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Impact of teamwork on missed care in four Australian hospitals

Rose Chapman, Asheq Rahman, Mary Courtney and Cheyne Chalmers

Journal of Clinical Nursing, 2017, vol. 26, issue 1-2, 170-181

Abstract: Aims and objectives Investigate effects of teamwork on missed nursing care across a healthcare network in Australia. Background Missed care is universally used as an indicator of quality nursing care, however, little is known about mitigating effects of teamwork on these events. Design A descriptive exploratory study. Methods Missed Care and Team Work surveys were completed by 334 nurses. Using Stata software, nursing staff demographic information and components of missed care and teamwork were compared across the healthcare network. Statistical tests were performed to identify predicting factors for missed care. Results The most commonly reported components of missed care were as follows: ambulation three times per day (43·3%), turning patient every two hours (29%) and mouth care (27·7%). The commonest reasons mentioned for missed care were as follows: inadequate labour resources (range 69·8–52·7%), followed by material resources (range 59·3–33·3%) and communication (range 39·3–27·2%). There were significant differences in missed care scores across units. Using the mean scores in regression correlation matrix, the negative relationship of missed care and teamwork was supported (r = −0·34, p

Date: 2017
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https://doi.org/10.1111/jocn.13433

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