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Nursing Diagnosis & Midwifery 2018
S e p t e m b e r 1 0 - 1 1 , 2 0 1 8
P r a g u e , C z e c h R e p u b l i c
Page 83
Journal of Nursing and Health Studies
ISSN: 2574-2825
E u r o S c i C o n E v e n t o n
Nursing Diagnosis &
Midwifery
M
issed 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 nursing degree (Adult field) students.
Focus group interviews, utilizing a topic guide, 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 team
coordination. They had developed strategies to minimise 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.
J.Crane@liverpool.ac.ukMissed Care: from the perspective of the student
nurse
J Crane and B Gibbon
University of Liverpool, UK
J Nurs Health Stud 2018 Volume: 3
DOI: 10.21767/2574-2825-C4-012