · doi:10.1002/nop2.138 · Cited by 76 · see citing works
“At the moment, nursing staff is concerned about resource shortages as well as administrative tasks and travelling taking time from actual care work (Ausserhofer et al., 2014; Ball, Murrells, Rafferty, Morrow, & Griffiths, 2014; Kodama & Fukahori, 2017; Menon, 2015; Trydegård, 2012).”
BackgroundInterventions to prevent or reduce rationing or missed nursing care: A scoping review
Schubert, M., Ausserhofer, D., Bragadóttir, H., Rochefort, C. M., Bruyneel, L., Stemmer, R., Andreou, P., Leppée, M., & Palese, A. (2020) · Journal of Advanced Nursing · doi:10.1111/jan.14596 · Cited by 77 · see citing works
Koy, V., Yunibhand, J., Angsuroch, Y., & Fisher, M. L. (2015) · International Journal of Research in Medical Sciences · doi:10.18203/2320-6012.ijrms20150288 · Cited by 75 · see citing works
Alves, D. F. D. S., da Silva, D., & Guirardello, E. D. B. (2016) · Journal of Nursing Management · doi:10.1111/jonm.12427 · Cited by 74 · see citing works
Relationship between missed care and urinary tract infections in nursing homes
Nelson, S. T., & Flynn, L. T. (2015) · Geriatric Nursing · doi:10.1016/j.gerinurse.2014.12.009 · Cited by 73 · see citing works
Kebede, M. M., Endris, Y., & Zegeye, D. T. (2016) · Informatics for Health and Social Care · doi:10.1080/17538157.2016.1252766 · Cited by 73 · see citing works
“Nursing care documentation practice in this study is lower than studies from Jamaica 98% (45) and hospitals of England 47% (21).”
BackgroundDemsash, A. W., Kassie, S. Y., Dubale, A. T., Chereka, A. A., Ngusie, H. S., Hunde, M. K., Emanu, M. D., Shibabaw, A. A., & Walle, A. D. (2023) · BMJ Health & Care Informatics · doi:10.1136/bmjhci-2022-100699 · Cited by 71 · see citing works
Palese, A., Navone, E., Danielis, M., Vryonides, S., Sermeus, W., & Papastavrou, E. (2020) · Journal of Advanced Nursing · doi:10.1111/jan.14603 · Cited by 70 · see citing works
Bamforth, K., Rae, P., Maben, J., Lloyd, H., & Pearce, S. (2023) · International Journal of Nursing Studies Advances · doi:10.1016/j.ijnsa.2023.100148 · Cited by 74 · see citing works
“As the “ end-users ” of healthcare, patients bear the brunt of the pressurised working environment with associated missed opportunities for care and poor outcomes (Ball et al., 2014; Recio-Saucedo et al., 2018) and, where staff wellbeing deteriorates, so too does the quality of care.”
BackgroundWinsvold Prang, I., & Jelsness-Jørgensen, L.-P. (2014) · Geriatric Nursing · doi:10.1016/j.gerinurse.2014.07.003 · Cited by 70 · see citing works
Redfern, O., Griffiths, P., Maruotti, A., Recio‐Saucedo, A., & Smith, G. B. (2019) · BMJ Open · doi:10.1136/bmjopen-2019-032157 · Cited by 69 · see citing works
Nymark, C., von Vogelsang, A., Falk, A., & Göransson, K. E. (2021) · Nursing Open · doi:10.1002/nop2.1076 · Cited by 69 · see citing works
Low-value care in nursing: A systematic assessment of clinical practice guidelines
Verkerk, E. W., Waal, G. H., Vermeulen, H., Westert, G. P., Kool, R. B., & van Dulmen, S. A. (2018) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2018.07.002 · Cited by 68 · see citing works
Pentecost, C., Frost, J., Sugg, H. V. R., Hilli, A., Goodwin, V. A., & Richards, D. A. (2019) · Journal of Clinical Nursing · doi:10.1111/jocn.15082 · Cited by 69 · see citing works
Sugg, H. V. R., Russell, A., Morgan, L., Iles‐Smith, H., Richards, D. A., Morley, N., Burnett, S., Cockcroft, E., Coon, J. T., Cruickshank, S., et al. (2021) · BMC Nursing · doi:10.1186/s12912-021-00746-5 · Cited by 81 · see citing works
“Consistent with previous explanations for missed care prior to the pandemic [12, 16, 17, 21], respondents highlighted patient acuity and lack of time as barriers to meeting patients’ needs, amongst other challenges more specific to the pandemic context.”
BackgroundFarid, M., Purdy, N., & Neumann, P. (2019) · Ergonomics · doi:10.1080/00140139.2019.1690674 · Cited by 66 · see citing works
“Given the interactions between nursing workload and quality of care (Ball et al. 2014), healthcare institutions may benefit from considering Human Factors (HF) in their design and policy decisions in order to improve work conditions for the nurses (Hignett et al.”
BackgroundVinckx, M.-A., Bossuyt, I., & de Casterlé, B. D. (2018) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2018.07.010 · Cited by 65 · see citing works
Association between nurses' breaks, missed nursing care and patient safety in Korean hospitals
Min, A., Yoon, Y. S., Hong, H. C., & Kim, Y. M. (2019) · Journal of Nursing Management · doi:10.1111/jonm.12831 · Cited by 65 · see citing works
Registered nurses’ descriptions of caring: a phenomenographic interview study
Andersson, E. K., Willman, A., Sjöström‐Strand, A., & Borglin, G. (2015) · BMC Nursing · doi:10.1186/s12912-015-0067-9 · Cited by 65 · see citing works
“There are alarming reports that both patient safety and patient well-being seem to have been lost [20] and that essential care is left undone [21-23].”
BackgroundHersh, D., Godecke, E., Armstrong, E., Ciccone, N., & Bernhardt, J. A. (2014) · Aphasiology · doi:10.1080/02687038.2014.933520 · Cited by 65 · see citing works
Associations between work environment and implicit rationing of nursing care: A systematic review
Zhao, Y., Ma, D., Wan, Z., Sun, D., Li, H., & Sun, J. (2019) · Journal of Nursing Management · doi:10.1111/jonm.12895 · Cited by 65 · see citing works
European Academy of Nursing Science 2016 Summer Conference
Sermeus, W., Cullum, N. A., Balzer, K., Schröder, R., Junghans, A., Stahl, U., Träder, J.-M., Köpke, S., Dichter, M. N., Palm, R., et al. (2016) · BMC Nursing · doi:10.1186/s12912-016-0186-y · Cited by 65 · see citing works
Ethical climate and missed nursing care in cancer care units
Vryonides, S., Papastavrou, E., Charalambous, A., Andreou, P., Eleftheriou, C., & Merkouris, A. (2016) · Nursing Ethics · doi:10.1177/0969733016664979 · Cited by 64 · see citing works
Gibbon, B., & Crane, J. (2018) · Nurse Education Today · doi:10.1016/j.nedt.2018.04.002 · Cited by 64 · see citing works
The ethical dimension of nursing care rationing
Vryonides, S., Papastavrou, E., Charalambous, A., Andreou, P., & Merkouris, A. (2014) · Nursing Ethics · doi:10.1177/0969733014551377 · Cited by 63 · see citing works
Havaei, F., & MacPhee, M. (2020) · Nursing Open · doi:10.1002/nop2.444 · Cited by 61 · see citing works
Missed Nursing Care; Prioritizing the Patient’s Needs: An Umbrella Review
Papathanasiou, I., Tzenetidis, V., Tsaras, K., Zyga, S., & Malliarou, M. M. (2024) · Healthcare · doi:10.3390/healthcare12020224 · Cited by 74 · see citing works
“The phenomenon is described as the non-provision or failure to complete necessary nursing tasks [8], unmet care needs [9], care that is not provided or not completed [10], a prioritization of care when resources are limited [11], and prioritizing the care provided [12].”
BackgroundUnfinished nursing care in four central European countries
Zeleníková, R., Gurková, E., Friganović, A., Uchmanowicz, I., Jarošová, D., Žiaková, K., Plevová, I., & Papastavrou, E. (2019) · Journal of Nursing Management · doi:10.1111/jonm.12896 · Cited by 60 · see citing works
Juvé‐Udina, M., González‐Samartino, M., López‐Jiménez, M., Planas‐Canals, M., Rodríguez‐Fernández, H., Duelt, I. J. B., Tàpia‐Pérez, M., Prats, M. P., Jiménez‐Martínez, E., Llorca, M. À. B., et al. (2020) · Journal of Nursing Management · doi:10.1111/jonm.13040 · Cited by 59 · see citing works
Missed nursing care in hospital environments during the COVID‐19 pandemic
Gurková, E., Mikšová, Z., & Šáteková, L. (2021) · International Nursing Review · doi:10.1111/inr.12710 · Cited by 59 · see citing works
Missed nursing care before and during the COVID‐19 pandemic: A comparative cross‐sectional study
Alfuqaha, O. A., Alhalaiqa, F., Alqurneh, M. K., & Ayed, A. (2022) · International Nursing Review · doi:10.1111/inr.12795 · Cited by 58 · see citing works
“, B and C) increased the missed nursing care (Ball et al., 2014; Schmidt, 2018).”
BackgroundResultZaranko, B., Sanford, N., Kelly, E. A., Rafferty, A. M., Bird, J., Mercuri, L., Sigsworth, J., Wells, M., & Propper, C. (2022) · BMJ Quality & Safety · doi:10.1136/bmjqs-2022-015291 · Cited by 58 · see citing works
- Authors
- Ball, J. E., Murrells, T., Rafferty, A. M., Morrow, E., & Griffiths, P.
- Affiliations
- King's College London (GB)
- University of Southampton (GB)
- Corresponding author
- Ball, Jane E
- Venue
- BMJ Quality & Safety
- Publisher
- BMJ
- Published
- 2013-07-29
- Volume
- 23
- Issue
- 2
- Pages
- 116-125
- ISSN
- 1475-3898 (ISSN-L)
- 2044-5415
- 2044-5423
- PMC
- PMC3913111
- OpenAlex
- W2147808390
- Cited by
- 666
- References
- 46
- Citations by year
- 2026: 39 · 2025: 35 · 2024: 52 · 2023: 51 · 2022: 51 · 2021: 87 · 2020: 64 · 2019: 66 · 2018: 49 · 2017: 47 · 2016: 52 · 2015: 48 · 2014: 19 · 2013: 5
- FWCI
- 121.88
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- cc-by-nc
- Locations
- BMJ Quality & Safety (publishedVersion, cc-by-nc)
- Europe PMC (PubMed Central) (publishedVersion, other-oa)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- ePrints Soton (University of Southampton) (acceptedVersion)
- Research Portal (King's College London) (submittedVersion, other-oa)
- HighWire Press Open Archive (submittedVersion)
- Funders
- King's College London
- European Commission
- Menzies Centre for Australian Studies, King's College London, University of London
- Topics
- Health Sciences › Nursing › Research and Theory › Nursing education and management
- Health Sciences › Health Professions › Emergency Medical Services › Patient Safety and Medication Errors
- Health Sciences › Medicine › Emergency Medicine › Hospital Admissions and Outcomes
- Keywords
- missed nursing care, nurse staffing, nursing workload, time pressure, nursing care quality, patient education, nursing care plan, patient comfort, early warning indicators, hospital wards
- MeSH terms
- Continuity of Patient Care, England, Humans, National Health Programs, Nurse-Patient Relations, Nursing Staff, Hospital, Patient Care Planning, Patient Education as Topic, Quality of Health Care, Work Schedule Tolerance, Workload, Medical Errors
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
