TY - JOUR
T1 - The Association of Missed Nursing Care With Very Low Birthweight Infant Outcomes
AU - Lake, Eileen T.
AU - Staiger, Douglas
AU - Smith, Jessica G.
AU - Rogowski, Jeannette A.
N1 - Funding Information:
The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This research was supported by the Agency for Healthcare Research and Quality (Grant No. R01-HS024918, Lake, PI). State discharge abstract data for California and Pennsylvania were obtained from a prior grant from the National Institute of Nursing Research (Grant No. R01NR014855, Aiken, PI).
Publisher Copyright:
© The Author(s) 2023.
PY - 2023
Y1 - 2023
N2 - The health outcomes of very low birthweight (VLBW) infants in neonatal intensive care units (NICUs) may be jeopardized when required nursing care is missed. This correlational study is the first to look at the association between missed nursing care and mortality, morbidity, and length of stay (LOS) for VLBW infants in a U.S. NICU sample. We used 2016 hospital administrative discharge abstracts for VLBW newborns (n = 7,595) and NICU registered nurse survey responses (n = 6,963) from the National Database of Nursing Quality Indicators. The 190 sample hospitals were from 19 states in all regions. Missed clinical nursing care was significantly associated with higher odds of bloodstream infection and longer LOS, but not mortality or severe intraventricular hemorrhage. With further research, these results may motivate the development of interventions to reduce missed clinical nursing care in the NICU.
AB - The health outcomes of very low birthweight (VLBW) infants in neonatal intensive care units (NICUs) may be jeopardized when required nursing care is missed. This correlational study is the first to look at the association between missed nursing care and mortality, morbidity, and length of stay (LOS) for VLBW infants in a U.S. NICU sample. We used 2016 hospital administrative discharge abstracts for VLBW newborns (n = 7,595) and NICU registered nurse survey responses (n = 6,963) from the National Database of Nursing Quality Indicators. The 190 sample hospitals were from 19 states in all regions. Missed clinical nursing care was significantly associated with higher odds of bloodstream infection and longer LOS, but not mortality or severe intraventricular hemorrhage. With further research, these results may motivate the development of interventions to reduce missed clinical nursing care in the NICU.
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U2 - 10.1177/10775587221150950
DO - 10.1177/10775587221150950
M3 - Article
C2 - 36692294
AN - SCOPUS:85147454212
SN - 1077-5587
JO - Medical Care Research and Review
JF - Medical Care Research and Review
ER -
