Affiliation:
1. School of Nursing, Faculty of Health, Medicine and Health University of Wollongong Wollongong Australian Capital Territory Australia
2. Sydney Nursing School, Faculty of Medicine and Health University of Sydney Sydney Australia
3. Centre for Ageing Research and Translation University of Canberra and Synergy Nursing and Midwifery Research Centre ACT Health Directorate Canberra Australian Capital Territory Australia
4. Aged and Dementia Health Education and Research (ADHERe) Centre Wollongong Australian Capital Territory Australia
Abstract
AbstractAimTo critically evaluate missed care measurement approaches and their application in long‐term aged care (LTAC) settings.DesignSystematic review using Tawfik's guideline.Data SourcesPubMed, 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 MethodCOVIDENCE 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.ResultsTwenty‐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.ConclusionGlobally, 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.ImplicationsFindings 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.ImpactMeasurements 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 MethodAdhered to PRISMA guideline.Patient or Public ContributionNo patient or public contribution.