Research Critique

RESEARCH CRITIQUE
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Introduction
Regardless of the region and country of residence, most of the missed nursing care are
mainly feeding patient, oral care, ambulating, family comfort, timely medicines,
documentation and participation in multidisciplinary activities (Gravlin & Bittner, 2010). The
most common causes of missed nursing care appears to be related to work environment, staff,
patient burden, material resources and communication. The current scope of essay deals with
criticising the paper by Bragadottir, Kalisch & Tryggvadottir (2017) ‘Correlates and
predictors of missed nursing care in hospitals’. The objective of this study is to develop
strategies to reduce missed nursing care, including adequate staffing and better teamwork.
Research Problem and its Significance
Research Problem: Numerous studies have shown the effect of inadequate staff
nursing staff care on patient outcomes. The research problem aimed at analysing hospital,
staff characteristics, unit, staffing adequacy and teamwork was seen to impact on missed
nursing care. While the relationship between staff and patient results is well established,
some studies focused on the nursing process, resulting in better results when nursing staff are
richer. The variable treatment used in this study concerning missed nursing care, which is
necessary for the patient care or significantly delayed (Kalisch, Tschannen & Lee, 2012).
However, the standard errors are much more frequent and harmful than the commissions. In
previous studies, the most common cause of negligence was to predict a lack of staff. This
study examines the actual medical staff care on the expected medical care.
The research problem did not take into consideration of patient feedback or feedback
from other clinical staffs and senior managers which could potential impact the quality of
nursing care in patients.
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Significance of the Study: Increased levels of caregivers have different results in
patients, including mortality, rates of infection, and so on. In many cases, these complications
lead to longer hospital stays and higher costs (Ausserhofer et al, 2014). The recently
identified standards for quality care indicator for nursing care and patient safety is nursing
care defined according to any standard, the required nursing care is omitted or delayed
significantly, which indicates an error of omission. Previous investigators point out factors
that contribute to the omission of nursing care. It is represented with respect to the
characteristics of the hospital, the characteristics of the personnel and personnel, the
inadequate personnel and nursing teamwork, represented in the missed nursing care model
(Tschannen, Kalisch & Lee, 2010). The results illuminate the correlates and the predictive
factors of the delay in nursing care in hospitals.
The criticism for significance of this study, is of generalisation concept which is
adopted for all hospitals across the world. Other factors that could significantly impact
missed nursing care was not considered for this study. Other factors include inadequacy of
other staffs, patient related feedback and training of nurses.
Research Design and the methods
The study includes a cross-sectional survey that does lacks characteristics of the entire
population. Quantitative cross-sectional survey research with 864 nursing staff in direct
patient care units (where 21 nurse managers and assistant managers & 10 other staff members
without identified direct role was excluded from the study). Nurses from intensive, Surgical
and medical care units from 27 units in Iceland 8 hospitals was studied. Nurses with direct
patient care was involved in surgical, medical and intensive care units in Iceland. The
analysis of this problem with correlating factors has to be determined.
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