International Emergency Nursing Vol. 69 July 2023
Missed nursing care in emergency departments: A scoping review(Review)
Dublin Core
Title
International Emergency Nursing Vol. 69 July 2023
Missed nursing care in emergency departments: A scoping review(Review)
Missed nursing care in emergency departments: A scoping review(Review)
Subject
Missed nursing care, Emergency service, hospital, Emergency care, Patient safety, Nurses, Emergency department, Quality health care, Nursing care left undone, Unfinished nursing care
Description
Background: Patient safety is a global health priority. Errors of omission, such as missed nursing care in hospitals, are frequent and may lead to adverse events. Emergency departments (ED) are especially vulnerable to patient safety errors, and the significance missed nursing care has in this context is not as well known as in other contexts.
Aim: The aim of this scoping review was to summarize and disseminate research about missed nursing care in the context of EDs.
Method: A scoping review following the framework suggested by Arksey and O’Malley was used to (1) identify the research question; (2) identify relevant studies; (3) select studies; (4) chart the data; (5) collate, summarize, and report the results; and (6) consultation.
Results: In total, 20 themes were derived from the 55 included studies. Missed or delayed assessments or other fundamental care were examples of missed nursing care characteristics. EDs not staffed or dimensioned in relation to the patient load were identified as a cause of missed nursing care in most included studies. Clinical
deteriorations and medication errors were described in the included studies in relation to patient safety and quality of care deficiencies. Registered nurses also expressed that missed nursing care was undignified and unsafe.
Conclusion: The findings from this scoping review indicate that patients’ fundamental needs are not met in the ED, mainly because of the patient load and how the ED is designed. According to registered nurses, missed nursing care is perceived as undignified and unsafe.
Aim: The aim of this scoping review was to summarize and disseminate research about missed nursing care in the context of EDs.
Method: A scoping review following the framework suggested by Arksey and O’Malley was used to (1) identify the research question; (2) identify relevant studies; (3) select studies; (4) chart the data; (5) collate, summarize, and report the results; and (6) consultation.
Results: In total, 20 themes were derived from the 55 included studies. Missed or delayed assessments or other fundamental care were examples of missed nursing care characteristics. EDs not staffed or dimensioned in relation to the patient load were identified as a cause of missed nursing care in most included studies. Clinical
deteriorations and medication errors were described in the included studies in relation to patient safety and quality of care deficiencies. Registered nurses also expressed that missed nursing care was undignified and unsafe.
Conclusion: The findings from this scoping review indicate that patients’ fundamental needs are not met in the ED, mainly because of the patient load and how the ED is designed. According to registered nurses, missed nursing care is perceived as undignified and unsafe.
Creator
Henrik Duhalde, Kaisa Bjuresater, Ingela Karlsson, Carina Bååth
Publisher
Elsevier Ltd.
Date
July 2023
Contributor
Sri Wahyuni
Rights
1755-599X
Format
PDF
Language
English
Type
Text
Coverage
International Emergency Nursing Vol. 69 July 2023
Files
Citation
Henrik Duhalde, Kaisa Bjuresater, Ingela Karlsson, Carina Bååth, “International Emergency Nursing Vol. 69 July 2023
Missed nursing care in emergency departments: A scoping review(Review),” Repository Horizon University Indonesia, accessed November 21, 2024, https://repository.horizon.ac.id/items/show/1804.
Missed nursing care in emergency departments: A scoping review(Review),” Repository Horizon University Indonesia, accessed November 21, 2024, https://repository.horizon.ac.id/items/show/1804.