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LETTER TO THE EDITOR
Year : 2019  |  Volume : 6  |  Issue : 1  |  Page : 94

Letter to the Editor: Perspectives of Oncology Unit Nurse Managers on Missed Nursing Care: a Qualitative Study


Nurse Educator, Staff DevelopmentCentral Florida Regional Hospital, Sanford, Florida, USA

Date of Submission25-Jun-2018
Date of Acceptance06-Jul-2018
Date of Web Publication15-Oct-2018

Correspondence Address:
Janneice Caldwell-Wright
Nurse Educator,Staff DevelopmentCentral Florida Regional Hospital, Sanford, Florida
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/apjon.apjon_54_18

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How to cite this article:
Caldwell-Wright J. Letter to the Editor: Perspectives of Oncology Unit Nurse Managers on Missed Nursing Care: a Qualitative Study. Asia Pac J Oncol Nurs 2019;6:94

How to cite this URL:
Caldwell-Wright J. Letter to the Editor: Perspectives of Oncology Unit Nurse Managers on Missed Nursing Care: a Qualitative Study. Asia Pac J Oncol Nurs [serial online] 2019 [cited 2018 Dec 9];6:94. Available from: http://www.apjon.org/text.asp?2019/6/1/94/243402



Dear Editor,

In regard to the article, perspectives of oncology unit nurse managers on missed nursing care: A qualitative study,[1] My heart goes out to my global nursing family who are represented in this article. I want them to know, they are not alone! This is truly a pandemic issue! Missed nursing care is happening globally. There are several reasons why this is occurring, but the one that shares a common theme is, the impact of the shortage of registered nurses. Data from the multinational RN4Cast study found a two-fold variation between European hospitals in the reported incidence of missed care. Missed care has consequences. According to the study, missed care resulted in a decreased patient safety and increased rate of patient falls.[2] In the United States, missed nursing care has been linked to mortality. In 2016, it was reported that medical errors are the 3rd leading cause of death in the United States. This was supported by a study conducted at Johns Hopkins University, and the research study was published in the British Medical Journal.[3]

What can Leaders do to decrease the amount of missed nursing care? This has to be addressed from a multi-system level. Stakeholders must come to the table and be open to discussing every opportunity related to missed care. No stone should be left unturned because this is everyone's issue. The discussion must include resources and workloads of every department. It will take buy-in from every department to be vigilant and supportive. Next, explore opportunities with Universities to increase the numbers of student nurses completing nursing programs and passing the licensure examination. In addition, initiatives must be put in place to increase the number of applicants applying to nursing programs and increase the number of students completing the programs. Using nursing students to provide basic care needs is an innovative idea, but one that could prove costly if they are providing care without supervision. Therefore, guidelines should be constructed that clearly states the duties that can be delegated to nursing students. Strides must be made by increasing the number of nurses, so they can concentrate their time on providing care to fragile patients who require more complex care. Remember, it takes a Village!

Financial support and sponsorship

Nil.

Conflicts of interest

There is no conflicts of interest.



 
  References Top

1.
Dehghan-Nayeri N, Shali M, Navabi N, Ghaffari F. Perspectives of oncology unit nurse managers on missed nursing care: A Qualitative study. Asia Pac J Oncol Nurs 2018;5:327-36.  Back to cited text no. 1
[PUBMED]  [Full text]  
2.
Ball J, Griffiths P. Missed Nursing Care: A Key Measure for Patient Safety. U.S. Department of Health and Human Services, Patient Safety Network; 2018. Available from: https://www.psnet.ahrq.gov/perspectives/perspective/245/missed-nursing-care-a-key-measure-for-patient-safety. [Last Retrieved on 2018 Jun 15].  Back to cited text no. 2
    
3.
Sternberg S. Medical Errors are Third Leading Cause of Death in the U.S. US News; 03 May, 2016. Available from: https://www.usnews.com/news/articles/2016-05-03/medical-errors-are-third-leading-cause-of-death-in-the-us. [Last Retrieved on 2018 Jun 13].  Back to cited text no. 3
    




 

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