• Alvisa Palese, Erika Bassi, Cristina Tommasini, Roberta Vesca, Achille Di Falco, Paola De Lucia, Giovanna Mulloni, Flavio Paoletti, Raffaela Rissolo, Luisa Sist, Gianfranco Sanson, Ilario Guardini, Valentina Bressan, Maura Mesaglio, Evridiki Papastavrou, and Ian Blackman.
• Department of Medical Sciences, University of Udine, Udine, Italy.
• J Nurs Manag. 2019 Oct 1; 27 (7): 1492-1504.

AimTo support the development of appropriate policies and actions in the field of missed nursing care (MNC).BackgroundThere has been an ever-growing international debate on MNC, interventions that nurses have identified as necessary for their patients, but which for various reasons they are unable to provide or are forced to delay. Despite MNC's relevance, its translation into policies and actions has not been documented to date.MethodA consensus development method was employed involving (a) a nominal group composed of experts in the field, policymakers and the President of the Regional Nursing Professional Boards, and (b) 218 nurses appointed primarily at the managerial levels.ResultsA total of eight consensus statements were approved and organized in a series of sub-statements designed to (1) render the concept of MNC culturally acceptable in the Italian context, with the agreement that compromised nursing care (CNC) is the best term to be used in this field, as a synonym for MNC; (2) measure CNC as a strategy to increase patient safety; (3) select an appropriate CNC measurement tool; (4) optimize CNC measurement; (5) conduct effective CNC data analysis; (6) design and implement interventions to prevent and/or minimize CNC; (7) assess and disseminate findings on interventions' effectiveness; and (8) provide final remarks on the way to move forward.ConclusionsWe developed a process to introduce the phenomenon of MNC in the Italian culture and agreed firstly on the term compromised nursing care, which better reflects MNC's meaning according to the context and facilitates an open discussion on the phenomenon both within and outside the profession. The following consensus statements emerged represent a systematic approach, starting from the measurement and finishing with the re-measurement of the occurrence of MNC after having implemented concrete actions.Implications For Nursing ManagementThe approved consensus statements can guide decision-makers to develop concrete policies and actions that promote the improvement of quality of care and patients' safety by minimizing and/or preventing MNC's occurrence.© 2019 John Wiley & Sons Ltd.

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