Sworn, K. orcid.org/0000-0001-6247-4007 and Booth, A. orcid.org/0000-0003-4808-3880 (2020) A systematic review of the impact of ‘missed care’ in primary, community and nursing home settings. Journal of Nursing Management, 28 (8). pp. 1805-1829. ISSN 0966-0429
Abstract
Aim
To explore ‘missed care’ in relation to primary and community settings, including nursing homes, and to build an understanding of implications for patients, public, politicians and policymakers.
Background
Missed care occurs when any aspect of required patient care is omitted or delayed. Little attention has examined missed care in primary, community and nursing home settings.
Methods
Systematic review of the literature. Searches were conducted of PubMed, CINAHL, Google Scholar (July 2018). The quality of empirical studies was appraised using CASP and SURE tools.
Results
The search identified 15 metrics papers (2004–2019) and eight empirical papers (2015–2018) (five studies). Empirical studies were rated as good quality. Missed care impacts on safety in community/primary care contexts and differs from acute care. Causes of missed care include acuity, complexity of cases, volume of care and organisational factors. Metrics have been adapted to community/nursing home settings but not in a standardised way. Tools are required to evaluate missed care within a culture of personal reflection and quality improvement.
Conclusion
The prominence of missed acute care should not distract from its impact in primary, community and nursing home settings. Nurse leaders should consider causes for missed care, and how it is conceptualized and evaluated.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2020 John Wiley & Sons Ltd. This is an author-produced version of a paper subsequently published in Journal of Nursing Management. Uploaded in accordance with the publisher's self-archiving policy. |
Keywords: | missed care; metrics; evaluation; primary care; nursing homes |
Dates: |
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Institution: | The University of Sheffield |
Academic Units: | The University of Sheffield > Faculty of Medicine, Dentistry and Health (Sheffield) > School of Health and Related Research (Sheffield) > ScHARR - Sheffield Centre for Health and Related Research |
Depositing User: | Symplectic Sheffield |
Date Deposited: | 18 Mar 2020 12:17 |
Last Modified: | 03 Dec 2021 09:53 |
Status: | Published |
Publisher: | Wiley |
Refereed: | Yes |
Identification Number: | 10.1111/jonm.12969 |
Related URLs: | |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:158522 |