ArticleBMC geriatrics2021
Factors affecting missed nursing care in hospitalized frail older adults in the medical wards: a qualitative study.
Article in BMC geriatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 20 citations in OpenAlex.
- Iranian Older Adults' Experiences of the Age-friendliness of Kashan City: A Qualitative Content Analysis Study.International journal of community based nursing and midwifery · 2026Article
- Nurses' and older patients' perspectives on missed nursing care contextualised within the Fundamentals of Care Framework: A cross-sectional survey.International journal of nursing studies advances · 2025Article
- The Reasons for Unfinished Nursing Care during the COVID-19 Pandemic: An Integrative Review.Nursing reports (Pavia, Italy) · 2024Review
- Frailty in Older Adults with Dengue Fever.Medicina (Kaunas, Lithuania) · 2024Article
- Association of nursing hours with cognitive function, balance, and dependency level of stroke patients.Nursing open · 2023Observational
- What are the reasons for unfinished nursing care as perceived by hospitalized patients? Findings from a qualitative study.Health expectations : an international journal of public participation in health care and health policy · 2023Article
- Explanation of factors forming missed nursing care during the COVID-19 pandemic: A qualitative study.Frontiers in public health · 2023Article
- Unfinished nursing care reasons as perceived by nurses at different levels of nursing services: Findings of a qualitative study.Journal of nursing management · 2022Article
- Comparing Emergency Nursing Measures Before and During COVID-19: A Retrospective Study of Assessment, Triage, and Workflow.SAGE open nursingArticle
- Unveiling the Perception of Nurses and Challenges to Admitted Geriatric Patients in Pakistan: A Qualitative Explorative Study.Sage open agingArticle
- Changing Hospital Care For Older Adults: The Case for Geriatric Hospitals in the United States.Gerontology & geriatric medicineArticle
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Authors and funding
4 authors at 3 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundFrail older adults who are hospitalized, are more likely to experience missed nursing care (MNC) due to high care needs, communication problems, and complexity of nursing care. We conducted a qualitative study to examine the factors affecting MNC among hospitalized frail older adults in the medical units.
methodsThis qualitative study was carried using the conventional content analysis approach in three teaching hospitals. Semi-structured interviews were conducted with 17 nurses through purposive and snowball sampling. The inclusion criteria for the nurses were: at least two years of clinical work experience on a medical ward, caring for frail older people in hospital and willingness to participate. Data were analyzed in accordance with the process described by Graneheim and Lundman. In addition, trustworthiness of the study was assessed using the criteria proposed by Lincoln and Guba.
resultsIn general, 20 interviews were conducted with nurses. A total of 1320 primary codes were extracted, which were classified into two main categories: MNC aggravating and moderating factors. Factors such as "age-unfriendly structure," "inefficient care," and "frailty of older adults" could increase the risk of MNC. In addition, factors such as "support capabilities" and "ethical and legal requirements" will moderate MNC.
conclusionsHospitalized frail older adults are more at risk of MNC due to high care needs, communication problems, and nursing care complexity. Nursing managers can take practical steps to improve the quality of care by addressing the aggravating and moderating factors of MNC. In addition, nurses with a humanistic perspective who understand the multidimensional problems of frail older adults and pay attention to their weakness in expressing needs, can create a better experience for them in the hospital and improve patient safety.
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