Evidence map›Paper›PMID 29517813›Full record

SynthesisJournal of advanced nursing2018

The association between nurse staffing and omissions in nursing care: A systematic review.

Peter Griffiths, Alejandra Recio-Saucedo, Chiara Dall'Ora, Jim Briggs, Antonello Maruotti, Paul Meredith, Gary B Smith, Jane Ball, Missed Care Study Group

Abstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Journal of advanced nursing, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 209 papers, 11 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
209citing papers in PubMed, 11 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

209 citing papers in PubMed, 11 syntheses or guidelines pooled it.

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  5. The Impact of Rationing Nursing Care on Patient Safety: A Systematic Review.Medical science monitor : international medical journal of experimental and clinical research · 2024
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149 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Peter GriffithsFaculty of Health Sciences, University of Southampton, Southampton, UK.ORCID http://orcid.org/0000-0003-2439-2857
Alejandra Recio-SaucedoFaculty of Health Sciences, University of Southampton, Southampton, UK.ORCID http://orcid.org/0000-0003-2823-4573
Chiara Dall'OraFaculty of Health Sciences, University of Southampton, Southampton, UK.ORCID http://orcid.org/0000-0002-6858-3535
Jim BriggsUniversity of Portsmouth, Portsmouth, UK.ORCID http://orcid.org/0000-0003-1559-4879
Antonello MaruottiFaculty of Health Sciences, University of Southampton, Southampton, UK.ORCID http://orcid.org/0000-0001-8377-9950
Paul MeredithPortsmouth Hospitals NHS Trust, Hampshire, UK.ORCID http://orcid.org/0000-0002-5464-371X
Gary B SmithUniversity of Bournemouth, Poole, UK.ORCID http://orcid.org/0000-0003-2070-8455
Jane BallFaculty of Health Sciences, University of Southampton, Southampton, UK.ORCID http://orcid.org/0000-0002-8655-2994
Missed Care Study Group

Funding

Department of Health HS&DR/13/114/17
6 · The paper itself

Abstract

aimsTo identify nursing care most frequently missed in acute adult inpatient wards and to determine evidence for the association of missed care with nurse staffing.

backgroundResearch has established associations between nurse staffing levels and adverse patient outcomes including in-hospital mortality. However, the causal nature of this relationship is uncertain and omissions of nursing care (referred as missed care, care left undone or rationed care) have been proposed as a factor which may provide a more direct indicator of nurse staffing adequacy.

designSystematic review. DATA SOURCES: We searched the Cochrane Library, CINAHL, Embase and Medline for quantitative studies of associations between staffing and missed care. We searched key journals, personal libraries and reference lists of articles. REVIEW

methodsTwo reviewers independently selected studies. Quality appraisal was based on the National Institute for Health and Care Excellence quality appraisal checklist for studies reporting correlations and associations. Data were abstracted on study design, missed care prevalence and measures of association. Synthesis was narrative.

resultsEighteen studies gave subjective reports of missed care. Seventy-five per cent or more nurses reported omitting some care. Fourteen studies found low nurse staffing levels were significantly associated with higher reports of missed care. There was little evidence that adding support workers to the team reduced missed care.

conclusionsLow Registered Nurse staffing is associated with reports of missed nursing care in hospitals. Missed care is a promising indicator of nurse staffing adequacy. The extent to which the relationships observed represent actual failures, is yet to be investigated.

Indexed as

Health Care RationingHospital MortalityHumansNursesNursing CareNursing Staff, HospitalPatient Care TeamPersonnel Staffing and Schedulingcare left undonehospitalimplicit rationingmissed carenursing staffqualityskill mixsystematic reviewworkforce

Identifiers

PMID29517813
PMCPMC6033178

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.