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Nurse Staffing Levels and Patient-Reported Missed Nursing Care

Dabney, Beverly Waller PhD, RN; Kalisch, Beatrice J. PhD, RN, FAAN

doi: 10.1097/NCQ.0000000000000123

A total of 729 inpatients were surveyed using the MISSCARE Survey–Patient. Missed timeliness, patient reports of the time it took for them to receive care from nursing staff, was negatively associated with total nursing staff hours of care per patient-day (r = −0.09, P = .015), registered nurse (RN) hours per patient-day (r = −0.14, P = .0002), and RN skill mix (r = −0.13, P = .0004). RN skill mix was also a predictor of missed timeliness (P = .01).

Supplemental Digital Content is Available in the Text.

Department of Nursing, University of Michigan-Flint, Flint, MI (Dr. Dabney); and School of Nursing, University of Michigan, Ann Arbor, MI (Dr. Kalisch).

Correspondence: Beverly Waller Dabney, PhD, RN, Nursing, University of Michigan–Flint, 303 E. Kearsley Street, Flint, MI 48502-1950 (

Funding for this study was provided by Blue Cross Blue Shield Foundation of Michigan.

Supplemental digital content is available for this article. Direct URL citation appears in the printed text and is provided in the HTML and PDF versions of this article on the journal's Web site (

The authors have no conflicts of interest.

Accepted for publication: March 8, 2015.

Published ahead of print: April 29, 2015

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