Missed nursing care is a pervasive problem in acute care hospitals as is dysfunctional nursing teamwork. Given that teamwork has a significant impact on healthcare quality and patient safety, the author reports findings from a study that examined differences in perceptions between RNs and nursing assistants as to the extent of missed nursing care and the reasons for missing that care. Study findings point to a lack of essential elements of teamwork (ie, closed-looped communication, leadership, team orientation, trust, and shared mental models). The author analyzes what this reveals about teamwork between these 2 groups of nursing personnel who work side by side caring for the same patients and offers specific interventions.
Author Affiliation: Chair, Nursing Business and Health Systems, Titus Professor, University of Michigan, Ann Arbor, Michigan.
Correspondence: University of Michigan School of Nursing, 400 N Ingalls St, Ann Arbor, MI 48109 (firstname.lastname@example.org).
Funding: This study was funded by the Michigan Center for Health Intervention, University of Michigan School of Nursing, National Institutes of Health-National Institute for Nursing Research (P30 NR009000) and by the Blue Cross Blue Shield Foundation of Michigan.