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6 t h I n t e r n a t i o n a l C o n f e r e n c e o n
Advance Nursing Practice
Journal of Nursing and Health Studies
ISSN 2574-2825
J u n e 2 1 - 2 2 , 2 0 1 8
P a r i s , F r a n c e
Advance Nursing Practice 2018
Page 22
Missed care is a recently described concept subject to an increasing amount of
international nursing research. The impact of missed care is associated with
poorer patient outcomes (mortality and morbidity) and poor patient satisfaction
with the services provided by the hospital. Missed care has also been linked to
decreased staff satisfaction and increased intention to leave. Overall disaffection
amongst registered nurses is also reported. Professional socialisation refers to
the acquisition of behaviours within cultural norms, and it has been suggested
that students enter a period of professional socialisation during their programme.
Whilst it has been proposed that students may absorb the characteristics of those
around them, to date, no empirical studies have reported the impact of missed care
on student nurses. The aim of this project was to explore the impact of missed
care on the professional socialisation of student nurses. A qualitative study was
undertaken in one higher education institute in UK with final year pre-registration
nursingdegree (Adultfield) students. Focusgroup interviews, utilizinga topicguide,
were used to collect data which was analysed using thematic analysis. Student
nurses were aware that some planned care is missed and that the activities most
frequently missed were discharge planning and patient teaching, surveillance:
in particular skin inspections, ambulating patients, emotional support, hygiene,
especially oral hygiene, and maintaining intake and output documentation. The
participants explained that care missed was due to staffing shortages, competing
demands, and poor teamcoordination. They had developed strategies tominimise
the impact of missed care on patients and on themselves. The findings of this
small scale study suggest that missed care is a characteristic of the professional
socialisation of student nurses and that pragmatic acceptance is internalised.
Although this study is set within nurse education in the UK it has relevance within
a global context.
Biography
Julie Crane is a Registered General Nurse with 30 years of
experience in Nursing and Healthcare. She is Head of the
Directorate of Nursing at the University of Liverpool. She has
been a Nurse Educator for 13 years, and has undertaken many
roles within the University. In her current role she has overall
responsibility for the leadership and management of a top
rankingNursing department. She has anMA inHealthResearch
and is currently pursuing PhD in Educational Research, Higher
Education at Lancaster University, UK. She has varied clinical
and research experience, mostly in the field of Cancer Care. She
has maintained excellent links with clinical practice, and leads
an Education Initiative in a local acute hospital Trust.
‘Missed Care’: from the perspective of the
student nurse
J Crane and B Gibbon
University of Liverpool, UK
J Crane et al., J Nurs Health Stud 2018, Volume: 3
DOI: 10.21767/2574-2825-C3-007