Comparing two identification methods of missed nursing care




Wegmann, Deborrah Jane

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The purpose of this study was to compare two methods for identifying missed nursing care. The two identification methods were: ( 1) Self-reporting by nursing staff using the MIS SCARE survey and (2) a 1nedical record audit. The research questions asked if missed nursing care was identifiable by either method for the patient population of patients who experienced a pressure ulcer, (b) did personnel type (registered nurse vs. nursing assistant) make a difference in the identifying missed nursing care, (c) did the time of day (peak vs. off-peak hours) make a difference in the identification of missed nursing care, (d) was missed nursing care a predictor for the occurrence of pressure ulcers, and (e) if missed nursing care was a predictor for the occurrence of pressure ulcers which care variables contributed to the predictor model? Data were collected from the study hospital 's MISSCARE survey and a medical record audit. A comparison was conducted using (SAS 9.1) exploratory technique , MANOV A, multinomial and logistic regression to test the five research question . Three research questions were not supported by the data and were retired. The personnel type question showed that more missed nursing care was reported by the registered nurse population. The time of day questions showed that ambulation that was missed at the 50%-75% level had a greater odds ratio than the other care variables. No other significant relationships were identified. A second dependent variable was identified and used. The Braden Risk Assessment score for each patient was used a proxy for the potential of a pressure ulcer occurrence. The prediction capability of the Braden Risk Assessment score to identify missed nursing care was not significant for any of the care variables. The comparison of the two identification methods revealed the same trending that is noted in other reported studies. The rates are lower than the other studies. Missed nursing care is comparably identified using either the self-reported MISSCARE survey or a medical record audit using the six selected care variables.



Nursing, Medical record audit, Missed nursing care, Health care management, Comparative studies, Medical records, Health and environmental sciences, Self-reporting, MISSCARE survey, Pressure ulcers, Braden Risk Assessment