Files and links (1)
Journal of Advanced Nursing - 2024 - Wang - Care quality and safety in long‐term aged care settings A systematic review1.23 MB
Published VersionCC BY-NC V4.0, Open Access
Journal article
Care quality and safety in long-term aged care settings: A systematic review and narrative analysis of missed care measurements
Journal of Advanced Nursing, Vol.81(9), pp.5264-5290
2024
PMID: 39092879
Abstract
Aim
To critically evaluate missed care measurement approaches and their application in long-term aged care (LTAC) settings.
Design
Systematic review using Tawfik's guideline.
Data Sources
PubMed, Scopus, Web of Science, CINAHL and ProQuest were searched. Supplemental searching was from reference lists of retrieved records, first authors' ORCID homepages and Google advanced search for grey literature. Search limitations were English language, published between 1 January 2001 and 31 December 2022.
Review Method
COVIDENCE was utilized for screening, data extraction and quality appraisal. JBI Critical Appraisal Tools and COSMIN Risk of Bias Tool were used for quality appraisal. Data were summarized and synthesized using narrative analysis.
Results
Twenty-four publications across 11 regions were included, with two principal methods of missed care measurement: modified standard scales and tailored specific approaches. They were applied inconsistently and generated diverse measurement outcomes. There were challenges even with the most commonly used tool, the BERNCA-NH, including absence of high-quality verification through comparative analysis against an established ‘gold standard’, reliance on self-administration, incomplete assessment of constructs and inadequate exploration of psychometric properties.
Conclusion
Globally, there are deficiencies in the effectiveness and comprehensiveness of the instruments measuring missed care in LTAC settings. Further research on theoretical and practical perspectives is required.
Implications
Findings highlighted a critical need to establish a standardized, validated approach to measure missed care in LTAC settings. This review calls for collaborative efforts by researchers, clinical staff and policymakers to develop and implement evidence-based practices as a way of safeguarding the well-being of older clients living in LTAC settings.
Impact
Measurements of missed care in LTAC settings rely on adapting acute care tools. There is a critical gap in measuring missed care in LTAC settings. Developing a new tool could improve care quality and safety in LTAC settings globally.
Reporting Method
Adhered to PRISMA guideline.
Patient or Public Contribution
No patient or public contribution.
Details
- Title
- Care quality and safety in long-term aged care settings: A systematic review and narrative analysis of missed care measurements
- Authors
- Xinxia Wang (Corresponding Author) - University of WollongongJohn Rihari-Thomas - The University of SydneyKasia Bail - University of CanberraNina Bala - University of WollongongVictoria Traynor - University of Wollongong
- Publication details
- Journal of Advanced Nursing, Vol.81(9), pp.5264-5290
- Publisher
- Wiley-Blackwell Publishing Ltd.
- Date published
- 2024
- DOI
- 10.1111/jan.16358
- ISSN
- 1365-2648; 0309-2402
- PMID
- 39092879
- Copyright note
- © 2024 The Author(s). Journal of Advanced Nursing published by John Wiley & Sons Ltd. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
- Data Availability
- Data available on request from the authors.
- Organisation Unit
- Healthy Ageing Research Cluster; School of Health; School of Health - Nursing
- Language
- English
- Record Identifier
- 991154936502621
- Output Type
- Journal article
Metrics
2 Record Views
InCites Highlights
These are selected metrics from InCites Benchmarking & Analytics tool, related to this output
- Collaboration types
- Domestic collaboration
- Web Of Science research areas
- Nursing
UN Sustainable Development Goals (SDGs)
This output has contributed to the advancement of the following goals:
Source: InCites