Effects of obstetric critical care simulation training on core competency and learning experience of midwives: A pilot quasi-experimental study

Inpatient hospital nursing care teams are constantly challenged and under pressure to provide safe, efficient and cost-effective care amid maintaining high standards of quality. When additional care work is assigned to nurses, the available resources to provide care often remain the same. This results in that nursing care teams are not able to complete all of their assigned work and duties during their shift and role conflicts as well as feelings of guilt arise (Papastavrou, Vryonides, 2014). Missed nursing care describes any aspect of care that is delayed or omitted in part or whole (Kalisch, Landstrom and Hinshaw, 2009). Missed nursing care can be considered a global issue, Jones et al. (2015) reported that 55% to 98% of nursing personnel worldwide leave at least one task incomplete during their shift (Jones, Hamilton and Murry 2015). Reasons for missed nursing care can be attributed to nurses’ work environment (Kalisch et al., 2014, Blackman et al., 2015). To counter the global issue of missed nursing care and help nursing care teams achieve optimal performance, effective strategies are needed.

Earlier studies on missed nursing care identified teamwork and clinical leadership skills as promising factors in inpatient care that can positively influence quality of care and reduce missed nursing care (Kalisch and Lee, 2010, Rahn, 2016, Marguet and Ogaz, 2019). This study is conducted to broaden our understanding of the missed nursing care phenomenon. It aims to explore how hospital nursing care teams perform teamwork in prioritizing their actions in the face of missed nursing care and how teamwork is influenced by clinical leadership skills and environmental factors. The study is performed in the context of a three year research program on missed nursing care and nursing leadership in Dutch hospitals.

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