Table 3:

Factor Loading Estimates of Reasons for Missing Required Aspects of Nursing Care During Labor and Birth

Items	Estimates
	Factor 1	Factor 2
1. Tension or communication breakdowns within the nursing team	0.816
2. Lack of backup support from team members	0.673
3. Nurse colleague, nursing assistant, or OB technician did not communicate that care was not done	0.730
4. Care giver is off unit or unavailable (care giver includes nurse, nursing assistant, and OB technician)	0.639
5. Tension or communication breakdowns with the medical or midwifery staff	0.723
6. Tension or communication breakdowns with other support departments	0.893
7. Other departments did not provide the care needed	0.851
8. Inadequate handoff from previous shift or sending unit	0.774
9. Supplies/equipment not available when needed	0.552
10. Supplies/equipment not functioning properly when needed	0.579
11. Medications not available when needed	0.498
12. Unexpected rise in patient volume or patient acuity on the unit		0.886
13. Urgent patient situations (e.g., patient’s condition worsening, precipitous birth, emergent cesarean birth)		0.862
14. Inadequate number of staff (patient assignment above recommended nurse-to-patient ratios)		0.954
15. Inadequate number of assistive personnel (e.g., nursing assistants, obstetric technicians)		0.762
16. Unbalanced patient assignments		0.649