Table 3.
Percentages of nurses reporting missed care by quality of nurse work environment
| Nursing care activity | All hospitals N=419 Mean % (SD) (range) |
Poor environment N=157 Mean % (SD) |
Mixed environment N=97 Mean % (SD) |
Good environment N=163 Mean % (SD) |
p Value |
|---|---|---|---|---|---|
| Talking/comforting | 42.0 (10.8) (16.6–79.0) | 47.5 (10.4) | 41.1 (9.6) | 37.1 (9.4) | <0.001 |
| Care planning | 35.8 (13.1) (0–80.8) | 40.5 (13.4) | 34.6 (13.1) | 31.9 (11.1) | <0.001 |
| Teaching/counselling | 31.5 (11.2) (0–72.7) | 38.1 (10.4) | 31.4 (10.6) | 25.2 (8.3) | <0.001 |
| Documentation | 23.2 (9.0) (0–54.5) | 26.5 (10.2) | 23.1 (7.8) | 20.2 (7.1) | <0.001 |
| Surveillance | 17.8 (9.3) (0–63.6) | 23.0 (10.1) | 16.9 (7.4) | 13.3 (6.8) | <0.001 |
| Discharge preparation | 13.7 (6.8) (0–42.9) | 15.8 (7.2) | 12.9 (7.0) | 12.1 (5.6) | <0.001 |
| Timely medications | 10.6 (6.5) (0–40.0) | 11.7 (7.0) | 10.1 (6.9) | 9.8 (5.6) | 0.03 |
| Care coordination | 9.5 (5.8) (0–37.9) | 11.4 (6.1) | 9.3 (6.3) | 7.8 (4.5) | <0.001 |
| Treatments/procedures | 3.8 (3.5) (0–16.0) | 4.4 (4.1) | 3.4 (3.2) | 3.5 (3.1) | 0.03 |
| Pain management | 4.0 (3.7) (0–20.0) | 5.1 (4.2) | 3.4 (3.6) | 3.2 (3.0) | <0.001 |
Author’s analysis
Values based on hospital aggregated nurse responses from the multistate nurse survey. Higher percentages reflect more missed care. p Values generated from analysis of variance and reflect differences in missed care between practice environments.