The phenomenon of missed nursing care is endemic across all sectors. Nurse leaders have drawn attention to the implications of missed care for patient outcomes, with calls to develop clear political, methodological, and theoretical approaches. As part of this call, we describe three structural theories that inform frameworks of missed care: systems theory, economic theory, and neoliberal politics. The final section provides commentary on the strengths and limitations of these three theories, in the light of structuration theory and calls to balance this research agenda by reinstating nurse agency and examining the interactions between nurses as agents and the health systems as structures. The paper argues that a better understanding of variations in structure-agency interaction across the healthcare system might lead to more effective interventions at strategic leverage points.

译文

:缺少护理的现象在所有部门都是地方性的。护士领导者已引起人们的关注,即缺少护理对患者结果的影响,并呼吁制定明确的政治,方法和理论方法。作为此次电话会议的一部分,我们描述了三种结构理论,这些理论为失踪护理的框架提供了信息:系统理论,经济理论和新自由主义政治。最后一部分根据结构化理论对这三种理论的优势和局限性进行了评论,并呼吁通过恢复护士机构并检查护士作为代理人与卫生系统作为结构之间的相互作用来平衡这一研究议程。该论文认为,更好地理解整个医疗保健系统中结构-机构互动的变化可能会导致在战略杠杆点采取更有效的干预措施。

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