Psychometric properties of the perinatal missed care survey and missed care during labor and birth

doi:10.1016/j.apnr.2021.151516

. 2022 Feb:63:151516.

doi: 10.1016/j.apnr.2021.151516. Epub 2021 Oct 19.

Psychometric properties of the perinatal missed care survey and missed care during labor and birth

Audrey Lyndon¹, Kathleen Rice Simpson², Joanne Spetz³, Jason Fletcher⁴, Caryl L Gay⁵, Gay L Landstrom⁶

Affiliations

¹ Rory Meyers College of Nursing, New York University, United States of America; Department of Family Health Care Nursing, University of California San Francisco, United States of America. Electronic address: audrey.lyndon@nyu.edu.
² Mercy Hospital, Saint Louis, United States of America.
³ Philip R. Lee Institute for Health Policy Studies, University of California San Francisco, United States of America.
⁴ Rory Meyers College of Nursing, New York University, United States of America.
⁵ Department of Family Health Care Nursing, University of California San Francisco, United States of America.
⁶ Trinity Health, Livonia, MI, United States of America.

PMID: 35034697
PMCID: PMC9733661
DOI: 10.1016/j.apnr.2021.151516

Psychometric properties of the perinatal missed care survey and missed care during labor and birth

Audrey Lyndon et al. Appl Nurs Res. 2022 Feb.

. 2022 Feb:63:151516.

doi: 10.1016/j.apnr.2021.151516. Epub 2021 Oct 19.

Authors

Audrey Lyndon¹, Kathleen Rice Simpson², Joanne Spetz³, Jason Fletcher⁴, Caryl L Gay⁵, Gay L Landstrom⁶

Affiliations

¹ Rory Meyers College of Nursing, New York University, United States of America; Department of Family Health Care Nursing, University of California San Francisco, United States of America. Electronic address: audrey.lyndon@nyu.edu.
² Mercy Hospital, Saint Louis, United States of America.
³ Philip R. Lee Institute for Health Policy Studies, University of California San Francisco, United States of America.
⁴ Rory Meyers College of Nursing, New York University, United States of America.
⁵ Department of Family Health Care Nursing, University of California San Francisco, United States of America.
⁶ Trinity Health, Livonia, MI, United States of America.

PMID: 35034697
PMCID: PMC9733661
DOI: 10.1016/j.apnr.2021.151516

Abstract

Aim:: To evaluate the psychometric characteristics of the Perinatal Missed Care Survey and assess the prevalence of nurse-reported missed care during labor and birth.

Background:: Nursing care during labor and birth differs from other nursing care. Empirical evidence is scant regarding nursing quality and missed nursing care during labor and birth, which are important aspects of quality in maternity care.

Methods:: We conducted exploratory and confirmatory factor analysis on a previously developed perinatal missed nursing care instrument using data from 3,466 registered nurses. Measures included missed nursing care, reasons for missed nursing care, and demographic characteristics. All birth hospitals in each of 37 states were invited to distribute surveys electronically via email to their labor and delivery RN staff. The overall response rate from 277 hospitals that facilitated the survey was 35%.

Results:: Some missed care was reported for each of 25 missed care items. Labor support, intake and output, patient teaching, timely documentation, timely medication administration, and thorough review of prenatal records were missed at least occasionally by >50% respondents. Labor resources (83%), material resources (77%), and communication (60%) were reported reasons for missed nursing care. Exploratory factor analysis aligned with previous testing. Confirmatory factor analysis demonstrated good model fit.

Conclusions:: The Perinatal Missed Care Survey demonstrates good validity and reliability as a measure of missed nursing care during labor and birth. Our findings suggest missed nursing care during labor and birth is prevalent and occurs in aspects of care that could contribute to patient harm when missed.

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Figures

**Figure 1.**
Steps in adapting the MISSCARE Survey to the maternity care setting. Authors (2019). [citation, permission]

**Figure 2.**
Survey Distribution by State

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References

1. Aiken LH, Sloane DM, Bruyneel L, Van den Heede K, Sermeus W, & Consortium RC (2013). Nurses’ reports of working conditions and hospital quality of care in 12 countries in Europe. International Journal of Nursing Studies, 50(2), 143–153. 10.1016/j.ijnurstu.2012.11.009 - DOI - PubMed
1. Authors (2012). Nurses’ perceptions of critical issues requiring consideration in the development of guidelines for professional registered nurse staffing for perinatal units. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 41(4), 474–482. 10.1111/j.1552-6909.2012.01383.x - DOI - PMC - PubMed
1. Authors (2016a). Labor Nurses’ Views of their Influence on Cesarean Birth. MCN: American Journal of Maternal Child Nursing. 10.1097/NMC.0000000000000308 - DOI - PubMed
1. Authors (2016b). Consequences of Inadequate Staffing Include Missed Care, Potential Failure to Rescue, and Job Stress and Dissatisfaction. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 45(4), 481–490. 10.1016/j.jogn.2016.02.011 - DOI - PubMed
1. Authors (2017a). Thematic analysis of US stakeholder views on the influence of labour nurses’ care on birth outcomes. BMJ Quality & Safety, 26(10), 824–831. 10.1136/bmjqs-2016-005859 - DOI - PubMed

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[1] Aiken LH, Sloane DM, Bruyneel L, Van den Heede K, Sermeus W, & Consortium RC (2013). Nurses’ reports of working conditions and hospital quality of care in 12 countries in Europe. International Journal of Nursing Studies, 50(2), 143–153. 10.1016/j.ijnurstu.2012.11.009 - DOI - PubMed

[2] Aiken LH, Sloane DM, Bruyneel L, Van den Heede K, Sermeus W, & Consortium RC (2013). Nurses’ reports of working conditions and hospital quality of care in 12 countries in Europe. International Journal of Nursing Studies, 50(2), 143–153. 10.1016/j.ijnurstu.2012.11.009 - DOI - PubMed

[3] Authors (2012). Nurses’ perceptions of critical issues requiring consideration in the development of guidelines for professional registered nurse staffing for perinatal units. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 41(4), 474–482. 10.1111/j.1552-6909.2012.01383.x - DOI - PMC - PubMed

[4] Authors (2012). Nurses’ perceptions of critical issues requiring consideration in the development of guidelines for professional registered nurse staffing for perinatal units. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 41(4), 474–482. 10.1111/j.1552-6909.2012.01383.x - DOI - PMC - PubMed

[5] Authors (2016a). Labor Nurses’ Views of their Influence on Cesarean Birth. MCN: American Journal of Maternal Child Nursing. 10.1097/NMC.0000000000000308 - DOI - PubMed

[6] Authors (2016a). Labor Nurses’ Views of their Influence on Cesarean Birth. MCN: American Journal of Maternal Child Nursing. 10.1097/NMC.0000000000000308 - DOI - PubMed

[7] Authors (2016b). Consequences of Inadequate Staffing Include Missed Care, Potential Failure to Rescue, and Job Stress and Dissatisfaction. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 45(4), 481–490. 10.1016/j.jogn.2016.02.011 - DOI - PubMed

[8] Authors (2016b). Consequences of Inadequate Staffing Include Missed Care, Potential Failure to Rescue, and Job Stress and Dissatisfaction. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 45(4), 481–490. 10.1016/j.jogn.2016.02.011 - DOI - PubMed

[9] Authors (2017a). Thematic analysis of US stakeholder views on the influence of labour nurses’ care on birth outcomes. BMJ Quality & Safety, 26(10), 824–831. 10.1136/bmjqs-2016-005859 - DOI - PubMed

[10] Authors (2017a). Thematic analysis of US stakeholder views on the influence of labour nurses’ care on birth outcomes. BMJ Quality & Safety, 26(10), 824–831. 10.1136/bmjqs-2016-005859 - DOI - PubMed

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Psychometric properties of the perinatal missed care survey and missed care during labor and birth

Affiliations

Psychometric properties of the perinatal missed care survey and missed care during labor and birth

Authors

Affiliations

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