The impact of teamwork on missed nursing care

Previous studies have shown that missed nursing care is a significant problem in acute care hospitals. Other studies have demonstrated that teamwork is a critical element in assuring patient safety and quality of care. The purpose of this study was to determine if the level of nursing teamwork impac...

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Bibliographic Details
Published in:Nursing outlook Vol. 58; no. 5; pp. 233 - 241
Main Authors: Kalisch, Beatrice J., Lee, Kyung Hee
Format: Journal Article
Language:English
Published: United States Mosby, Inc 01.09.2010
Elsevier Science Ltd
Subjects:
Acute services
Adult
Cross-Sectional Studies
Female
Hospitals
Humans
Linear Models
Male
Medical Errors - prevention & control
Medical Errors - statistics & numerical data
Middle Aged
Midwestern United States
Multivariate Analysis
Nurses
Nursing
Nursing care
Nursing Care - organization & administration
Nursing Staff, Hospital - organization & administration
Nursing, Team - organization & administration
Outcome and Process Assessment (Health Care)
Patient care
Patients
Personnel Staffing and Scheduling
Polls & surveys
Practice nurses
Quality of care
Response rate
Studies
Team work
Teamwork
Midwestern United States
United States > US
ISSN:0029-6554, 1528-3968, 1528-3968
Online Access:Get full text
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Summary:Previous studies have shown that missed nursing care is a significant problem in acute care hospitals. Other studies have demonstrated that teamwork is a critical element in assuring patient safety and quality of care. The purpose of this study was to determine if the level of nursing teamwork impacts the extent and nature of missed nursing care. A sample of 2 216 nursing staff members on 50 acute care patient care units in 4 hospitals completed the Nursing Teamwork Survey and the MISSCARE Survey. The response rate was 59.7%. Controlling for occupation of staff members (eg, RN/LPN, NA) and staff characteristics (eg, education, shift worked, experience, etc), teamwork alone accounted for about 11% of missed nursing care. The results of this study show that the level of nursing teamwork impacts the nature and extent of missed nursing care. The study results point to a need to invest in methods of enhancing teamwork in these settings.
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ISSN:0029-6554
1528-3968
1528-3968
DOI:10.1016/j.outlook.2010.06.004