Relationship Between Implementation Of The Primary Nursing Model And The Reduction Of Missed Nursing Care.
J Nurs Manag. 2019 Aug 21;:
Authors: Carvalho Moura EC, Batista Lima M, Peres AM, Lopez V, Moura MEB, Gomes FDCSAB
AIMS: To evaluate and predict the relationship between the implementation of the primary nursing model and the reduction of missed nursing care.
BACKGROUND: Primary nursing can provide hospital leaders and nursing staff with guidance in implementing safe, patient-centred care, with responsibility and accountability during the nursing process. The implementation can be measured in terms of missed nursing care.
METHODS: A predictive-correlational study was used. The study was conducted in four inpatient units at the University Hospital, northeast, Brazil. Data was collected from 96 registered nurses, using the MISSCARE instrument at four and seven months after the implementation of the primary nursing model.
RESULTS: Missed nursing care was reduced by 78.5%. Job title and staff satisfaction showed significant associations with decreased missed care (p <0.05).
CONCLUSION: The predictive effect between efficacy in reducing missed nursing care and reasons and efficiency in the management of nursing care, using the primary nursing model, was verified.
IMPLICATIONS FOR NURSING MANAGEMENT: Nursing staff and managers should consider adopting a Primary Nursing Model of care to reduce missed nursing care. This article is protected by copyright. All rights reserved.
PMID: 31433878 [PubMed - as supplied by publisher]