Date of Conferral

2020

Degree

Doctor of Nursing Practice (DNP)

School

Nursing

Advisor

Anna Valdez

Abstract

Abstract

Missed care or partially completed nursing care is a prevalent problem in healthcare with negative consequences for patients, nurses, and healthcare organizations. This project was developed to address a gap in practice by providing staff education regarding the current evidence about missed care along with practical evidence-based strategies to decrease missed care events. Kalisch’s missed nursing care model framed the project. The staff education program used a PowerPoint presentation with interactive discussion and role-play opportunities for nurse participants to engage in and employ strategies to prevent missed care events. A 10-item multiple-choice post-education quiz and 4-point Likert-type program evaluation were completed by 23 nurses to assess knowledge and competence gained on preventing missed care events. Results indicated that 91% of participants answered all questions correctly, and 100% of participants agreed or strongly agreed that the content was interesting, extended their knowledge, was consistent with the objectives, met the purpose/goals of the activity, and related to their jobs. Following the education, 96% of participants strongly agreed that they were more competent in their ability to define missed care, identify the primary causes of missed care, and describe the effect on the hospital consumer assessment of healthcare providers and systems scores, as well as to implement strategies to prevent missed care events that align with nursing policy. The use of this project can promote an increased knowledge of the causes and prevention of missed care events to improve patient outcomes, reduce adverse events, and enhance revenue for the project site. This project can foster positive social change by improving practice locally and on broader levels to improve patient outcomes.

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