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  1. Bittner, Nancy Phoenix PhD, RN, CCRN
  2. Gravlin, Gayle EdD, RN, NEA-BC
  3. Hansten, Ruth PhD, RN, FACHE
  4. Kalisch, Beatrice J. PhD, RN, FAAN


Evidence points to the omission of required nursing care as a pervasive problem in acute care hospitals. Labor and material resource constraints, increasing patient complexity, ineffective delegation, and poor communication have been identified as contributing factors. Nurse executives should examine the degree and causes of missed care in their organizations. Action plans should be developed based on identification of issues contributing to this serious concern, thus promoting safe patient care.