Determinants of Missed Nursing Care by Nurses at University Teaching and Referral Hospital (Chuk) of Kigali in Rwanda

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Abstract Objective The aim of this study was to determine the levels, types and the factors that influence Missed Nursing Care activities by nurses at the University Teaching and Referral Hospital of Kigali in Rwanda. Material and Methods This study was cross-sectional descriptive correlation design. The researchers used complete coverage method of sampling technique to obtain participants. The researchers used MISSCARE survey questionnaires for data collection with. The data was analysed using SPSS version 26.0. Frequencies, crosstabulation, chi-square and multinomial logistic regression were computed to find the percentage, associations and effects between independent and dependent variables at 95% confidence interval and significance level of 5%. Results Two hundred and one (201) nurses took part in the study, 56.7% were female and 46.3% were male. The majority were aged 31–40 years, 54.2% had Diploma, 42.3% had bachelor while 3.5% had master’s degree, and 75.6% were married. The mean experience in nursing and in current unit were 13years and 7years respectively. Missed nursing care was regarded as moderate as perceived by 46.73% of respondents. The study showed that replying to call alarms within 5 minutes, joining interdisplinary whenever held, documentation of necessary information, monitoring intake and output, and patient health education were always being missed by nurses. Institutional unit type (χ2 (6, N = 201) = 63.31, p = 0.001), gender (χ2 (2, N = 201) = 10.35, p = 0.006), orientation (χ2 (2, N = 201) = 9.51, p = 0.009), satisfaction with salary (χ2 (2, N = 201) = 8.25, p = 0.016), level of education (χ2 (2, N = 201) = 10.34, p = 0.006), and ward size were the most statistically significant factors associated with level of missed nursing care activities. Discussion Majority, 46.73% of nurses viewed the level of missed nursing care at the hospital as moderate. The top five nursing activities that have always been missed were replying to call alarms within 5 minutes, joining interdisplinary whenever held, documentation of necessary information, monitoring intake and output, and patient health education. The study findings revealed that gender, level of education, and the department in which the nurses work were the most statistically significant factors contributing to missed nursing care at the hospital. Conclusions The study findings showed that level of missed nursing care was moderate and it was different across the hospital. The findings also showed that there was top five missing nursing care that are aways missing affected by various factors.

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