Abstract
Background
The objective of this study was to examine whether the amount, type, and reasons of
missed nursing care differ between Magnet and non-Magnet hospitals.
Method
Data were collected from 124 medical-surgical, intermediate, intensive care, and rehabilitation
units in 11 hospitals located in the Midwest and Western regions of the United States.
A cross-sectional, descriptive study was conducted. The MISSCARE Survey was utilized to collect data on the level of perceived missed nursing care, and nursing
staffing data was collected for each study unit.
Findings
Missed nursing care showed significant differences according to Magnet status. Separate
analysis showed no staffing-level difference between Magnet and non-Magnet hospitals.
Conclusions
The authors concluded that efficiencies in operations, work environment, and culture
characterized by Magnet hospitals should be promoted.
Keywords
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References
- Nursing priorities for the 1980's: hospitals and nursing homes.Am J Nurs. 1981; 81: 324-330
- Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction.JAMA. 2002; 288: 1987-1993
- The Magnet nursing services recognition program: A comparison of two groups of Magnet hospitals.Am J Nurs. 2000; 100: 26-36
- Effects of organizational innovations in AIDS care on burnout among urban hospital nurses.Work and Occupations. 1997; 24: 453-477
- Organization and outcomes of inpatient AIDS care.Med Care. 1999; 37: 760-772
- Lower medicare mortality among a set of hospitals known for good nursing care.Med Care. 1994; 32: 771-787
American Nurses Credentialing Center (ANCC). (2010). Magnet recognition program overview.
- Errors in the administration of intravenous medication in Brazilian hospitals.J Clin Nurs. 2007; 16: 1839-1847
- Medication errors observed in 36 health care facilities.Arch Intern Med. 2002; 162: 1897-1903
- Further evidence on the magnet recognition program: implications for nursing leaders.J Nurs Admin. 2005; 35: 397-403
- Frequency of hallway ambulation by hospitalized older adults on medical units of an academic hospital.Geriatr Nurs. 2005; 25: 212-217
- The effects of nurse staffing on adverse events, morbidity, mortality, and medical costs.Nurs Res. 2003; 52: 71-79
- Transforming nursing workflow, Part 1: the chaotic nature of nurse activities.J Nurs Admin. 2010; 40: 366-373
- Statistical tests for moderator variables: flaws in analyses recently proposed.Psych Bull. 1987; 102: 414-417
- The quality of care.JAMA. 1988; 260: 1743-1748
- Nurse staffing and patient falls on acute care hospital units.Nurs Outlook. 2004; 52: 53-59
- Shift work and its impact upon nurse performance: current knowledge and research issues.J Adv Nurs. 1999; 29: 18-27
- Nurse practice environments and outcomes: implications for oncology nursing.Oncol Nurs Forum. 2005; 32: 765-772
- A descriptive report of errors and adverse events in chronic hemodialysis units.Nephrol News Issues. 2006; 20 (60-1): 57-58
- Hospital variation in missed nursing care.Am J Med Qual. 2011; 26: 291-299
- Missed nursing care: a qualitative study.J Nurs Care Qual. 2006; 21: 306-313
- Missed nursing care: errors of omission.Nurs Outlook. 2006; 57: 3-9
- The impact of teamwork on missed nursing care.Nurs Outlook. 2010; 58: 233-241
- Development and psychometric testing of a tool to measure missed nursing care.J Nurs Admin. 2009; 39: 211-219
- Missed nursing care: A concept analysis.J Adv Nurs. 2009; 65: 1509-1517
- Missed Nursing Care, Staffing, and Patient Falls.J Nurs Care Qual. 2011; 27: 6-12
- Nurse staffing and postsurgical adverse events: an analysis of administrative data from a sample of U.S. hospitals, 1990-1996.Health Serv Res. 2009; 37: 611-629
- Essentials of a magnetic work environment, part 1.Nursing. 2004; 34: 50-54
- Body positioning of intensive care patients: clinical practice versus standards.Crit Care Med. 2002; 30: 2588-2592
- Nursing support, workload, and intent to stay in Magnet, Magnet-aspiring, and non-Magnet hospitals.J Nurs Admin. 2007; 37: 199-205
- Patient falls: Association with hospital Magnet status and nursing unit staffing.Res Nurs Health. 2010; 33: 413-425
- Workplace empowerment and magnet hospital characteristics: making the link.J Nurs Admin. 2003; 33: 410-422
- Impact of Magnet hospital characteristics on nurses' perceptions of trust, burnout, quality of care, and work satisfaction.Nurs Econ. 2001; 19: 209-219
- Patient outcomes: are they linked to registered nurse absenteeism, separation, or work load?.J Nurs Admin. 1994; 24: 48-55
- Nurse-staffing levels and the quality of care in hospitals.New Engl J Med. 2002; 346: 1715-1722
- Prevalence of patients at nutritional risk in Danish hospitals.Clin Nutr. 2004; 3: 1009-1015
- Characteristics of pediatric chemotherapy medication errors in a national error reporting database.Cancer. 2007; 110: 186-195
- The working hours Of hospital staff nurses and patient safety.Health Affair. 2004; 23: 202-212
- Essentials of a productive nurse work environment.Nurs Res. 2008; 57: 2-13
- Rationing of nursing care and its relationship to patient outcomes: the Swiss extension of the International Hospital Outcomes Study.IntJ Qual Health Care. 2008; 20: 227-237
- Is more better?: the relationship between nurse staffing and the quality of nursing care in hospitals.Med Care. 2004; 42: II67-II73
- Magnet status and registered nurse views of the work environment and nursing as a career.J Nurs Admin. 2007; 37: 212-220
- Assessing differences in job satisfaction of nurses in magnet and nonmagnet hospitals.J Nurs Admin. 2002; 32: 564-576
Article info
Publication history
Published online: July 23, 2012
Accepted:
April 22,
2012
Received in revised form:
March 27,
2012
Received:
August 28,
2011
Online 21 February 2012Footnotes
This project was funded by the Blue Cross Blue Shield Foundation of Michigan.
Identification
Copyright
© 2012 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
