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Commentary on: Blackman I, Lye CY, Darmawan IGN, et al. Modeling missed care: implications for evidence-based practice. Worldviews Evid Based Nurs. 2018. doi: 10.1111/wvn.12285
Implications for practice and research
Accumulating evidence, both through objective data and self-report, supports the influence of nursing work conditions such as staffing and skill mix on the likelihood of care being missed.
In absence of objective data, self-report measures may provide proxy yet useful information about the relationships between nursing work environment and care quality.
In the past two decades, a compelling body of evidence1 2 has linked higher nurse-to-patient ratios, higher proportion of baccalaureate-prepared nurses and higher total nursing care hours to lower patient mortality, decreased length of stay and a lower likelihood of patient complications such as nosocomial infections and pressure injuries. Many of these studies used a complex mix of data sources including medical and administrative hospital records from which patient outcomes, …
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