Predicting variations to missed nursing care: a three-nation comparison
Journal
Journal of Nursing Management
Date Issued
January 2018
DOI
10.1111/jonm.12514
Abstract
Aims: To measure and model Australian, Cypriot and Italian nurses’ beliefs about what
care is missed and how frequently it occurs within their settings.
Background: This study expands on previous MISSCARE research but now applies and
predicts missed care within three countries.
Methods: Multivariate analysis was performed to estimate 1,896 nurses’ consensus
scores about missed care activities based on Alfaro-Lefevre’s
conceptual framework
of care priorities.
Results: Five latent variables have direct predictor effects on missed care frequencies.
Another four variables including the nurses’ age, highest qualifications, absenteeism
rate and workplace type, contributed to explaining the overall variance of missed care
scores. The nurses’ gender had no influence on missed care.
Conclusion: Cross country comparisons of missed nursing care allow for a more refined
identification of strategies for remediation for both managers and clinicians.
Implications for Nursing Management: Reliable consensus estimates about the types
and frequencies of missed care can be scaled with variables identified to predict
missed care across three different countries. Comparative international studies build
on the foundations for understanding missed care in terms of nursing practices, policies
and related social policies.
care is missed and how frequently it occurs within their settings.
Background: This study expands on previous MISSCARE research but now applies and
predicts missed care within three countries.
Methods: Multivariate analysis was performed to estimate 1,896 nurses’ consensus
scores about missed care activities based on Alfaro-Lefevre’s
conceptual framework
of care priorities.
Results: Five latent variables have direct predictor effects on missed care frequencies.
Another four variables including the nurses’ age, highest qualifications, absenteeism
rate and workplace type, contributed to explaining the overall variance of missed care
scores. The nurses’ gender had no influence on missed care.
Conclusion: Cross country comparisons of missed nursing care allow for a more refined
identification of strategies for remediation for both managers and clinicians.
Implications for Nursing Management: Reliable consensus estimates about the types
and frequencies of missed care can be scaled with variables identified to predict
missed care across three different countries. Comparative international studies build
on the foundations for understanding missed care in terms of nursing practices, policies
and related social policies.