Nursing Practice Environment and Its Relation to Missed Nursing Care : A Scoping Review

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Rahmah A Aloufi*, Maram A Banakhar, Duaa A Hafez, “Nursing Practice Environment and Its Relation to Missed Nursing Care : A Scoping Review”, ijmhs, vol. 10, no. 07, pp. 1191–1197, Jul. 2020.
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Abstract

Objective: To examine the association between the practice environment of nursing and the
missed care of nursing in a systematic way in the related literature.
Methodology: An extensive search was conducted in CINAHL, ProQuest, ERIC, MEDLINE,
Web of Science, PubMed, and Science Direct databases. the included studies were published
during time period of 2015-2020 with full text.
Results: A total of 110 studies were screened, out of which 19 studies were identified to be
eligible as per fulfillment of inclusion/exclusion criteria. Degraded quality of nursing,
inpatient complications, and mishaps, as well as negative patient outcomes, is examined as
examples for results of missed nursing care. The nurses missed the process and task of
providing important patient care because of the increased workload, less communication and
poor working environment. Inadequate resources and staffing were the major factors that
were linked with the events of missed nursing care.
Conclusion: It is concluded that reducing and modifying the examined factors, such as poor
working environment, inadequate staffing, less resources, poor communication among
nurses or patients etc. may decrease the missed nursing care practice. In addition, the missed
nursing can also be managed through the practical implementation of motivating positive
work environment and safety culture of patients. These improvements and practical
implementation will help to provide quality patient care and decrease the missed nursing
care.
Keywords: Practice environment, missed nursing care, Teamwork, communication,
workload, resources.

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“I certify that I have participated sufficiently in the conception and design of this work and the analysis of the data (wherever applicable), as well as the writing of the manuscript, to take public responsibility for it. I believe the manuscript represents valid work. I have reviewed the final version of the manuscript and approve it for publication. Neither has the manuscript nor one with substantially similar content under my authorship been published nor is being considered for publication elsewhere, except as described in an attachment. Furthermore I attest that I shall produce the data upon which the manuscript is based for examination by the editors or their assignees, if requested.”