Missed care in residential aged care in Australia: an exploratory study

    Research output: Contribution to journalArticlepeer-review

    19 Citations (Scopus)

    Abstract

    Background The phenomena of missed nursing care is usually measured through quantitative surveys that detail the specific tasks that are rationed or delayed, and the reasons why this is so. These studies report high levels of agreement within and across countries between the two major measures employed; the Kalisch's MISSCARE tool and the RN4Cast Basel Extent of Rationing of Nursing Care (BERNCA) instrument. Most of these studies have been conducted in acute care settings and demonstrate the impact of lack of human and other resources upon decisions to omit care. Less in known about missed care in residential aged care Aim To explore the frequency and causes of missed care in residential aged care in three Australian states: New South Wales, Victoria and South Australia. Methods Quantitative and qualitative data from 922 respondents working in residential aged care to the MISSCARE survey were bought together to identify the tasks missed in aged care and reasons for this. Findings Respondents report the omission of unplanned care (toileting and answering bells) and rehabilitative care. The primary reasons for missed care are staffing shortages and difficulties in meeting residents’ complex health care needs due to demands arising from increased resident acuity and fewer skilled nurses to meet this demand. Conclusion Resident care is missed in residential aged care with staffing numbers identified as a key cause.

    Original languageEnglish
    Pages (from-to)411-416
    Number of pages6
    JournalCollegian
    Volume24
    Issue number5
    DOIs
    Publication statusPublished - 2017

    Fingerprint Dive into the research topics of 'Missed care in residential aged care in Australia: an exploratory study'. Together they form a unique fingerprint.

    Cite this