Missed nursing care during the COVID‐19 pandemic: A comparative observational study
Aim To evaluate frequencies, types of and reasons for missed nursing care during the COVID‐19 pandemic at inpatient wards in a highly specialized university hospital. Background Registered nurse/patient ratio and nursing competence are known to affect patient outcomes. The first wave of the COVID‐19...
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| Veröffentlicht in: | Journal of nursing management 2021-11, Vol.29 (8), p.2343-2352 |
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| container_title | Journal of nursing management |
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| creator | Vogelsang, Ann‐Christin Göransson, Katarina E. Falk, Ann‐Charlotte Nymark, Carolin |
| description | Aim
To evaluate frequencies, types of and reasons for missed nursing care during the COVID‐19 pandemic at inpatient wards in a highly specialized university hospital.
Background
Registered nurse/patient ratio and nursing competence are known to affect patient outcomes. The first wave of the COVID‐19 pandemic entailed novel ways for staffing to meet the expected increased acute care demand, which potentially could impact on quality of care.
Methods
A comparative cross‐sectional study was conducted, using the MISSCARE Survey. A sample of nursing staff during the first wave of the COVID‐19 pandemic (n = 130) was compared with a reference sample (n = 157).
Results
Few differences between samples concerning elements of missed care and no significant differences concerning reasons for missed care were found. Most participants perceived the quality of care and the patient safety to be good.
Conclusion
The results may be explained by three factors: maintained registered nurse/patient ratio, patients’ dependency levels and that nursing managers could maintain the staffing needs with a sufficient skill mix.
Implications for nursing management
Nursing managers impact on the occurrence of MNC; to provide a sufficient registered nurse/patient ratio and skill mix when staffing. They play an important role in anticipatory planning and during infectious disease outbreaks. |
| doi_str_mv | 10.1111/jonm.13392 |
| format | Article |
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To evaluate frequencies, types of and reasons for missed nursing care during the COVID‐19 pandemic at inpatient wards in a highly specialized university hospital.
Background
Registered nurse/patient ratio and nursing competence are known to affect patient outcomes. The first wave of the COVID‐19 pandemic entailed novel ways for staffing to meet the expected increased acute care demand, which potentially could impact on quality of care.
Methods
A comparative cross‐sectional study was conducted, using the MISSCARE Survey. A sample of nursing staff during the first wave of the COVID‐19 pandemic (n = 130) was compared with a reference sample (n = 157).
Results
Few differences between samples concerning elements of missed care and no significant differences concerning reasons for missed care were found. Most participants perceived the quality of care and the patient safety to be good.
Conclusion
The results may be explained by three factors: maintained registered nurse/patient ratio, patients’ dependency levels and that nursing managers could maintain the staffing needs with a sufficient skill mix.
Implications for nursing management
Nursing managers impact on the occurrence of MNC; to provide a sufficient registered nurse/patient ratio and skill mix when staffing. They play an important role in anticipatory planning and during infectious disease outbreaks.</description><identifier>ISSN: 0966-0429</identifier><identifier>ISSN: 1365-2834</identifier><identifier>EISSN: 1365-2834</identifier><identifier>DOI: 10.1111/jonm.13392</identifier><identifier>PMID: 34097799</identifier><language>eng</language><publisher>Oxford: Hindawi Limited</publisher><subject>Acute services ; Clinical outcomes ; COVID-19 ; Dependency ; Infectious diseases ; Inpatient care ; Medical errors ; Nursing ; Nursing administration ; Nursing care ; Observational studies ; Original ; Pandemics ; Patient safety ; Patients ; Quality of care ; Staffing ; Workforce planning ; Workload</subject><ispartof>Journal of nursing management, 2021-11, Vol.29 (8), p.2343-2352</ispartof><rights>2021 The Authors. published by John Wiley & Sons Ltd.</rights><rights>2021. This article is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>This article is protected by copyright. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4992-c165c3dfd8566113ba7c5a1baca79b4d6a03c476ef33088bedcf09085d24e54f3</citedby><cites>FETCH-LOGICAL-c4992-c165c3dfd8566113ba7c5a1baca79b4d6a03c476ef33088bedcf09085d24e54f3</cites><orcidid>0000-0003-2246-7894 ; 0000-0003-0891-6358 ; 0000-0002-3006-2443 ; 0000-0002-4062-4470</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjonm.13392$$EPDF$$P50$$Gwiley$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjonm.13392$$EHTML$$P50$$Gwiley$$Hfree_for_read</linktohtml><link.rule.ids>230,314,550,776,780,881,1411,27903,27904,30978,45553,45554</link.rule.ids><backlink>$$Uhttps://urn.kb.se/resolve?urn=urn:nbn:se:shh:diva-4119$$DView record from Swedish Publication Index$$Hfree_for_read</backlink><backlink>$$Uhttp://kipublications.ki.se/Default.aspx?queryparsed=id:146961941$$DView record from Swedish Publication Index$$Hfree_for_read</backlink></links><search><creatorcontrib>Vogelsang, Ann‐Christin</creatorcontrib><creatorcontrib>Göransson, Katarina E.</creatorcontrib><creatorcontrib>Falk, Ann‐Charlotte</creatorcontrib><creatorcontrib>Nymark, Carolin</creatorcontrib><title>Missed nursing care during the COVID‐19 pandemic: A comparative observational study</title><title>Journal of nursing management</title><description>Aim
To evaluate frequencies, types of and reasons for missed nursing care during the COVID‐19 pandemic at inpatient wards in a highly specialized university hospital.
Background
Registered nurse/patient ratio and nursing competence are known to affect patient outcomes. The first wave of the COVID‐19 pandemic entailed novel ways for staffing to meet the expected increased acute care demand, which potentially could impact on quality of care.
Methods
A comparative cross‐sectional study was conducted, using the MISSCARE Survey. A sample of nursing staff during the first wave of the COVID‐19 pandemic (n = 130) was compared with a reference sample (n = 157).
Results
Few differences between samples concerning elements of missed care and no significant differences concerning reasons for missed care were found. Most participants perceived the quality of care and the patient safety to be good.
Conclusion
The results may be explained by three factors: maintained registered nurse/patient ratio, patients’ dependency levels and that nursing managers could maintain the staffing needs with a sufficient skill mix.
Implications for nursing management
Nursing managers impact on the occurrence of MNC; to provide a sufficient registered nurse/patient ratio and skill mix when staffing. They play an important role in anticipatory planning and during infectious disease outbreaks.</description><subject>Acute services</subject><subject>Clinical outcomes</subject><subject>COVID-19</subject><subject>Dependency</subject><subject>Infectious diseases</subject><subject>Inpatient care</subject><subject>Medical errors</subject><subject>Nursing</subject><subject>Nursing administration</subject><subject>Nursing care</subject><subject>Observational studies</subject><subject>Original</subject><subject>Pandemics</subject><subject>Patient safety</subject><subject>Patients</subject><subject>Quality of care</subject><subject>Staffing</subject><subject>Workforce planning</subject><subject>Workload</subject><issn>0966-0429</issn><issn>1365-2834</issn><issn>1365-2834</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>7QJ</sourceid><sourceid>D8T</sourceid><recordid>eNp90s9u0zAYAHALMbFSuPAElrggUDb_T8xhUtUN2LTRC9vVchyndUniYiedetsj8Iw8Ce5SIQ0JfPEn--fP1ucPgDcYneA0Tte-a08wpZI8AxNMBc9IQdlzMEFSiAwxIo_ByxjXCGFKKH8BjilDMs-lnIDbGxejrWA3hOi6JTQ6WFgNYR_3Kwvni7vL818PP7GEG91VtnXmI5xB49uNDrp3Wwt9GW3Ypth3uoGxH6rdK3BU6yba14d5Cm4_XXybf8muF58v57PrzDApSWaw4IZWdVVwITCmpc4N17jURueyZJXQiBqWC1tTioqitJWpkUQFrwiznNV0CrIxb7y3m6FUm-BaHXbKa6cOS99TZBUTmFGa_Id_-nN3N1M-LFVcrRTDWCZ9NupE23S37fqgmyeHnu50bqWWfqsKQoVMpZ6Cd4cEwf8YbOxV66KxTaM764eoCE9_hgRBKNG3f9G1H0Iq6F5JUrC84Cyp96MywccYbP3nMRipfS-ofS-ox15IGI_43jV29x-prhZfb8YzvwGwtbeE</recordid><startdate>202111</startdate><enddate>202111</enddate><creator>Vogelsang, Ann‐Christin</creator><creator>Göransson, Katarina E.</creator><creator>Falk, Ann‐Charlotte</creator><creator>Nymark, Carolin</creator><general>Hindawi Limited</general><general>John Wiley and Sons Inc</general><scope>24P</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><scope>5PM</scope><scope>ACDKN</scope><scope>ADTPV</scope><scope>AOWAS</scope><scope>D8T</scope><scope>DF4</scope><scope>ZZAVC</scope><orcidid>https://orcid.org/0000-0003-2246-7894</orcidid><orcidid>https://orcid.org/0000-0003-0891-6358</orcidid><orcidid>https://orcid.org/0000-0002-3006-2443</orcidid><orcidid>https://orcid.org/0000-0002-4062-4470</orcidid></search><sort><creationdate>202111</creationdate><title>Missed nursing care during the COVID‐19 pandemic: A comparative observational study</title><author>Vogelsang, Ann‐Christin ; Göransson, Katarina E. ; Falk, Ann‐Charlotte ; Nymark, Carolin</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4992-c165c3dfd8566113ba7c5a1baca79b4d6a03c476ef33088bedcf09085d24e54f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Acute services</topic><topic>Clinical outcomes</topic><topic>COVID-19</topic><topic>Dependency</topic><topic>Infectious diseases</topic><topic>Inpatient care</topic><topic>Medical errors</topic><topic>Nursing</topic><topic>Nursing administration</topic><topic>Nursing care</topic><topic>Observational studies</topic><topic>Original</topic><topic>Pandemics</topic><topic>Patient safety</topic><topic>Patients</topic><topic>Quality of care</topic><topic>Staffing</topic><topic>Workforce planning</topic><topic>Workload</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Vogelsang, Ann‐Christin</creatorcontrib><creatorcontrib>Göransson, Katarina E.</creatorcontrib><creatorcontrib>Falk, Ann‐Charlotte</creatorcontrib><creatorcontrib>Nymark, Carolin</creatorcontrib><collection>Wiley Online Library Open Access</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>SWEPUB Sophiahemmet Högskola full text</collection><collection>SwePub</collection><collection>SwePub Articles</collection><collection>SWEPUB Freely available online</collection><collection>SWEPUB Sophiahemmet Högskola</collection><collection>SwePub Articles full text</collection><jtitle>Journal of nursing management</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Vogelsang, Ann‐Christin</au><au>Göransson, Katarina E.</au><au>Falk, Ann‐Charlotte</au><au>Nymark, Carolin</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Missed nursing care during the COVID‐19 pandemic: A comparative observational study</atitle><jtitle>Journal of nursing management</jtitle><date>2021-11</date><risdate>2021</risdate><volume>29</volume><issue>8</issue><spage>2343</spage><epage>2352</epage><pages>2343-2352</pages><issn>0966-0429</issn><issn>1365-2834</issn><eissn>1365-2834</eissn><abstract>Aim
To evaluate frequencies, types of and reasons for missed nursing care during the COVID‐19 pandemic at inpatient wards in a highly specialized university hospital.
Background
Registered nurse/patient ratio and nursing competence are known to affect patient outcomes. The first wave of the COVID‐19 pandemic entailed novel ways for staffing to meet the expected increased acute care demand, which potentially could impact on quality of care.
Methods
A comparative cross‐sectional study was conducted, using the MISSCARE Survey. A sample of nursing staff during the first wave of the COVID‐19 pandemic (n = 130) was compared with a reference sample (n = 157).
Results
Few differences between samples concerning elements of missed care and no significant differences concerning reasons for missed care were found. Most participants perceived the quality of care and the patient safety to be good.
Conclusion
The results may be explained by three factors: maintained registered nurse/patient ratio, patients’ dependency levels and that nursing managers could maintain the staffing needs with a sufficient skill mix.
Implications for nursing management
Nursing managers impact on the occurrence of MNC; to provide a sufficient registered nurse/patient ratio and skill mix when staffing. They play an important role in anticipatory planning and during infectious disease outbreaks.</abstract><cop>Oxford</cop><pub>Hindawi Limited</pub><pmid>34097799</pmid><doi>10.1111/jonm.13392</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0003-2246-7894</orcidid><orcidid>https://orcid.org/0000-0003-0891-6358</orcidid><orcidid>https://orcid.org/0000-0002-3006-2443</orcidid><orcidid>https://orcid.org/0000-0002-4062-4470</orcidid><oa>free_for_read</oa></addata></record> |
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| source | Wiley Online Library Journals Frontfile Complete; SWEPUB Freely available online; Applied Social Sciences Index & Abstracts (ASSIA) |
| subjects | Acute services Clinical outcomes COVID-19 Dependency Infectious diseases Inpatient care Medical errors Nursing Nursing administration Nursing care Observational studies Original Pandemics Patient safety Patients Quality of care Staffing Workforce planning Workload |
| title | Missed nursing care during the COVID‐19 pandemic: A comparative observational study |
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