Elsevier

Collegian

Volume 30, Issue 1, February 2023, Pages 110-118
Collegian

Examining the reasons for missed nursing care from the viewpoints of nurses in public, private, and university hospitals in Jordan: A cross-sectional research

https://doi.org/10.1016/j.colegn.2022.08.001Get rights and content

Abstract

Background

Missed nursing care is an indicator of quality nursing care. It is a significant healthcare delivery problem, especially given increased demand and limited resources worldwide, including in Jordan. It is paramount to identify the reasons for missed care in hospital settings.

Aim

To identify the perceptions of registered nurses for missed nursing care in medical and surgical wards in Jordanian hospitals. We also aimed to identify differences in the reported reasons for missed nursing care across three healthcare sectors: public, private, and university.

Methods

A quantitative approach utilising a cross-sectional design was conducted by surveying registered nurses at 10 hospitals in Jordan. This study employed the MISSCARE Survey tool. The data collection was performed between March and July 2021. Descriptive statistics and analysis of variance were used to address the objectives.

Findings

A sample of 672 registered nurses working in medical and surgical wards in 10 acute care hospitals in Jordan were recruited. The major reason for missed nursing care was inadequate number of staff. Communication issues were more important to missed nursing care in university hospitals than public and private hospitals.

Conclusion

A study of Jordanian registered nurses revealed that a perceived shortage of human resources is the principal reason for missed nursing care in medical and surgical wards. Comparing the reasons for missed nursing care between the three hospital sectors could help nursing administrators to tailor operational interventions to mitigate the effect of these causes. Therefore, reducing missed nursing care.

Section snippets

Introduction and background

Patient safety has become a central priority of healthcare systems across the globe (Nantsupawat et al., 2021). Nurses constitute the largest proportion of healthcare providers (Marufu, Collins, Vargas, Gillespie, & Almghairbi, 2021). Research reveals that nursing care significantly influences patient safety (Najafi, 2021) and the overall quality of healthcare (Aiken et al., 2017; Marufu et al., 2021). Missed nursing care (MNC) is a global healthcare issue (Janatolmakan & Khatony, 2022;

Study design

This study was conducted using a cross-sectional design to explore the reasons for MNC as perceived by RNs in medical and surgical wards in Jordan.

Setting and sample

The study was performed at 10 hospitals with bed capacities of more than 150 beds at each hospital. RN's in hospitals from the north, middle, and south of Jordan were selected. Overall five public, three private, and two university hospitals were included. It was assumed that different types of hospitals and areas in the country would impact on the

Demographic characteristics of respondents

The demographic and work-related characteristics of the participants are summarised in Table 1. A total of 672 RNs participated in this study about their perceptions of MNC (response rate: 68%). The mean age of the sample was 30.7 years. The sample included 251 males (37.4%) and 421 females (62.6%). The majority of responses came from bachelor's degree holders (n = 577, 85.9%) were working in public hospitals (n = 297, 44.2%). In terms of shift work, 57% of the participants worked in the

Discussion

MNC is a complex healthcare issue that has a significant impact on patient safety (Albelbeisi, Shaqfa, Aiash, Kishta, & Alreqeb, 2021; Albsoul, FitzGerald, Hughes, & Alshyyab, 2021). The aim of this study was to examine the reasons for MNC in a sample of Jordanian hospitals. We also examined the differences in reasons of MNC across various hospital types in the Jordanian healthcare sector. We used the English version of the MISSCARE survey to collect the data and descriptive and inferential

Conclusion

This study provides baseline data for the reasons of missed nursing care in medical and surgical wards in Jordanian hospitals. While these findings are specific to Jordanian hospitals, it reinforces the global impact of these issues regardless of variations in culture, resources and health system structures. Findings from this study emphasise the significance of ensuring the availability of sufficient staffing and equipment resources to reduce the instances of missed care. We found variations

Authorship contribution statement

RA contributed to research design, data analysis, interpretation of the results, and manuscript write-up. LJ contributed to data analysis, interpretation of the results, manuscript writing up and review. MA, JH, GF contributed significantly to the interpretation of the results, manuscript write-up, and review.

Funding

This research was funded by the Deanship of Scientific Research at the University of Jordan.

Ethical statement

This material is the authors' own original work, which has not been previously published and not currently being considered for publication elsewhere. The paper reflects the authors' own research and analysis in a truthful and complete manner. The paper properly credits the meaningful contributions of co-authors and co-researchers. The results are appropriately placed in the context of prior and existing research. All sources used are properly disclosed (correct citation). All authors have been

Conflict of interest

None.

Acknowledgements

The authors thank all the nurses who participated in this study for their invaluable time and information. Thanking is also extended to research assistants who helped in data collecting.

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