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. 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.
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“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]
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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
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×
“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 1,135 · cited 1×
“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×
“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×
“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
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×
“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
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×
“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
Research works printed but not linked: 1
- Hendrich, 2008, 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, 4, 1
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
“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
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
“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
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
“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
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
“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
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
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
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
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
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
“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
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
Kim, K.-J., Yoo, M. S., & Seo, E. J. (2018) · Asian Nursing Research · doi:10.1016/j.anr.2018.04.003 · Cited by 191
Bail, K. S., & Grealish, L. A. (2016) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2016.08.001 · Cited by 191
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
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
“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 192
“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
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
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
“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
“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
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
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
Griffiths, P., Ball, J., Murrells, T., Jones, S., & Rafferty, A. M. (2016) · BMJ Open · doi:10.1136/bmjopen-2015-008751 · Cited by 141
Maghsoud, F., Rezaei, M., Asgarian, F. S., & Rassouli, M. (2022) · BMC Nursing · doi:10.1186/s12912-022-01055-1 · Cited by 140
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 141
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 150
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
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
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
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
“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 133
“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
“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
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
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
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 124
“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
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 115
“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 133
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 107
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
“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
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
“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
“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
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
Jangland, E., Teodorsson, T., Molander, K., & Athlin, Å. M. (2017) · Journal of Clinical Nursing · doi:10.1111/jocn.14095 · Cited by 91
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
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
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
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
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
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
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
“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
“…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 96
“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 91
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
“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
“…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 92
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
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
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
“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
“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
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
Alves, D. F. D. S., da Silva, D., & Guirardello, E. D. B. (2016) · Journal of Nursing Management · doi:10.1111/jonm.12427 · Cited by 76
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
Kebede, M. M., Endris, Y., & Zegeye, D. T. (2016) · Informatics for Health and Social Care · doi:10.1080/17538157.2016.1252766 · Cited by 73
“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 91
Palese, A., Navone, E., Danielis, M., Vryonides, S., Sermeus, W., & Papastavrou, E. (2020) · Journal of Advanced Nursing · doi:10.1111/jan.14603 · Cited by 78
Bamforth, K., Rae, P. J. L., Maben, J., Lloyd, H. M., & Pearce, S. (2023) · International Journal of Nursing Studies Advances · doi:10.1016/j.ijnsa.2023.100148 · Cited by 93
“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
Redfern, O., Griffiths, P., Maruotti, A., Recio‐Saucedo, A., & Smith, G. B. (2019) · BMJ Open · doi:10.1136/bmjopen-2019-032157 · Cited by 69
Nymark, C., von Vogelsang, A., Falk, A., & Göransson, K. E. (2021) · Nursing Open · doi:10.1002/nop2.1076 · Cited by 69
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
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
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
“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 70
“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
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 74
Registered nurses’ descriptions of caring: a phenomenographic interview study
Andersson, E., Willman, A., Sjostrom-Strand, A., & Borglin, G. (2015) · BMC Nursing · doi:10.1186/s12912-015-0067-9 · Cited by 64
“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
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 72
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
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
Gibbon, B., & Crane, J. (2018) · Nurse Education Today · doi:10.1016/j.nedt.2018.04.002 · Cited by 64
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
Havaei, F., & MacPhee, M. (2020) · Nursing Open · doi:10.1002/nop2.444 · Cited by 61
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
“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
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
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
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
“, 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
Metadata
- 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 › Medicine › Public Health, Environmental and Occupational Health › Patient Safety and Medication Errors
- Health Sciences › Nursing › Leadership and Management › 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
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