ArticleJournal of obstetric, gynecologic, and neonatal nursing : JOGNN2023
Three Missed Critical Nursing Care Processes on Labor and Delivery Units During the COVID-19 Pandemic.
Article in Journal of obstetric, gynecologic, and neonatal nursing : JOGNN, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 9 citations in OpenAlex.
- Article
- Capabilities of computerized decision support systems supporting the nursing process in hospital settings: a scoping review.BMC nursing · 2025Article
- Development of a novel artificial intelligence algorithm for interpreting fetal heart rate and uterine activity data in cardiotocography.Frontiers in digital health · 2025Article
- The role of nurses, midwives, and doulas on breastfeeding: changes during the COVID-19 pandemic.Frontiers in global women's health · 2025Article
- Mapping the Contributing Factors to Missed Nursing Care in Hospital Settings During a Global Health Crisis: A Systematic Scoping Review.Journal of nursing management · 2025Article
- Article
- Practice-Based Research From the Frontlines: Selected Strategies for Reducing Health Disparities and Accelerating Progress Toward Health Equity in the United States.Public health reports (Washington, D.C. : 1974)Article
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo examine the relationships of three missed critical nursing care processes on labor and delivery units with reduced nursing time at the bedside and adequacy of unit staffing during the COVID-19 pandemic in the United States.
designA cross-sectional survey.
settingOnline distribution from January 14 to February 26, 2021.
participantsA national convenience sample (N = 836) of registered nurses employed on labor and delivery units.
methodsWe conducted descriptive analyses on respondent characteristics and critical missed care items adapted from the Perinatal Missed Care Survey. We conducted robust logistic regression analyses to assess the relationships of three missed critical nursing care processes (surveillance of fetal well-being, excessive uterine activity, and development of new maternal complications) with reduced nursing time at the bedside and adequacy of unit staffing during the COVID-19 pandemic.
resultsLess nursing time at the bedside was associated with greater odds of missing any of the critical aspects of care, adjusted odds ratio = 1.77, 95% confidence interval [1.12, 2.80]. Adequate staffing greater than or equal to 75% of the time was associated with lower odds of missing any of the critical aspects of care compared to adequate staffing less than or equal to 50% of the time, adjusted odds ratio = 0.54, 95% confidence interval [0.36, 0.79].
conclusionPerinatal outcomes are dependent on the timely recognition of and response to abnormal maternal and fetal conditions during childbirth. In times of unexpected complexity in care and resource constraints, a focus on three critical aspects of perinatal nursing care is needed to maintain patient safety. Strategies that enable bedside presence of nurses, including maintaining adequate unit staffing, may help to mitigate missed care.
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