Nurse and nurse assistant perceptions of missed nursing care: what does it tell us about teamwork?

J Nurs Adm. 2009 Nov;39(11):485-93. doi: 10.1097/NNA.0b013e3181bd61ac.

Abstract

Missed nursing care is a pervasive problem in acute care hospitals as is dysfunctional nursing teamwork. Given that teamwork has a significant impact on healthcare quality and patient safety, the author reports findings from a study that examined differences in perceptions between RNs and nursing assistants as to the extent of missed nursing care and the reasons for missing that care. Study findings point to a lack of essential elements of teamwork (ie, closed-looped communication, leadership, team orientation, trust, and shared mental models). The author analyzes what this reveals about teamwork between these 2 groups of nursing personnel who work side by side caring for the same patients and offers specific interventions.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Attitude of Health Personnel*
  • Communication
  • Female
  • Focus Groups
  • Health Care Surveys
  • Humans
  • Interprofessional Relations
  • Male
  • Middle Aged
  • Nursing Assistants / organization & administration
  • Nursing Assistants / psychology*
  • Nursing Assistants / supply & distribution
  • Nursing Care / methods
  • Nursing Care / organization & administration*
  • Nursing Care / standards
  • Nursing Staff, Hospital / organization & administration
  • Nursing Staff, Hospital / psychology*
  • Nursing Staff, Hospital / supply & distribution
  • Nursing, Team / methods
  • Nursing, Team / organization & administration*
  • Nursing, Team / standards
  • Qualitative Research
  • Quality of Health Care
  • Young Adult