article · International Journal of Africa Nursing Sciences
A study conducted across public hospitals in the North Shewa Zone evaluated the scale and drivers of missed nursing care. Drawing on survey data from 315 randomly selected hospital nurses, the assessment identified an overall missed nursing care prevalence of 33 per cent. Shortages in labour resources and material resources were cited by 85.4 per cent and 84.55 per cent of participants respectively as the leading causes. Several professional and operational circumstances significantly increased the likelihood of omitted care. These included holding a nursing diploma, possessing between six months and two years of clinical experience, rotating across day and night shifts, working over 400 hours of overtime across three months, and experiencing dissatisfaction with the profession. Despite an overall rate deemed relatively low, essential clinical tasks such as initial evaluations and physical examinations were frequently neglected.
Missed nursing care directly impacts clinical outcomes and patient safety within healthcare systems. Identifying the operational factors linked to omitted duties, such as extreme overtime, shift scheduling, and supply constraints, assists hospital administrators in targeting workforce reforms. Recognising that vital activities like initial patient evaluations are being overlooked highlights the urgent need to address resource deficits and reduce staff exhaustion.
The findings can inform the design of healthcare workforce management software, shift-scheduling tools, and hospital resource-planning systems tailored to resource-constrained clinical settings. Hospital administrators and operational software developers could use these empirical risk factors to automate workload monitoring and prevent excessive overtime. Because the study represents observational health services research rather than a tool trial, any resulting management or scheduling applications remain at an early, conceptual development stage.
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Missed nursing care (MNC) is a global problem that could endanger patient safety in all nations and cultures and have a detrimental effect on patient outcomes. To assess the magnitude, reason and associated factors of missed nursing care in case of North Shewa Zone public Hospitals, 2021. Institution based cross-sectional study was conducted among randomly selected 315 nurses working in selected Hospitals from April 1-20/2021. Data was collected through self- administered MISSCARE survey tools. Model fitness was checked by Hosmer and Lemshow goodness of fit. Variables that have p <0.05 with 95% CI in the multi variable logistic regression model were considered as statically significant. Descriptive statistics were done and presented with tables and graphs. The prevalence of missed nursing care in study area was 33%. Labor resource (85.4%) and material resource (84.55%) were main reasons. Nurses who were diploma holder (AOR = 4.5; 95% CI: 2.29,8.84), work experience 6m-2yrs (AOR = 1.5; 95% CI: 1.1,2.2), worked with day and night shift (AOR = 4.1; 95% CI: 1.9,8.5), worked over time greater than 400hrs in the past 3months (AOR = 3.8; 95% CI: 1.4, 9.9) and dissatisfaction in nursing profession(AOR = 2.2; 95% CI: 1.1, 4.5) were associated with missed nursing care. In the research area, the incidence of MNC was relatively low; however crucial nursing care tasks like initial evaluation and physical examination were neglected.
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DOI: 10.1016/j.ijans.2022.100497
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