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Review Article Open Access

Structural and Procedural Risk Factors Correlated to Missed Nursing Care in Hospitals

Abstract

Objective: To identify, based on the scientific literature, the structural and procedural risk factors correlated to missed nursing care in hospitals. Materials and Methods: This is an integrative literature review, which was conducted in May 2020, through empirical articles indexed in the Medical Literature and Retrieval System Online, Cumulative Index to Nursing and Allied Health Literature, Web of Science and Scopus databases. The studies were independently selected by two reviewers. Quality appraisal was based on the Quality Assessment Tool. Data were abstracted from the study design and the measures of the factors correlated to missed nursing care. Data were descriptively analysed by means of conceptual frameworks. Results: Fifteen risk factors for missed nursing care were investigated. The conceptual framework of the study was composed of thirteen variables: ten structural factors (teamwork, nurses’ perceptions of the impact of healthcare information technology on practice, personal accountability, nurse work environment, patient safety culture, ethical climate, collective efficacy, personality traits, workload and work alienation) and three procedural factors (frequency of nursing care reminders, errors of commission and ward accountability). Conclusion: Confidence in delegation and professional quality of life showed no significant correlation to missed nursing care, while workload still requires inferential statistical evidence.

Vanessa Caminha Aguiar Lopes*, Dinara Raquel Araújo Silva, Hillda Dandara Carvalho Santos Leite, Ana Maria Ribeiro Dos Santos, Elis Marina Carvalho Alves Batista, Lidya Tolstenko Nogueira

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