Skip Navigation LinksHome > October/December 2012 - Volume 37 - Issue 4 > A comparison of patient care units with high versus low leve...
Health Care Management Review:
doi: 10.1097/HMR.0b013e318249727e

A comparison of patient care units with high versus low levels of missed nursing care

Kalisch, Beatrice J.; Gosselin, Kate; Choi, Seung Hee

Collapse Box


Background: In a previous study, the nursing staff on 110 patient care units in 10 hospitals participated in a quantitative study of missed nursing care.

Purpose: The aim of this study was to gain an understanding of the differences in patient care units that had the most missed nursing care with those with the least missed nursing care.

Methodology: Focus groups were conducted with the registered nurse staff on the 5 units with the most missed nursing care and 5 units with the least missed care.

Findings: Ten themes were identified: (a) staffing levels, (b) communication, (c) collective orientation, (d) backup, (e) monitoring, (f) leadership, (g) long tenure, (h) unit size, (i) trust, and (j) accountability. Taken together, the predominant difference found was that units with the least missed care had higher teamwork.

Practice Implications: Strategies for developing interventions to decrease missed care and increase teamwork are presented.

© 2012 Lippincott Williams & Wilkins, Inc.


Article Tools


Article Level Metrics

Search for Similar Articles
You may search for similar articles that contain these same keywords or you may modify the keyword list to augment your search.