Correlates and Predictors of Missed Nursing Care in Hospitals

Running head: NURSING
Nursing
Name of the Student
Name of the University
Author Note

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Introduction
Primary research article is an important source of information for in nursing
profession. However, Brannen (2017) is of the opinion that in order to cite the information of
the research, the overall research design, methodology and the significance of the article must
be critically analysed. The following essay will critically analyse the cross-sectional
quantitative survey conducted by Bragadóttir, Kalisch and Tryggvadóttir (2017). The analysis
of the article will be done based on the identified research problem, significance of the
research, research methodology chosen and method used for data-analysis. At the end, the
essay will analyze the findings of the research and its implications to bring change in the
nursing policy.
Research Problem and its significance
The aim of the research conducted by Bragadóttir, Kalisch and Tryggvadóttir (2017)
is to identify the contribution of the hospital, characteristics of the staffs, units of the hospital,
adequacy of the staffs and teamwork towards missed nursing care. Bragadóttir, Kalisch and
Tryggvadóttir (2017) defined missed nursing care (MNC) as a standard for nursing care that
must be followed under a healthcare settings in order to promote optimal outcome of the
patient. The selection of the research aim is based on the perspective that numerous studies
that have been conducted so far on the MNC are incomplete however, the authors failed to
identify the studies specifically. However, the MNC was highlighted in the domain like
education of the patient, taking oral care of the patient, feeding patient on time, effective
communication with the patient and documentation of the patient's need with proper
interdisciplinary rounds. Bragadóttir, Kalisch and Tryggvadóttir (2017) highlighted that
MNC is a global concern and thus analysis of the factors associated with MNC will help to
bring change in the nursing culture and thus improving the overall outcome of the patients.

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Ramezani et al. (2014) reported that effective nursing is not only importance to promote
physical well-being but also helps to improve the mental state of the nurses and thereby
helping to improve the overall outcome of care, decreasing the length of stay at the hospital
and reducing the cost of care. Another rational or significance of the study is, this study
includes entire nursing population working under the acute care medical, surgical and under
intensive care units in Iceland healthcare settings. This comprehensive coverage of the
Iceland nursing culture will help to refine the work-culture from the core.
Significance of the research design and research methodology
For the conduction of research, Bragadóttir, Kalisch and Tryggvadóttir (2017)
selected quantitative cross-sectional survey design. Setia (2016) are of the opinion that cross-
sectional survey in quantitative format helps to collect data in order to make inferences about
the specific population of interest at any particular point of time. Here the main population of
interest is the nursing population in Iceland. This target over specific population helps in
understanding of the perspective nursing professionals behind MNC. The selection of the
nursing professional was done from the surgical and ICU units. A total of 27 units were
selected from eight different hospitals. The study selected 864 nurses who are providing
direct care to the patients were selected for the study. The nurses are all registered nurse (RN)
and practical nurses (PNs) who are considered as direct care providers in the hospital. This
can be regarded as the main inclusion criteria of the study. The selected sample size is high
with respect to the cross-sectional quantitative survey design. It helps to promote
generalisation of the data (Khalilzadeh & Tasci, 2017). However, there is a gap in the
description of the study subjects. For example, Bragadóttir, Kalisch and Tryggvadóttir (2017)
only described the post and the qualification of the nurses but fail to highlight their
experience in this profession. This can be considered as a study gap. The settings of the study