Nursing Practice Environment and Its Relation to Missed Nursing Care : A Scoping Review

Abstract

Objective: To examine the association between the practice environment of nursing and themissed care of nursing in a systematic way in the related literature.Methodology: An extensive search was conducted in CINAHL, ProQuest, ERIC, MEDLINE,Web of Science, PubMed, and Science Direct databases. the included studies were publishedduring time period of 2015-2020 with full text.Results: A total of 110 studies were screened, out of which 19 studies were identified to beeligible as per fulfillment of inclusion/exclusion criteria. Degraded quality of nursing,inpatient complications, and mishaps, as well as negative patient outcomes, is examined asexamples for results of missed nursing care. The nurses missed the process and task ofproviding important patient care because of the increased workload, less communication andpoor working environment. Inadequate resources and staffing were the major factors thatwere linked with the events of missed nursing care.Conclusion: It is concluded that reducing and modifying the examined factors, such as poorworking environment, inadequate staffing, less resources, poor communication amongnurses or patients etc. may decrease the missed nursing care practice. In addition, the missednursing can also be managed through the practical implementation of motivating positivework environment and safety culture of patients. These improvements and practicalimplementation will help to provide quality patient care and decrease the missed nursingcare.Keywords: Practice environment, missed nursing care, Teamwork, communication,workload, resources.