Nurse and nurse assistant perceptions of missed nursing care: what does it tell us about teamwork?
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.
Kalisch
Beatrice J
BJ
University of Michigan School of Nursing, Ann Arbor, MI 48109, USA. bkalisch@umich.edu
D000328:Adult; D001291:Attitude of Health Personnel; D003142:Communication; D005260:Female; D017144:Focus Groups; D019538:Health Care Surveys; D006801:Humans; D007400:Interprofessional Relations; D008297:Male; D008875:Middle Aged; D009728:Nursing Assistants / Q000458:organization & administration / Q000523:psychology* / Q000600:supply & distribution; D009732:Nursing Care / Q000379:methods / Q000458:organization & administration* / Q000592:standards; D009741:Nursing Staff, Hospital / Q000458:organization & administration / Q000523:psychology* / Q000600:supply & distribution; D009746:Nursing, Team / Q000379:methods / Q000458:organization & administration* / Q000592:standards; D036301:Qualitative Research; D011787:Quality of Health Care; D055815:Young Adult