Background: Patient safety is a critical component of quality health care. Nurses have an essential role in maintaining patient safety. A breakdown in organizational structures and processes may result in care being missed. Missed nursing care (MNC) is the delay or withholding of any aspect of nursing care. Either the delay or withholding of care is termed an act of omission. The study will examine the impact of workload, teamwork and communication on missed care by unlicensed assistive personnel in long-term care facilities. Methods: Guided by the Missed Nursing Care Model, the study used a cross-sectional design to examine the relationship between the variables. Participants were recruits from two multi-care nursing and rehabilitation long-term facilities in the Bronx, New York. An a-priori power analysis in G power was used to determine a minimum sample of 83. The study included unlicensed assistive personnel (UAPs). UAPs included CNAs, Nurse Aides, PCTS. All other disciplines were excluded from the study. IRB approval was received from Rutgers University and a letter of cooperation was approved by the Director or Nursing and Compliance Officer at the facilities. The survey includes Demographics characteristics, MISSCARE survey Part A, Nursing Teamwork Survey, Individual Workload and the Communication Satisfaction Survey. SPSS Version 31 was used to analysis data. Results: Statistical testing included descriptive statistics, Pearson’ s correlation, ANOVA, T-tests, simple linear and multiple linear regression analysis. Communication had a positive but non-significant relationship with missed care. Teamwork had a positive significant relationship with missed care. An inverse relationship was hypothesized. There was a positive significant relationship between workload and missed care. The years of work experience by UAPs had a statistically significant relationship with missed care. Tukey HSD post hoc analysis identified the following groups with significant relationships: 1 month and 2 years (p=.02) and 2 years and 5 years (p=0.02). After controlling work experience, teamwork and workload are significant predictors of missed care. Workload explained 15% of the variance and teamwork accounted for 20% of variance in missed care. Conclusion: The findings in the study partially support the theory that relational and structural propositions exist between antecedents and the occurrence of missed care. Teamwork’s significant relationship showed it influenced missed care and communication alone or in conjunction with other study variables did not influence missed care among UAPs.
Lashaun Smith (Thu,) studied this question.