title: Medical surgical nurses describe missed nursing care tasks-Evaluating our work environment.
abstract: The purpose of the study was to explore the nurse work environment by evaluating the self-report of missed nursing care and the reasons for the missed care.
  
  
  
  A convenience sample of medical surgical nurses from four hospitals was invited to complete the survey for this descriptive study. The sample included 168 nurses. The MISSCARE survey assessed the frequency and reason of 24 routine nursing care elements.
  
  
  
  The most frequently reported missed care was ambulation as ordered, medications given within a 30 minute window, and mouth care. Moderate or significant reasons reported for the missed care were: unexpected rise in volume/acuity, heavy admissions/discharges, inadequate assistants, inadequate staff, meds not available when needed, and urgent situations.
  
  
  
  Identifying missed nursing care and reasons for missed care provides an opportunity for exploring strategies to reduce interruptions, develop unit cohesiveness, improve the nurse work environment, and ultimately leading to improved patient outcomes.
authors.affiliation: St. Mary's Medical Center, 3700 Washington Ave., Evansville, IN, 47750, USA. Electronic address: rpwinsett@stmarys.org.
authors.forename: Rebecca P
authors.initials: RP
authors.lastname: Winsett
authors.affiliation: Memorial Hospital and Health Care Center, 800 W 9(th) St., Jasper, IN, 47546, USA.
authors.forename: Kendra
authors.initials: K
authors.lastname: Rottet
authors.affiliation: Memorial Hospital and Health Care Center, 800 W 9(th) St., Jasper, IN, 47546, USA.
authors.forename: Abby
authors.initials: A
authors.lastname: Schmitt
authors.affiliation: Deaconess Hospital, 600 Mary St., Evansville, IN, 47710, USA.
authors.forename: Ellen
authors.initials: E
authors.lastname: Wathen
authors.affiliation: Deaconess Hospital, 600 Mary St., Evansville, IN, 47710, USA.
authors.forename: Debra
authors.initials: D
authors.lastname: Wilson
mesh_terms: D000328:Adult; D006801:Humans; D008875:Middle Aged; D009741:Nursing Staff, Hospital; D013527:Perioperative Nursing; D011787:Quality of Health Care; D017132:Workplace
keywords: Hospital; Missed nursing care; Nursing care; Nursing staff; Nursing work environment