Cuidado perdido de enfermagem. Estado da arte para a gestão dos serviços de saúde
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Publicado:
Out 23, 2019
Palavras-chave:
Enfermagem,
cuidado perdido,
qualidade,
segurança do paciente,
México,
Main Article Content
Resumo
O cuidado perdido de enfermagem é um fenómeno recentemente explorado que afeta a segurança dos pacientes, a qualidade da atenção e questiona a atuação dos profissionais de enfermagem.
Objetivo: Conhecer o Estado da Arte do tema Cuidado perdido em Enfermagem a partir de artigos publicados durante o período março 2012- março 2018.
Metodologia: Realizou-se uma pesquisa documental a través do sistema de busca PUBMED, com as seguintes palavras chave: missed nursing care, misscare AND care nurse. Escolheram-se 47 artigos de pesquisa em idioma inglês e espanhol. Posterior à análise de conteúdo dos artigos, os resultados agruparam-se em categorias.
Resultados: Identificaram-se as seguintes categorias: país onde se realizou a pesquisa, unidades de atenção, tipo de estudo, amostra estudada, instrumento empregado, marco conceitual, assim como os elementos, razões e preditores do cuidado perdido.
Conclusões: O estudo do fenómeno pode ser um insumo para a toma de decisões em políticas de saúde e no desenho de estratégias e intervenções que colaborem para a melhora do cuidado nas instituições de saúde. A revisão do fenómeno e a análise permitiram aos interessados no tema, aprofundar no cuidado perdido e identificar a fundamentação teórica, os elementos conceituais e os resultados encontrados, os quais serão contribuições para a tomada de decisões nos processos de melhora, a docência, o cuidado e a pesquisa.
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MÉTRICAS
Referências
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2. World Health Organization. Patient Safety. A World Aliance for Safer Health Care. Marco conceptual de la Clasificación Internacional para la seguridad del paciente. Versión 1.1. Genova: WHO; 2009. http://bit.ly/2IpE7qT
3. Blackman I, Papastavrou E, Palese A, Vryonides S, Henderson J, Willis E. Predicting variations to missed nursing care: A three-nation comparison. J Nurs Manag. 2018; 26(1): 33-41. https://doi.org/10.1111/jonm.12514
4. Kalisch BJ, Xie B. Errors of Omission: Missed Nursing Care. West J Nurs Res. 2014; 36(7):875-90. https://doi.org/10.1177/0193945914531859
5. Agency of Healthcare Research and Quality (AHRQ). PSNet Patient Safety Network: Glossary. Rockville, MD: AHRQ, 2014. http://bit.ly/2AJLVzA
6. Sochalski J. Is More Better? The Relationship Between Nurse Staffing and the Quality of Nursing Care in Hospitals. Medical care. 2004; 42(2 suppl): II67-73. https://doi.org/10.1097/01.mlr.0000109127.76128.aa
7. Schubert M, Glass TR, Clarke SP, Aiken LH, Schaffert-Witvliet B, Sloane DM Rationing of nursing care and its relationship to patient outcomes: the swiss extension of the international hospital outcomes study. Int J Qual Health Care 2008; 20(4): pp. 227–37. https://doi.org/10.1093/intqhc/mzn017
8. Kalisch BJ. Landstrom GL,Hinshaw AS. Missed nursing care: a concept analysis. J Adv Nurs. 2009. 65(7), 1509–17. https://doi.org/10.1111/j.1365-2648.2009.05027.x
9. Ausserhofer D, Zander B, Busse R, Schubert M, De Geest S, Rafferty AM, et al. Prevalence, patterns and predictors of nursing care left undone in European hospitals: results from the multicountry cross-sectional RN4CAST study. BMJ Qual Saf 2014; 23(2):126-35. https://doi.org/10.1136/bmjqs-2013-002318
10. Hamilton P, Willis E, Jones T, McKelvie R, Blackman I, Toffoli L, et al. Evaluating the Performance of a Single-Item, Global, Estimate of Missed Nursing Care. J Nurs Meas. 2017; 25 (1):121-41. https://doi.org/10.1891/1061-3749.25.1.121
11. Sasso L, Bagnasco A, Aleo G, Catania G, Dasso N, Zanin M, et al. Incorporating nursing complexity in reimbursement coding systems: the potential impact on missed care. BMJ Qual Saf. 2017; 26(11): 929-32. http://dx.doi.org/10.1136/bmjqs-2017-006622
12. Moreno-Monsiváis MG, Moreno-Rodríguez C, Interial-Guzmán MG. Omisión en atención de enfermería para pacientes hospitalizados. Aquichan. 2015; 15 (3): 329-38. https://doi.org/10.5294/aqui.2015.15.3.2
13. Hernández-Cruz R, Moreno-Monsiváis MG, Cheverría-Rivera S, Díaz-Oviedo A. Factors influencing the missed nursing care in patients from a private hospital. Rev Lat Am Enfermagem 2017;25. http://dx.doi.org/10.1590/1518-8345.1227.2877
14. Zárate-Grajales R, Salcedo-Álvarez RA, Olvera-Arreola SS, Hernández-Corral S, Barrientos-Sánchez J, Pérez-López MT, et al. Eventos adversos en pacientes hospitalizados reportados por enfermería: un estudio multicéntrico en México. Enferm Univ. 2017. 14 (4). 277 - 85. https://doi.org/10.1016/j.reu.2017.08.005
15. Orique SB, Patty CM, Sandidge A, Camarena E, Newsom R. Quantifying Missed Nursing Care Using the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) Survey. J Nurs Adm. 2017; 47 (12):616-22. https://doi.org/10.1097/NNA.0000000000000556
16. Ball JE, Bruyneel L, Aiken LH, Sermeus W, Sloane DM, Rafferty AM, et al. Post-operative mortality, missed care and nurse staffing in nine countries: A cross-sectional study. Int J Nurs Stud. 2018;78:10-15. https.//doi.org/10.1016 / j.ijnurstu.2017.08.004
17. Lake ET, Germack HD, Viscardi MK. Missed nursing care is linked to patient satisfaction: a cross-sectional study of US hospitals. BMJ Qual Saf, 2016; 25(7): 535-43. http://doi.org/10.1136 /bmjqs-2015-003961
18. Hessels AJ, Flynn L,. Cimiotti JP, Cadmus E, Gershon R. The impact of the nursing practice environment on missed nursing care. Clin Nurs Stud. 2015; 3, (4): 60-5. https://doi.org/10.5430/cns.v3n4p60
19. Lake ET, de Cordova PB, Barton S, Singh S, Agosto PD, Ely B, et al. Missed nursing care in pediatrics. Hosp Pediatr. 2017; 7(7): 378-84. https://doi.org/10.1542 / hpeds.2016-0141
20. Bragadóttir H, Kalisch BJ, Tryggvadóttir GB. Correlates and predictors of missed nursing care in hospitals. J Clin Nurs. 2017; 26 (11-12):1524-34. http://doi.org/10.1111/jocn.13449
21. Blackman I, Henderson J, Willis E, Hamilton P, Toffoli L, Verrall C, et al. Factors influencing why nursing care is missed. J Clin Nurs. 2015; 24 (1-2):47-56. https://doi.org/10.1111/jocn.12688
22. Bragadóttir H, Kalisch BJ. Comparison of reports of missed nursing care: Registered Nurses vs. practical nurses in hospitals. Scand J Caring Sci. 2018; 32(3):1227-36. https://doi.org/10.1111/scs.12570
23. Carthon JM, Lasater KB, Sloane DM, Kutney-Lee A. The quality of hospital work environments and missed nursing care is linked to heart failure readmissions: a cross-sectional study of US hospitals. BMJ Qual Saf. 2015; 24 (4): 255-63. https://doi.org/10.1136/bmjqs-2014-003346
24. Castner J, Wu YW, Dean-Baar S. Multi-Level Model of Missed Nursing Care in the Context of Hospital Merger. West J Nurs Res. 2015; 37 (4): 441-61. https://doi.org/10.1177/0193945914535670
25. Cho SH, Kim YS, Yeon KN, You SJ, Lee ID. Effects of increasing nurse staffing on missed nursing care. Int Nurs Rev. 2015 Jun; 62 (2): 267-74. https://doi.org/10.1111/inr.12173
26. Cho SH, Mark BA, Knafl G, Chang HE, Yoon HJ. Relationships Between Nurse Staffing and Patients’ Experiences, and the Mediating Effects of Missed Nursing Care. J Nurs Scholarsh. 2017; 49 (3):347-55. https://doi.org/10.1111/jnu.12292
27. Dabney BW, Kalisch BJ. Nurse staffing levels and patient-reported missed nursing care. J Nurs Care Qual. 2015;30(4):306-12. https://doi.org/10.1097/NCQ.0000000000000123
28. Siqueira-Dias Castilho L, Caliri-Larcher MH, Haas Vanderlei J, Kalisch B, Dantas-Spadoti RA. Validation of the MISSCARE-BRASIL survey-A tool to assess missed nursing care. Rev lat-am enferm. 2017; 25. http://dx.doi.org/10.1590/1518-8345.2354.2975
29. Friese RC, Kalisch BJ, Lee KH. Patterns and correlates of missed nursing care in inpatient oncology units. Cancer nurs. 2013; 36(6): E51-7. https://doi.org/10.1097/NCC.0b013e318275f552
30. Gibbon B, Crane J. The impact of ‘missed care’on the professional socialisation of nursing students: A qualitative research study. Nurse Educ Today 2018; 66:19-24. https://doi.org/10.1016 /j.nedt.2018.04.002
31. Kalisch BJ, Gosselin K, Choi SH. A comparison of patient care units with high versus low levels of missed nursing care. Health care management review, 2012; 37(4): 320-8. https://doi.org/10.1097/HMR.0b013e318249727e
32. Kalisch BJ, Lee KH. Missed nursing care: Magnet versus non-Magnet hospitals. Nurs outlook 2012; 60(5); e32-e39. https://doi.org/10.1016/j.outlook.2012.04.006
33. Kalisch BJ, Tschannen D, Lee KH. Missed nursing care, staffing, and patient falls. J Nurs Care Qual. 2012; 27(1):6-12. https://doi.org/10.1097/NCQ.0b013e318225aa23
34. Kalisch BJ, Doumit M, Lee KH, Zein JE. Missed nursing care, level of staffing, and job satisfaction: Lebanon versus the United States. J Nurs Adm. 2013; 43(5):274-9. https://doi.org/10.1097/NNA.0b013e31828eebaa
35. Kalisch BJ, XIE B, Dabney BW. Patient-reported missed nursing care correlated with adverse events. Am J Med Qual. 2014; 29(5): 415-22. https://doi.org/10.1177/1062860613501715
36. Knopp‐Sihota JA, Niehaus L, Squires JE, Norton PG, Estabrooks CA. Factors associated with rushed and missed resident care in western Canadian nursing homes: a cross‐sectional survey of health care aides. J Clin Nurs 2015; 24(19-20): 2815-25. https://doi.org/10.1111/jocn.12887
37. Maloney S, Fend JL, Hardin SR. Is Nursing Care Missed? A Comparative Study of Three North Carolina Hospitals. Med Surg Nurs. 2015; 24(4): 229-35.
38. McNair N, Baird J, Grogan TR, Walsh CM, Liang LJ. Worobel-Luk P, et al. Is Spending More Time Associated With Less Missed Care?: A Comparison of Time Use and Missed Care Across 15 Nursing Units at 2 Hospitals. J Nurs Adm. 2016; 46(9):428-37. https://doi.org/10.1097/NNA.0000000000000371
39. Nelson ST, Flynn L. Relationship between missed care and urinary tract infections in nursing homes. Geriatr Nurs. 2015; 36(2):126-30. https://doi.org/10.1016/j.gerinurse.2014.12.009
40. Orique SB, Patty CM, Woods E. Missed Nursing Care and Unit-Level Nurse Workload in the Acute and Post-Acute Settings. J Nurs Care Qual. 2016; 31 (1):84-9. https://doi.org/10.1097/NCQ.0000000000000140
41. Palese A, Ambrosi E, Prosperi L, Guarnier A, Barelli, Pet al. Missed nursing care and predicting factors in the Italian medical care setting. Intern Emerg Med. 2015; 10 (6):693-702. https://doi.org/10.1007/s11739-015-1232-6
42. Phelan A, McCarthy S, Adams E. Examining missed care in community nursing: A cross section survey design. J Adv Nurs. 2018;74 (3):626-36. https://doi.org/10.1111/jan.13466
43. Saqer TJ, Abualrub RF. Missed nursing care and its relationship with confidence in delegation among hospital nurses. J Clin Nurs. 2018; 27(13-14): 2887-95. https://doi.org/10.1111/jocn.14380
44. Simpson KR, Lyndon A. Consequences of delayed, unfinished, or missed nursing care during labor and birth. J Perinat Neonatal Nurs. 2017; 31(1):32-40. http://doi.org/10.1097/JPN.0000000000000203
45. Tubbs-Cooley HL, Pickler RH, Mara CA, Othman M, Kovacs A, Mark BA. Hospital Magnet® designation and missed nursing care in neonatal intensive care units. J Pediatr Nurs. 2017; 34: 5-9. https://doi.org/10.1016/j.pedn.2016.12.004
46. Hernández-Valles JH, Moreno-Monsivais MG, Interial-Guzman MG, Vázquez-Arreola L. Nursing care missed in patients at risk of or having pressure ulcers. Rev. Lat-am Enfermagem 2016; 24. http://dx.doi.org/10.1590/1518-8345.1462.2817
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48. Willis E, Harvey C, Thompson S, Pearson M, Meyer A. Work Intensification and Quality Assurance: Missed Nursing Care. J Nurs Care Qual. 2018;33(2): E10-E16. https://doi.org/10.1097/NCQ.0000000000000277
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51. Srulovici E, Drach-Zahavy A. Nurses’ personal and ward accountability and missed nursing care: A cross-sectional study. Int J Nurs Stud. 2017; 75: 163-71. https://doi.org/10.1016/j.ijnurstu.2017.08.003
52. Jangland Eva, Teodorsson T, Molander K, Muntlin Athlin Å. Inadequate environment, resources and values lead to missed nursing care: A focused ethnographic study on the surgical ward using the Fundamentals of Care framework. J. Clin Nurs. 2018;27(11-12):2311-21. https://doi.org/10.1111/jocn.14095
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58. Zúñiga F, Ausserhofer D, Hamers JP, Engberg S, Simon M, Schwendimann R. The relationship of staffing and work environment with implicit rationing of nursing care in Swiss nursing homes–a cross-sectional study. Int J Nurs Stud. 2015; 52(9):1463-74. https://doi.org/10.1016/j.ijnurstu.2015.05.005
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60. Ball JE, Griffiths P, Rafferty AM, Lindqvist R, Murrells T, Tishelman C. A cross‐sectional study of ‘care left undone’on nursing shifts in hospitals. J. Adv Nurs. 2016; 72(9): 2086-97. https://doi.org/10.1111/jan.12976
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2. World Health Organization. Patient Safety. A World Aliance for Safer Health Care. Marco conceptual de la Clasificación Internacional para la seguridad del paciente. Versión 1.1. Genova: WHO; 2009. http://bit.ly/2IpE7qT
3. Blackman I, Papastavrou E, Palese A, Vryonides S, Henderson J, Willis E. Predicting variations to missed nursing care: A three-nation comparison. J Nurs Manag. 2018; 26(1): 33-41. https://doi.org/10.1111/jonm.12514
4. Kalisch BJ, Xie B. Errors of Omission: Missed Nursing Care. West J Nurs Res. 2014; 36(7):875-90. https://doi.org/10.1177/0193945914531859
5. Agency of Healthcare Research and Quality (AHRQ). PSNet Patient Safety Network: Glossary. Rockville, MD: AHRQ, 2014. http://bit.ly/2AJLVzA
6. Sochalski J. Is More Better? The Relationship Between Nurse Staffing and the Quality of Nursing Care in Hospitals. Medical care. 2004; 42(2 suppl): II67-73. https://doi.org/10.1097/01.mlr.0000109127.76128.aa
7. Schubert M, Glass TR, Clarke SP, Aiken LH, Schaffert-Witvliet B, Sloane DM Rationing of nursing care and its relationship to patient outcomes: the swiss extension of the international hospital outcomes study. Int J Qual Health Care 2008; 20(4): pp. 227–37. https://doi.org/10.1093/intqhc/mzn017
8. Kalisch BJ. Landstrom GL,Hinshaw AS. Missed nursing care: a concept analysis. J Adv Nurs. 2009. 65(7), 1509–17. https://doi.org/10.1111/j.1365-2648.2009.05027.x
9. Ausserhofer D, Zander B, Busse R, Schubert M, De Geest S, Rafferty AM, et al. Prevalence, patterns and predictors of nursing care left undone in European hospitals: results from the multicountry cross-sectional RN4CAST study. BMJ Qual Saf 2014; 23(2):126-35. https://doi.org/10.1136/bmjqs-2013-002318
10. Hamilton P, Willis E, Jones T, McKelvie R, Blackman I, Toffoli L, et al. Evaluating the Performance of a Single-Item, Global, Estimate of Missed Nursing Care. J Nurs Meas. 2017; 25 (1):121-41. https://doi.org/10.1891/1061-3749.25.1.121
11. Sasso L, Bagnasco A, Aleo G, Catania G, Dasso N, Zanin M, et al. Incorporating nursing complexity in reimbursement coding systems: the potential impact on missed care. BMJ Qual Saf. 2017; 26(11): 929-32. http://dx.doi.org/10.1136/bmjqs-2017-006622
12. Moreno-Monsiváis MG, Moreno-Rodríguez C, Interial-Guzmán MG. Omisión en atención de enfermería para pacientes hospitalizados. Aquichan. 2015; 15 (3): 329-38. https://doi.org/10.5294/aqui.2015.15.3.2
13. Hernández-Cruz R, Moreno-Monsiváis MG, Cheverría-Rivera S, Díaz-Oviedo A. Factors influencing the missed nursing care in patients from a private hospital. Rev Lat Am Enfermagem 2017;25. http://dx.doi.org/10.1590/1518-8345.1227.2877
14. Zárate-Grajales R, Salcedo-Álvarez RA, Olvera-Arreola SS, Hernández-Corral S, Barrientos-Sánchez J, Pérez-López MT, et al. Eventos adversos en pacientes hospitalizados reportados por enfermería: un estudio multicéntrico en México. Enferm Univ. 2017. 14 (4). 277 - 85. https://doi.org/10.1016/j.reu.2017.08.005
15. Orique SB, Patty CM, Sandidge A, Camarena E, Newsom R. Quantifying Missed Nursing Care Using the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) Survey. J Nurs Adm. 2017; 47 (12):616-22. https://doi.org/10.1097/NNA.0000000000000556
16. Ball JE, Bruyneel L, Aiken LH, Sermeus W, Sloane DM, Rafferty AM, et al. Post-operative mortality, missed care and nurse staffing in nine countries: A cross-sectional study. Int J Nurs Stud. 2018;78:10-15. https.//doi.org/10.1016 / j.ijnurstu.2017.08.004
17. Lake ET, Germack HD, Viscardi MK. Missed nursing care is linked to patient satisfaction: a cross-sectional study of US hospitals. BMJ Qual Saf, 2016; 25(7): 535-43. http://doi.org/10.1136 /bmjqs-2015-003961
18. Hessels AJ, Flynn L,. Cimiotti JP, Cadmus E, Gershon R. The impact of the nursing practice environment on missed nursing care. Clin Nurs Stud. 2015; 3, (4): 60-5. https://doi.org/10.5430/cns.v3n4p60
19. Lake ET, de Cordova PB, Barton S, Singh S, Agosto PD, Ely B, et al. Missed nursing care in pediatrics. Hosp Pediatr. 2017; 7(7): 378-84. https://doi.org/10.1542 / hpeds.2016-0141
20. Bragadóttir H, Kalisch BJ, Tryggvadóttir GB. Correlates and predictors of missed nursing care in hospitals. J Clin Nurs. 2017; 26 (11-12):1524-34. http://doi.org/10.1111/jocn.13449
21. Blackman I, Henderson J, Willis E, Hamilton P, Toffoli L, Verrall C, et al. Factors influencing why nursing care is missed. J Clin Nurs. 2015; 24 (1-2):47-56. https://doi.org/10.1111/jocn.12688
22. Bragadóttir H, Kalisch BJ. Comparison of reports of missed nursing care: Registered Nurses vs. practical nurses in hospitals. Scand J Caring Sci. 2018; 32(3):1227-36. https://doi.org/10.1111/scs.12570
23. Carthon JM, Lasater KB, Sloane DM, Kutney-Lee A. The quality of hospital work environments and missed nursing care is linked to heart failure readmissions: a cross-sectional study of US hospitals. BMJ Qual Saf. 2015; 24 (4): 255-63. https://doi.org/10.1136/bmjqs-2014-003346
24. Castner J, Wu YW, Dean-Baar S. Multi-Level Model of Missed Nursing Care in the Context of Hospital Merger. West J Nurs Res. 2015; 37 (4): 441-61. https://doi.org/10.1177/0193945914535670
25. Cho SH, Kim YS, Yeon KN, You SJ, Lee ID. Effects of increasing nurse staffing on missed nursing care. Int Nurs Rev. 2015 Jun; 62 (2): 267-74. https://doi.org/10.1111/inr.12173
26. Cho SH, Mark BA, Knafl G, Chang HE, Yoon HJ. Relationships Between Nurse Staffing and Patients’ Experiences, and the Mediating Effects of Missed Nursing Care. J Nurs Scholarsh. 2017; 49 (3):347-55. https://doi.org/10.1111/jnu.12292
27. Dabney BW, Kalisch BJ. Nurse staffing levels and patient-reported missed nursing care. J Nurs Care Qual. 2015;30(4):306-12. https://doi.org/10.1097/NCQ.0000000000000123
28. Siqueira-Dias Castilho L, Caliri-Larcher MH, Haas Vanderlei J, Kalisch B, Dantas-Spadoti RA. Validation of the MISSCARE-BRASIL survey-A tool to assess missed nursing care. Rev lat-am enferm. 2017; 25. http://dx.doi.org/10.1590/1518-8345.2354.2975
29. Friese RC, Kalisch BJ, Lee KH. Patterns and correlates of missed nursing care in inpatient oncology units. Cancer nurs. 2013; 36(6): E51-7. https://doi.org/10.1097/NCC.0b013e318275f552
30. Gibbon B, Crane J. The impact of ‘missed care’on the professional socialisation of nursing students: A qualitative research study. Nurse Educ Today 2018; 66:19-24. https://doi.org/10.1016 /j.nedt.2018.04.002
31. Kalisch BJ, Gosselin K, Choi SH. A comparison of patient care units with high versus low levels of missed nursing care. Health care management review, 2012; 37(4): 320-8. https://doi.org/10.1097/HMR.0b013e318249727e
32. Kalisch BJ, Lee KH. Missed nursing care: Magnet versus non-Magnet hospitals. Nurs outlook 2012; 60(5); e32-e39. https://doi.org/10.1016/j.outlook.2012.04.006
33. Kalisch BJ, Tschannen D, Lee KH. Missed nursing care, staffing, and patient falls. J Nurs Care Qual. 2012; 27(1):6-12. https://doi.org/10.1097/NCQ.0b013e318225aa23
34. Kalisch BJ, Doumit M, Lee KH, Zein JE. Missed nursing care, level of staffing, and job satisfaction: Lebanon versus the United States. J Nurs Adm. 2013; 43(5):274-9. https://doi.org/10.1097/NNA.0b013e31828eebaa
35. Kalisch BJ, XIE B, Dabney BW. Patient-reported missed nursing care correlated with adverse events. Am J Med Qual. 2014; 29(5): 415-22. https://doi.org/10.1177/1062860613501715
36. Knopp‐Sihota JA, Niehaus L, Squires JE, Norton PG, Estabrooks CA. Factors associated with rushed and missed resident care in western Canadian nursing homes: a cross‐sectional survey of health care aides. J Clin Nurs 2015; 24(19-20): 2815-25. https://doi.org/10.1111/jocn.12887
37. Maloney S, Fend JL, Hardin SR. Is Nursing Care Missed? A Comparative Study of Three North Carolina Hospitals. Med Surg Nurs. 2015; 24(4): 229-35.
38. McNair N, Baird J, Grogan TR, Walsh CM, Liang LJ. Worobel-Luk P, et al. Is Spending More Time Associated With Less Missed Care?: A Comparison of Time Use and Missed Care Across 15 Nursing Units at 2 Hospitals. J Nurs Adm. 2016; 46(9):428-37. https://doi.org/10.1097/NNA.0000000000000371
39. Nelson ST, Flynn L. Relationship between missed care and urinary tract infections in nursing homes. Geriatr Nurs. 2015; 36(2):126-30. https://doi.org/10.1016/j.gerinurse.2014.12.009
40. Orique SB, Patty CM, Woods E. Missed Nursing Care and Unit-Level Nurse Workload in the Acute and Post-Acute Settings. J Nurs Care Qual. 2016; 31 (1):84-9. https://doi.org/10.1097/NCQ.0000000000000140
41. Palese A, Ambrosi E, Prosperi L, Guarnier A, Barelli, Pet al. Missed nursing care and predicting factors in the Italian medical care setting. Intern Emerg Med. 2015; 10 (6):693-702. https://doi.org/10.1007/s11739-015-1232-6
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