The aim of this study is to examine the relationship between nursing time use and perceptions of missed care.BACKGROUND:
Recent literature has highlighted the problem of missed nursing care, but little is known about how nurses’ time use patterns are associated with reports of missed care.METHODS:
In 15 nursing units at 2 hospitals, we assessed registered nurse (RN) perceptions of missed care, observed time use by RNs, and examined the relationship between time spent and degree of missed care at the nursing unit level.RESULTS:
Patterns of time use were similar across hospitals, with 25% of time spent on documentation. For 6 different categories of nursing tasks, no association was detected between time use, including time spent on documentation, and the degree of missed care at the nursing unit level.CONCLUSIONS:
Nursing time use cannot fully explain variation in missed care across nursing units. Further work is needed to account for patterns of missed care.