ArticleMCN. The American journal of maternal child nursing
Missed Nursing Care During Labor and Birth and Exclusive Breast Milk Feeding During Hospitalization for Childbirth.
Article in MCN. The American journal of maternal child nursing. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 32 citations in OpenAlex.
- Categorizing missed nursing care to effectively investigate its influencing factors among pediatric nurses: a regional cross-sectional survey.BMC nursing · 2025Article
- Missed nursing care and its causes and effects on moral distress in neonatal intensive care nurses.Nursing in critical care · 2025Article
- Psychometric Properties of the Lactation Assessment and Comprehensive Intervention Tool (LAT).Nursing reports (Pavia, Italy) · 2024Article
- Translation and psychometric testing of the Chinese version of the Perinatal Missed Care Survey.International journal of nursing sciences · 2024Article
- Three Missed Critical Nursing Care Processes on Labor and Delivery Units During the COVID-19 Pandemic.Journal of obstetric, gynecologic, and neonatal nursing : JOGNN · 2023Article
- Development and Validation of the Missed Nursing Care Tool for Pre-Operative Patients with Lung Cancer in China.Patient preference and adherence · 2023Article
- [Nursing mothers satisfaction with the promotion of breastfeeding and professionals adherence to the recommendations. Multi-center study.]Revista espanola de salud publica · 2020Article
- Article
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
Abstract
purposeThe purpose of this study was to determine associations between missed nursing care and nurse staffing during labor and birth, and exclusive breast milk feeding at hospital discharge. STUDY DESIGN AND
methodsLabor and birth nurses in three states were surveyed about missed nursing care and their maternity units' adherence to the AWHONN (2010) nurse staffing guidelines for care during labor and birth, using the Perinatal Misscare Survey. Nursing responses were aggregated to the hospital level and estimated associations between missed nursing care, nurse staffing, and hospitals' exclusive breast milk feeding rates were measured using The Joint Commission's Perinatal Care Measure (PC-05).
resultsSurveys from 512 labor nurses in 36 hospitals were included in the analysis. The mean exclusive breast milk feeding rate was 53% (range 13%-76%). Skin-to-skin care, breastfeeding within 1 hour of birth, and appropriate recovery care were on average occasionally missed (2.33 to 2.46 out of 4; 1 = rarely, 2 = occasionally, 3 = frequently, or 4 = always) and were associated with PC-05 [B(CI) -17.1(-29, -6.3), -17.9(-30.5, -6.2), and -15.4(-28.7, -2.1), respectively]. Adherence with overall staffing guidelines was associated with PC-05 [12.9(3.4, 24.3)]. Missed nursing care was an independent predictor of PC-05 [-14.6(-26.4, -2.7)] in a multilevel model adjusting for staffing guideline adherence, perceived quality, mean age of respondents, and nurse burnout. CLINICAL IMPLICATIONS: Exclusive breast milk feeding is a national quality indicator of inpatient maternity care. Nurses have substantial responsibility for direct support of infant feeding during the childbirth hospitalization. These results support exclusive breast milk feeding (PC-05) as a nurse-sensitive quality indicator.
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