AI Article Synopsis
- The study highlights that missed nursing care in NICUs can negatively impact infant health outcomes, with 36% of nurses reporting missed care activities.
- Prevalence of missed care varies significantly across different units, often linked to higher workloads and challenging work environments.
- Recommendations include adjusting nurse assignments based on patient acuity and improving staffing and work conditions to decrease missed care and enhance overall care quality for infants and families.
Article Abstract
The health outcomes of infants in neonatal intensive care units (NICUs) may be jeopardized when required nursing care is missed. This correlational study of missed care in a U.S. NICU sample adds national scope and an important explanatory variable, patient acuity. Using 2016 NICU registered nurse survey responses ( = 5,861) from the National Database of Nursing Quality Indicators, we found that 36% of nurses missed one or more care activities on the past shift. Missed care prevalence varied widely across units. Nurses with higher workloads, higher acuity assignments, or in poor work environments were more likely to miss care. The most common activities missed involved patient comfort and counseling and parent education. Workloads have increased and work environments have deteriorated compared with 8 years ago. Nurses' assignments should account for patient acuity. NICU nurse staffing and work environments warrant attention to reduce missed care and promote optimal infant and family outcomes.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6739170 | PMC |
| http://dx.doi.org/10.1177/1077558718806743 | DOI Listing |
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