title: Is Spending More Time Associated With Less Missed Care?: A Comparison of Time Use and Missed Care Across 15 Nursing Units at 2 Hospitals.
abstract: OBJECTIVE
  The aim of this study is to examine the relationship between nursing time use and perceptions of missed care.
  
  
  BACKGROUND
  Recent literature has highlighted the problem of missed nursing care, but little is known about how nurses' time use patterns are associated with reports of missed care.
  
  
  METHODS
  In 15 nursing units at 2 hospitals, we assessed registered nurse (RN) perceptions of missed care, observed time use by RNs, and examined the relationship between time spent and degree of missed care at the nursing unit level.
  
  
  RESULTS
  Patterns of time use were similar across hospitals, with 25% of time spent on documentation. For 6 different categories of nursing tasks, no association was detected between time use, including time spent on documentation, and the degree of missed care at the nursing unit level.
  
  
  CONCLUSIONS
  Nursing time use cannot fully explain variation in missed care across nursing units. Further work is needed to account for patterns of missed care.
authors.affiliation: Author Affiliations: Clinical Nurse Specialist (Dr McNair), Clinical Nurse (Dr Baird), Accreditation Manager (Ms Walsh), Ronald Reagan UCLA Medical Center; Principal Statistician (Mr Grogan), Associate Professor (Dr Liang), Division of General Internal Medicine and Health Services Research, David Geffen School of Medicine, and Professor (Dr Needleman), Jonathan and Karin Fielding School of Public Health, Department of Health Policy and Management, University of California, Los Angeles; Evidence Implementation Nurse Specialist (Ms Worobel-Luk), UCSF Medical Center, Institute for Nursing Excellence; Director (Dr Nuckols), Division of General Internal Medicine, Department of Medicine, Cedars-Sinai Medical Center, Los Angeles, and Health Services Researcher, RAND Corporation, Santa Monica, California.
authors.forename: Norma
authors.initials: N
authors.lastname: McNair
authors.forename: Jennifer
authors.initials: J
authors.lastname: Baird
authors.forename: Tristan R
authors.initials: TR
authors.lastname: Grogan
authors.forename: Catherine M
authors.initials: CM
authors.lastname: Walsh
authors.forename: Li-Jung
authors.initials: LJ
authors.lastname: Liang
authors.forename: Pamela
authors.initials: P
authors.lastname: Worobel-Luk
authors.forename: Jack
authors.initials: J
authors.lastname: Needleman
authors.forename: Teryl K
authors.initials: TK
authors.lastname: Nuckols
mesh_terms: D017598:Efficiency, Organizational; D006757:Hospital Units / Q000458:organization & administration*; D009736:Nursing Process; D009741:Nursing Staff, Hospital; D017748:Time Management; D014481:United States