Evidence map›Paper›PMID 38671443›Full record

ArticleBMC nursing2024

Missing nurses cause missed care: is that it? Non-trivial configurations of reasons associated with missed care in Austrian hospitals - a qualitative comparative analysis.

Ana Cartaxo, Hanna Mayer, Inge Eberl, Johannes M Bergmann

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Article in BMC nursing, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Ana CartaxoVienna Doctoral School of Social Sciences, University of Vienna, Universitätsstraße 7, Vienna, Austria. ana.cartaxo@univie.ac.at.
Hanna MayerDivision Nursing Science With Focus On Person-Centred Care Research, Department of General Health Studies, Karl Landsteiner University of Health Sciences, Dr.-Karl-Dorrek-Straße 30, Krems, Austria.
Inge EberlFaculty of Social Work, Catholic University of Eichstätt-Ingolstadt, Ostenstraße 26, Eichstätt, Germany.
Johannes M BergmannMünster Department of Health, FH Münster University of Applied Sciences, Johann-Krane-Weg 21, Münster, 48149, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundErrors of omissions affect the quality of nursing care in hospitals. The Missed Nursing Care Model explains that the reasons for missed care are linked with 1) demand for patient care, 2) labor resource allocation, 3) material resource allocation, and 4) relationship and communication factors. Scientific evidence points to a lack of adequate nursing staffing as the most important factor triggering missed care. However, it remains unclear how the different theoretical reasons for missed care are interlinked with reports on missed care from the perspective of nurses in acute care settings. The aim of this study was to explore non-trivial configurations of reasons for missed care that are associated with missed care interventions from the perspective of nurses working in general units in Austrian hospitals.

methodsA cross-sectional study was conducted. Data collection was performed using the revised MISSCARE-Austria questionnaire. Our sample consisted of 401 nurses who provided complete data. Data were analyzed using qualitative comparative analysis. Configurational models of contextual factors, reasons for missed care, and missed nursing interventions were analyzed.

resultsIn our study contextual factors were not consistent precursors of the reasons for missed care. Missed care was consistently present when the demand for patient care was high. A lack of labor resources, in combination with the other known reasons for missed care, was consistently observed when missed care occurred. Different configurations of reasons were found to be non-trivially associated with different types and frequencies of missed care.

conclusionsTo understand the complexity of the causal mechanisms of missed care, complexity theory may be necessary. Accordingly, a theoretical framework that acknowledges that complex systems, such as missed care, are composed of multiple interacting causal components must be further developed to guide new methodical approaches to enlighten its causal mechanisms.

Indexed as

Acute careLogical configurationsQCAQualitative comparative analysisReasons for missed careUnfinished care

Identifiers

PMID38671443
PMCPMC11055368

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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.