Volume 33, Issue 126 (October 2020)                   IJN 2020, 33(126): 103-116 | Back to browse issues page


XML Persian Abstract Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Vatankhah I, Rezaei M, Baljani E. The Correlation of Missed Nursing Care and Perceived Supervisory Support in Nurses. IJN 2020; 33 (126) :103-116
URL: http://ijn.iums.ac.ir/article-1-3331-en.html
1- Department of Nursing, Islamic Azad University, Urmia Branch, Urmia, Iran
2- Department of Midwifery, Islamic Azad University, Urmia Branch, Urmia, Iran (Corresponding author) Tel: 09144419489 Email: m.rezaei@iaurmia.ac.ir
Abstract:   (2370 Views)
Background & Aims: Missed nursing care is a common threat to the safety and quality of patient care, and investigating the influential factors in this regard could prevent or minimize this issue. Missed nursing care could lead to patient readmission and extra costs imposed on patients and healthcare organizations. Supervisor support plays a pivotal role in the commitment of nurses to the organization. The behaviors and activities of health supervisors could promote the positive attitude of the subordinates, thereby leading to their moral commitment. Although missed nursing care is considered to be a highly challenging issue for nursing managers, few studies have evaluated perceived care support and the associated challenges. The present study aimed to investigate the correlation between missing nursing care and perceived supervisory support.
Materials & Methods: This descriptive-correlatinal study was conducted on 139 nurses employed in the inpatient wards of Imam Reza Hospital in Urmia, Iran during May-March 2019. The participants were selected via census sampling. Data were collected using a questionnaire, the first section of which consisted of demographic data, the second section was the missed care nursing questionnaire, and the third section included the standard tools for the assessment of perceived supervisory support. The missed care questionnaire was designed and psychoanalyzed by Kalish in 2006, and the items are scored based on a five-point Likert scale (Never=0, Always=4). The scale has four domains of review, interventions and personal care, interventions and primary care, and planning. The family supportive supervisor behaviors (FSSB) perceived support questionnaire consists of 14 items and was designed and psychoanalyzed by Hammer in 2009. The questionnaire items are scored based on a five-point Likert scale, with the higher scores indicating higher parental support. The main dimensions of the FSSB are emotional support, instrumental support, and role models. After obtaining the required permit for sampling, the questionnaire was distributed among the nurses working in different shifts and on different days. With their consent, the contact number of the participants was obtained. The questionnaires were collected from the respondents in the same or the next work shift and with proper coordination. The inclusion criteria were having a bachelor's degree (or higher), informed consent to participate in the research, employment in the hospital as a nurse, and minimum work experience of six months. Data analysis was performed in SPSS version 16 using descriptive statistics (mean and standard deviation), Pearson's correlation-coefficient, independent t-test, and the analysis of variance (ANOVA) at the significance level of P˂0.05.
Results: The highest mean scores of perceived supervisory support achieved by the nurses were in the items regarding time allocation to listening to the problems of nurses, listening to the problems of nurses about work difficulties and unemployment, creativity in task assignment to improve teamwork in the ward, ward management to meet the needs of each nurse separately, and welcoming suggestions to facilitate the balance of the professional and routine needs of nurses. The most significant aspects of missed nursing care were helping patients in the toilet within less than five minutes after the patient's request, meal preparation for the patients who are able to eat without help, changing patients' position every two hours, and the oral care (mouthwash use), skin care, and bathing of patients. Pearson's correlation-coefficient indicated a significant, weak, inverse correlation between the total scores of perceived support and missed nursing care (r=-0.19; P<0.05). Furthermore, significant, inverse correlations were denoted between perceived support and the subscales of missing nursing care (r=-0.167; P<0.05), as well as perceived support and the primary care subscale (r=-134; P<0.05). However, no significant associations were observed between perceived support, the personal care subscale, and planning (P>0.05).
Conclusion: According to the results, perceived supervisory support was correlated with the dimensions of assessment and interventions and primary care regarding missed nursing care. Nursing managers are advised to pursue and implement the support of clinical nurses as a major hospital policy to prevent the loss of care and improve patient safety. As the first-line managers of the clinical environment, nurses may further contribute to nursing care by adopting supportive strategies, thereby increasing patient satisfaction and reducing the treatment costs imposed on patients and the healthcare organization. Our findings could lay the groundwork for monitoring the supportive role of nursing managers, as well as designing and developing effective support models for nursing managers and nurses to improve the primary indicators of nursing care quality.
Full-Text [PDF 1190 kb]   (1159 Downloads)    
Type of Study: Research | Subject: nursing
Received: 2020/07/20 | Accepted: 2020/10/19 | Published: 2020/10/19

References
1. Jones TL, Hamilton P, Murry N. Unfinished nursing care, missed care, and implicitly rationed care: State of the science review. Int J Nurs Stud. 2015;52(6):1121-37. [DOI:10.1016/j.ijnurstu.2015.02.012] [PMID]
2. Siqueira LD, Caliri MH, Kalisch B, Dantas RA. Cultural adaptation and internal consistency analysis of the MISSCARE Survey for use in Brazil. Revista latino-americana de enfermagem. 2013;21(2):610-7. [DOI:10.1590/S0104-11692013000200019] [PMID]
3. De Villers MJ, DeVon HA. Moral distress and avoidance behavior in nurses working in critical care and noncritical care units. Nursing ethics. 2013;20(5):589-603. [DOI:10.1177/0969733012452882] [PMID]
4. Kowinsky AM, Shovel J, McLaughlin M, Vertacnik L, Greenhouse PK, Martin SC, Minnier TE. Separating predictable and unpredictable work to manage interruptions and promote safe and effective work flow. J Nurs Care Qual. 2012;27(2):109-15. [DOI:10.1097/NCQ.0b013e3182385df1] [PMID]
5. Bogossian F, Winters‐Chang P, Tuckett A. "The Pure Hard Slog That Nursing Is...": A Qualitative Analysis of Nursing Work. J Nurs Scholarship. 2014;46(5):377-88. [DOI:10.1111/jnu.12090] [PMID]
6. Lopez KD, Gerling GJ, Cary MP, Kanak MF. Cognitive work analysis to evaluate the problem of patient falls in an inpatient setting. J Am Med Inform Assoc. 2010;17(3):313-21. [DOI:10.1136/jamia.2009.000422] [PMID] [PMCID]
7. Aiken LH, Clarke SP, Sloane DM, Sochalski J, Silber JH. Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction. Jama. 2002;288(16):1987-93. [DOI:10.1001/jama.288.16.1987] [PMID]
8. Matsumoto A. Effective human resource management strategy for hospital nursing organizations. Manag Sci Lett. 2019;9(2):243-52. [DOI:10.5267/j.msl.2018.11.015]
9. Levine JM, Moreland RL, editors. Small groups: key readings. Psychology Press; 2008 Feb.:369. [DOI:10.4324/9780203647585]
10. Kang HJ, Gatling A, Kim J. The impact of supervisory support on organizational commitment, career satisfaction, and turnover intention for hospitality frontline employees. J Hum Resour Hospit Tourism. 2015;14(1):68-89. [DOI:10.1080/15332845.2014.904176]
11. Johansen ML, Cadmus E. Conflict management style, supportive work environments and the experience of work stress in emergency nurses. J Nurs Manag. 2016;24(2):211-8. [DOI:10.1111/jonm.12302] [PMID]
12. Cho SH, Kim YS, Yeon KN, You SJ, Lee ID. Effects of increasing nurse staffing on missed nursing care. Int Nurs Rev. 2015;62(2):267-74. [DOI:10.1111/inr.12173] [PMID]
13. Dehghani M, Hayavie Haghighi MH, Tayary N, Khorami F. Nurses' organizational behavior and their quality of documentation. Journal of Nursing Education. 2015;3(4):68-80.
14. Cropanzano R, Anthony EL, Daniels SR, Hall AV. Social exchange theory: A critical review with theoretical remedies. Acad Manag Annal. 2017;11(1):479-516. [DOI:10.5465/annals.2015.0099]
15. Jeon BR, Noh YG. Impact of work-family conflict and social support on retention intention among married female nurses. J Digit Converg. 2018;16(10):261-70.
16. Labrague LJ, McEnroe-Petitte DM, Tsaras K, Cruz JP, Colet PC, Gloe DS. Organizational commitment and turnover intention among rural nurses in the Philippines: Implications for nursing management. Int J Nurs Sci. 2018;5(4):403-8. [DOI:10.1016/j.ijnss.2018.09.001] [PMID] [PMCID]
17. Asadi Fakhr A, Asadi S. Investigation of the amount of stressors in operating room nurses. Pajouhan Scientific Journal. 2017;15(2):27-31.
18. Hassankhani H, Mohajjel AA, Rahmani A, Mohammadpoorfard Z. Assessing Self-efficacy in Clinical Competence Among Nursing Students at Tabriz University of Medical Sciences. EDUCATIONAL DEVELOPMENT OF JUNDISHAPUR. 2015;6(2):107-14.
19. Vera M, Martínez IM, Lorente L, Chambel MJ. The role of co-worker and supervisor support in the relationship between job autonomy and work engagement among Portuguese nurses: A multilevel study. Soc Indicat Res. 2016;126(3):1143-56. [DOI:10.1007/s11205-015-0931-8]
20. Yaghoubi M, Ebrahimi Torki M, Salesi M, Ehsani-Chimeh E, Bahadori M. The Relationship between Teamwork and Missed Nursing Care: Case Study in a Military Hospital in Tehran. Journal Mil Med. 2019;21(1):63-72.
21. Hernández-Cruz R, Moreno-Monsiváis MG, Cheverría-Rivera S, Díaz-Oviedo A. Factors influencing the missed nursing care in patients from a private hospital. Revista latino-americana de enfermagem. 2017;25:e2877. [DOI:10.1590/1518-8345.1227.2877] [PMID] [PMCID]
22. Ball JE, Bruyneel L, Aiken LH, Sermeus W, Sloane DM, Rafferty AM, Lindqvist R, Tishelman C, Griffiths P, RN4Cast Consortium. Post-operative mortality, missed care and nurse staffing in nine countries: a cross-sectional study. Int J Nurs Stud. 2018;78:10-5. [DOI:10.1016/j.ijnurstu.2017.08.004] [PMID] [PMCID]
23. Kossek EE, Pichler S, Bodner T, Hammer LB. Workplace social support and work-family conflict: A meta‐analysis clarifying the influence of general and work-family‐specific supervisor and organizational support. Person psychol. 2011;64(2):289-313. [DOI:10.1111/j.1744-6570.2011.01211.x] [PMID] [PMCID]
24. McGilton KS, Hall LM, Wodchis WP, Petroz U. Supervisory support, job stress, and job satisfaction among long-term care nursing staff. JONA: J Nurs Administ. 2007;37(7/8):366-72. [DOI:10.1097/01.NNA.0000285115.60689.4b] [PMID]
25. Kalisch BJ, Landstrom G, Williams RA. Missed nursing care: errors of omission. Nursing outlook. 2009;57(1):3-9. [DOI:10.1016/j.outlook.2008.05.007] [PMID]
26. Khajooee R, Bagherian B, Dehghan M, Azizzadeh Forouzi M. Missed nursing care and its related factors from the points of view of nurses affiliated to Kerman University of Medical Sciences in 2017. Journal of hayat. 2019;25(1):11-24.
27. Winsett RP, Rottet K, Schmitt A, Wathen E, Wilson D, Group MN. Medical surgical nurses describe missed nursing care tasks-Evaluating our work environment. Appl Nurs Res. 2016;32:128-33. [DOI:10.1016/j.apnr.2016.06.006] [PMID]
28. Rezaee S, Baljani E, Feizi A. Missed Nursing Care in Educational, Private and Social Welfare Hospitals. Nursing And Midwifery Journal. 2019;17(4):300-8.
29. Hammer LB, Kossek EE, Yragui NL, Bodner TE, Hanson GC. Development and validation of a multidimensional measure of family supportive supervisor behaviors (FSSB). Journal of management. 2009;35(4):837-56. [DOI:10.1177/0149206308328510] [PMID] [PMCID]
30. Kopp LR. The effects of perceived supervisor work-life support on employee work-life balance, job satisfaction, organizational commitment, and organizational citizenship behavior (Doctoral dissertation, University of Wisconsin--Stout) 2013.
31. Tuzun IK, Kalemci RA. Organizational and supervisory support in relation to employee turnover intentions. J Manag Psychol. 2012;27(5):518-34. [DOI:10.1108/02683941211235418]
32. Galletta M, Portoghese I, Penna MP, Battistelli A, Saiani L. Turnover intention among Italian nurses: The moderating roles of supervisor support and organizational support. Nurs Health Sci. 2011;13(2):184-91. [DOI:10.1111/j.1442-2018.2011.00596.x] [PMID]
33. Rezaee N, Ghajeh M. Social Support among Nurses at Iran University of Medical Sciences. Hayat. 2008;14(4):91-100.
34. Gok S, Karatuna I, Karaca PO. The role of perceived supervisor support and organizational identification in job satisfaction. Proced Soc Behavl Sci. 2015;177:38-42. [DOI:10.1016/j.sbspro.2015.02.328]
35. Tuzun IK, Kalemci RA. Organizational and supervisory support in relation to employee turnover intentions. J Manag Psychol. 2012; 27(5): 518-34. [DOI:10.1108/02683941211235418]
36. Barnett MD, Martin KJ, Garza CJ. Satisfaction with work-family balance mediates the relationship between workplace social support and depression among hospice nurses. J Nurs Scholarship. 2019;51(2):187-94. [DOI:10.1111/jnu.12451] [PMID]
37. Woodhead EL, Northrop L, Edelstein B. Stress, social support, and burnout among long-term care nursing staff. J Appl Gerontol. 2016;35(1):84-105. [DOI:10.1177/0733464814542465] [PMID]
38. Kalisch BJ, Lee KH. Missed nursing care: Magnet versus non-Magnet hospitals. Nursing outlook. 2012;60(5):e32-9. [DOI:10.1016/j.outlook.2012.04.006] [PMID]
39. Castner J, Wu YW, Dean-Baar S. Multi-level model of missed nursing care in the context of hospital merger. West J Nurs Res. 2015;37(4):441-61. [DOI:10.1177/0193945914535670] [PMID]
40. Lakey B, Orehek E. Relational regulation theory: a new approach to explain the link between perceived social support and mental health. Psychological review. 2011;118(3):482. [DOI:10.1037/a0023477] [PMID]

Add your comments about this article : Your username or Email:
CAPTCHA

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2015 All Rights Reserved | Iran Journal of Nursing

Designed & Developed by : Yektaweb