Abstract：
BACKGROUND:There is a growing nursing literature that views missed care as an inevitable consequence of work intensification associated with the rationing of nursing and material resources available to deliver care. Global studies recognize that missed care is now ubiquitous, although studies tend to be conducted in one region, rather than nationwide. This study seeks to understand the Australian context of missed care. AIMS:To explore self-reported reasons for missed care and to identify the main factors for predicting missed care within a sample of Australian nurses and midwives working in public and private hospitals in New South Wales, Victoria, Tasmania, and South Australia. METHODS:A nonexperimental, descriptive method using Kalisch's (2006) MISSCARE survey was used. Responses from 1,195 nursing and midwifery staff with differing qualifications, English language skills, and Australian employment settings were analyzed using Rasch analysis and then modeled using the Structural Equation Modeling. RESULTS:The frequency of missed care on the morning shift directly impacted on higher priority care missed during the afternoon shift. Staff skill mix imbalances and perceived inadequacy of staff numbers for the work demands further exacerbated all aspects of care during afternoon shifts. Other major factors associated with missed care were the different clinical work settings and staff to patient ratios. LINKING EVIDENCE TO ACTION:The incidences, types, and reasons behind missed care are a multidimensional construct which can be predicted when known significant factors behind missed care are simultaneously accounted for.
journal_name
Worldviews Evid Based Nursjournal_title
Worldviews on evidence-based nursingauthors
Blackman I,Lye CY,Darmawan IGN,Henderson J,Giles T,Willis E,Toffoli L,Xiao L,Verrall Cdoi
10.1111/wvn.12285subject
Has Abstractpub_date
2018-06-01 00:00:00pages
178-188issue
3eissn
1545-102Xissn
1741-6787journal_volume
15pub_type
杂志文章abstract：BACKGROUND:Mechanical ventilation is a necessary procedure for patients with a range of illnesses and conditions. Mechanical ventilation affects voice production, leaving patients unable to communicate their needs with nurses and family. The communication difficulty causes distress, frustration, and anger if not attend...
journal_title：Worldviews on evidence-based nursing
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journal_title：Worldviews on evidence-based nursing
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journal_title：Worldviews on evidence-based nursing
pub_type： 杂志文章
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journal_title：Worldviews on evidence-based nursing
pub_type： 杂志文章,meta分析,评审
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journal_title：Worldviews on evidence-based nursing
pub_type： 杂志文章,随机对照试验
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journal_title：Worldviews on evidence-based nursing
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journal_title：Worldviews on evidence-based nursing
pub_type： 杂志文章
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journal_title：Worldviews on evidence-based nursing
pub_type： 杂志文章,评审
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journal_title：Worldviews on evidence-based nursing
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journal_title：Worldviews on evidence-based nursing
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journal_title：Worldviews on evidence-based nursing
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journal_title：Worldviews on evidence-based nursing
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