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Variations in Missed Care Across Oncology Nursing Specialty Units

Villamin, Colleen, MSN, RN, OCN, CNL; Anderson, Jacqueline, PhD, RN, NEA-BC, CPHQ; Fellman, Bryan, MS; Urbauer, Diana, MS; Brassil, Kelly, PhD, RN, AOCNS, ACNS-BC, CNL

doi: 10.1097/NCQ.0000000000000324
Original Article: PDF Only

Background: An opportunity was identified to compare perceptions of the occurrence and types of missed care at a comprehensive cancer center.

Purpose: The purpose was to evaluate the difference in perceived occurrence and types of missed care between medical, surgical, and hematologic oncology units in the context of a newly implemented patient care delivery system, Primary Team Nursing (PTN).

Methods: A descriptive, repeated-measures design was used. The MISSCARE survey was distributed electronically to 580 staff members across 6 inpatient units.

Results: Frequently perceived elements of missed nursing care were ambulation, turning every 2 hours, and care conference attendance. At the time of study implementation, surgical units reported 0.24 higher scores than medical units (P = .017); hematology units reported 0.26 lower scores than surgical units (P = .005). PTN status did not affect MISSCARE scores (P = .525).

Conclusions: Study findings suggest that perceived missed care in a comprehensive cancer center is similar to that in other hospital settings.

University of Texas MD Anderson Cancer Center, Houston.

Correspondence: Colleen Villamin, MSN, RN, OCN, CNL, University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd, Houston, TX 77030 (cvillamin@mdanderson.org).

This research is supported in part by the National Institutes of Health through MD Anderson's Cancer Center Support Grant CA016672.

The authors declare no conflicts of interest.

Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal's Web site (www.jncqjournal.com).

Accepted for publication: February 19, 2018

Published ahead of print: April 19, 2018

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