Evidence map›Paper›PMID 31449691›Full record

ArticleJournal of nursing management2020

Linking the work environment to missed nursing care in labour and delivery.

Eileen T Lake, Rachel French, Kathleen O'Rourke, Jordan Sanders, Sindhu K Srinivas

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of nursing management, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 1 pooled it
14.3field-weighted citation impact, top 1% of its field
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

33 citing papers in PubMed, 1 synthesis or guideline pooled it, 75 citations in OpenAlex.

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  19. Three Missed Critical Nursing Care Processes on Labor and Delivery Units During the COVID-19 Pandemic.Journal of obstetric, gynecologic, and neonatal nursing : JOGNN · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Eileen T LakeCenter for Health Outcomes and Policy Research, School of Nursing, University of Pennsylvania, Philadelphia, Pennsylvania.ORCID https://orcid.org/0000-0002-8823-3436
Rachel FrenchCenter for Health Outcomes and Policy Research, School of Nursing, University of Pennsylvania, Philadelphia, Pennsylvania.
Kathleen O'RourkeNursing Department, Women's Health, University of Pennsylvania Health System, Philadelphia, Pennsylvania.
Jordan SandersNursing Department, University of Vermont Medical Center, Burlington, Vermont.
Sindhu K SrinivasDepartment of Obstetrics and Gynecology, Maternal and Child Health Research Program, University of Pennsylvania, Perelman School of Medicine, Philadelphia, Pennsylvania.
University of Pennsylvania · USUniversity of Pennsylvania Health System · USUniversity of Vermont Medical Center · US

Funding

ADVANCED TRAINING IN NURSING OUTCOMES RESEARCHT32NR007104 · NINR · UNIVERSITY OF PENNSYLVANIA · PI JACQUELINE MARGO BROOKS CARTHON, EILEEN T LAKE · 1999 to 2026
$11.6M
Outcomes of Nurse Practice EnvironmentsR01NR004513 · NINR · UNIVERSITY OF PENNSYLVANIA · PI AIKEN, LINDA H · 1997 to 2012
$5.9M
NINR NIH HHS R01 NR004513NINR NIH HHS T32 NR007104University of Pennsylvania School of Nursing Office of Nursing Research
6 · The paper itself

Abstract

aimTo measure the association between the nurse work environment (NWE) and missed nursing care on labour and delivery (L&D) units.

backgroundL&D units provide a sizable fraction of acute hospital services to a unique population that is a national and global priority. L&D nurses are the frontline providers during labour. Maternal morbidity and mortality may be influenced by the NWE and missed care.

methodsThis cross-sectional study utilized secondary data from 1,313 L&D staff nurses in 247 hospitals from a four-state nurse survey collected in 2005-2008.

resultsHalf of nurses missed care (range: zero to 100% across hospitals). Nurses on average missed 1.25 of 10 activities. The most commonly missed activities were comforting/talking with patients and teaching/counselling. In better as compared to poor NWEs, the odds and frequency of missed care were significantly lower.

conclusionsL&D nurses routinely miss necessary nursing activities. Labouring women's psychosocial, comfort and educational needs are compromised most often, likely impacting quality and outcomes. Nurse communication with colleagues and managers about missed care is warranted. IMPLICATIONS FOR NURSING MANAGEMENT: The L&D NWE is modifiable and appears to influence missed care. Managers should discuss missed care with staff and measure their NWE to identify actionable weaknesses.

Indexed as

Nursing Staff, HospitalObstetric NursingWorkplaceCross-Sectional StudiesFemaleHospitalsHumansQuality of Health Carecross-sectionalmissed nursing carenurse survey researchorganizational researchquantitativesystems researchwork environment

Identifiers

PMID31449691
PMCPMC7042061
OpenAlexW2970785875

What OpenQuestion holds

Textmetadata
LicenceTDM
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.