AIM: This study aimed to quantify types and frequencies of missed infection control care and to develop a theoretical model for estimating nurses' consensus scores about this form of missed care. DESIGN: A non-experimental research design using self-audit data was selected to collect information about the types and frequencies of missed infection control care from nurses employed in hospitals located in three different countries. Data collection commenced mid-year 2018. METHODS: A multivariate approach was used to apply the consensus scores of 1.911 internationally based nurses in the missed opportunities for maintaining infection control. RESULTS/FINDINGS: Thirteen variables exert direct effects on the nurses' total scores underpinning missed infection control care. These include the methods used to prevent hospital-acquired infections, surveillance and hand hygiene practices. Significant nurses' demographic factors also included their countries of origin, employment status, employer type, job retention intentions, work intensity, length of clinical experience and staff development attendance. CONCLUSION: In magnitude of importance and having the largest effect on missed infection control care is missed care related to reducing hospital-acquired infections followed closely by surveillance. Missed infection control care can be quantified, and variances in its practices can be accounted by exploring the nurses' differing demographic factors, including the nurses' country of origin. IMPACT: Variations in missed infection control care can be accounted for across three countries. While ward hygiene is underestimated by staff as a mechanism to minimize nosocomial infections, infection control surveillance remains the key to reducing hospital-acquired infections. The study's outcomes invite the use of an ongoing, whole-of-organization approach to infection control with scrutiny being needed for improved staff adherence particularly with hand hygiene.

College of Nursing and Health Sciences Flinders University Adelaide SA Australia

Department of Nursing and Care Faculty of Nursing Medical Academy Lithuanian University of Health Sciences Kaunas Lithuania

Department of Nursing Faculty of Health Sciences Palacký University Olomouc Olomouc Czech Republic

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Allen, S. , & Cronin, S. N. (2012). Improving staff compliance with isolation precautions through use of an educational intervention and behavioral contract. Dimensions of Critical Care Nursing, 31(5), 290–294. 10.1097/DCC.0b013e31826199e8 PubMed DOI

Australian Commission on Safety and Quality in Health Care . (2019). National hand hygiene: Initiative manual. https://www.safetyandquality.gov.au/publications‐and‐resources/resource‐library/national‐hand‐hygiene‐initiative‐user‐manual

Blackman, I. , Hadjigeorgiou, E. , & McNeill, L. (2020). Causal links to missed Australian midwifery care: What is the evidence? European Journal of Midwifery, 4, 41. 10.18332/ejm/127769 PubMed DOI PMC

Bond, T. , & Fox, C. (2015). Applying the Rasch model: Fundamental measurement in the human sciences (3rd ed.). Lawrence Erblaum & Associates.

Boone, W. J. , Staver, J. R. , & Yale, M. S. (2014). Rasch analysis in the human sciences (1st ed.). Springer; 10.1007/978-94-007-6857-4 DOI

Brocket, J. , & Shaban, R. Z. (2015). Characteristics of a successful hospital hand hygiene program: An Australian perspective. Healthcare Infection, 20(3–4), 101–107. 10.1071/HI15007 DOI

Carpenter, J. R. , & Kenward, M. G. (2013). Multiple imputation and its application (1st ed.). John Wiley & Sons.

Dancer, S. J. (2016). Infection control: Evidence‐based common sense. Infection, Disease & Health, 21(4), 147–153. 10.1016/j.idh.2016.10.003 DOI

Dancer, S. J. , White, L. F. , Lamb, J. , Girvan, E. K. , & Robertson, C. (2009). Measuring the effect of enhanced cleaning in a UK hospital: A prospective cross‐over study. BMC Medicine, 7(28). 10.1186/1741-7015-7-28. PubMed DOI PMC

Grayson, M. L. , Russo, P. L. , Cruickshank, M. , Bear, J. L. , Gee, C. A. , Hughes, C. F. , Johnson, P. D. R. , McCann, R. , McMillan, A. J. , Mitchell, B. G. , Selvey, C. E. , Smith, R. E. , & Wilkinson, I. J. (2011). Outcomes from the first 2 years of the Australian National Hand Hygiene Initiative. Medical Journal of Australia, 195(10), 615–619. 10.5694/mja11.10747 PubMed DOI

Gurková, E. , Adamkovič, M. , Jones, T. , Kurucová, R. , Kalánková, D. , & Žiaková, K. (2020). Factor analysis, validity of the perceived implicit rationing of nursing care instrument and prevalence and patterns of unfinished nursing care in Slovakia. Journal of Nursing Management, 28(8), 2036–2047. 10.1111/jonm.12887 PubMed DOI

Hair, J. F. , Hult, G. T. M. , Ringle, C. M. , & Sarstedt, M. (2017). A primer on partial least squares structural equation modeling (PLS‐SEM) (2nd ed.). Sage.

Hansmann, K. W. , & Ringle, C. M. (2014). SmartPLS manual 3.0. University of Hamburg.

Henderson, J. , Willis, E. , Roderick, A. , Bail, K. , & Brideson, G. (2020). Why do nurses miss infection control activities? A qualitative study. Collegian, 27(1), 11–17. 10.1016/j.colegn.2019.05.004 DOI

Kalánková, D. , Kirwan, M. , Bartoníčková, D. , Cubelo, F. , Žiaková, K. , & Kurucová, R. (2020). Missed, rationed or unfinished nursing care: A scoping review of patient outcomes. Journal of Nursing Management, 28(8), 1783–1797. 10.1111/jonm.12978 PubMed DOI

Kalisch, B. J. , Landstrom, G. L. , & Hinshaw, S. A. (2009). Missed nursing care: A concept analysis. Journal of Advanced Nursing, 65(7), 1509–1517. 10.1111/j.1365-2648.2009.05027.x PubMed DOI

Magill, S. S. , Edwards, J. R. , Bamberg, W. , Beldavs, Z. G. , Dumyati, G. , Kainer, M. A. , Lynfield, R. , Maloney, M. , McAllister‐Hollod, L. , Nadle, J. , Ray, S. M. , Thompson, D. L. , Wilson, L. E. , & Fridkin, S. K. (2014). Multistate point‐prevalence survey of health care‐associated infections. New England Journal of Medicine, 370(13), 1198–1208. 10.1056/NEJMoa1306801 PubMed DOI PMC

Mitchell, B. G. , Dancer, S. J. , Anderson, M. , & Dehn, E. (2015). Risk of organism acquisition from prior room occupants: A systematic review and meta‐analysis. Journal of Hospital Infection, 91(3), 211–217. 10.1016/j.jhin.2015.08.005 PubMed DOI

Mitchell, B. G. , Shaban, R. Z. , MacBeth, D. , Wood, C. J. , & Russo, P. L. (2017). The burden of healthcare‐associated infection in Australian hospitals: A systematic review of the literature. Infection, Disease & Health, 22(3), 117–128. 10.1016/j.idh.2017.07.001 PubMed DOI

Nadova, K. , Rusnakova, V. , Novak, M. , Sadlonova, V. , Cervenova, T. , & Novakova, E. (2016). Benefit of active approach to surveillance of hospital‐acquired infections. Epidemiology: Open Access, 6(2). 10.4172/2161-1165.1000239 DOI

Rampling, A. , Wiseman, S. , Davis, L. , Hyett, A. P. , Walbridge, A. N. , Payne, G. C. , & Cornaby, A. J. (2001). Evidence that hospital hygiene is important in the control of methicillin‐resistant Staphylococcus aureus . Journal of Hospital Infection, 49(2), 109–116. 10.1053/jhin.2001.1013 PubMed DOI

Riklikiene, O. , Blackman, I. , Bendinskaite, I. , Henderson, J. , & Willis, E. (2020). Measuring the validity and reliability of the Lithuanian missed nursing care in infection prevention and control scales using Rasch analysis. Journal of Nursing Management, 28(8), 2025–2035. 10.1111/jonm.12918 PubMed DOI

Russo, P. L. , Cheng, A. C. , Richards, M. , Graves, N. , & Hall, L. (2015). Healthcare‐associated infections in Australia: Time for national surveillance. Australian Health Review, 39(1). 10.1071/AH14037 PubMed DOI

Sax, H. , Allegranzi, B. , Uçkay, I. , Larson, E. , Boyce, J. , & Pittet, D. (2007). ‘My five moments for hand hygiene’: A user‐centred design approach to understand, train, monitor and report hand hygiene. Journal of Hospital Infection, 67(1), 9–21. 10.1016/j.jhin.2007.06.004 PubMed DOI

Sitjsma, K. (2009). On the use, the misuse, and the very limited usefulness of Cronbach's alpha. Psychometrika, 74(1), 107–120. 10.1007/s11336-008-9101-0 PubMed DOI PMC

Spelman, D. W. (2002). Hospital‐acquired infections. Medical Journal of Australia, 176(6), 286–291. 10.5694/j.1326-5377.2002.tb04412.x PubMed DOI

Suetens, C. , Latour, K. , Kärki, T. , Ricchizzi, E. , Kinross, P. , Moro, M. L. , Jans, B. , Hopkins, S. , Hansen, S. , Lyytikäinen, O. , Reilly, J. , Deptula, A. , Zingg, W. , Plachouras, D. , & Monnet, D. L. (2018). Prevalence of healthcare‐associated infections, estimated incidence and composite antimicrobial resistance index in acute care hospitals and long‐term care facilities: Results from two European point prevalence surveys, 2016 to 2017. Eurosurveillance, 23(46). 10.2807/1560-7917.ES.2018.23.46.1800516 PubMed DOI PMC

Wild, D. , Grove, A. , Martin, M. , Eremenco, S. , McElroy, S. , Verjee‐Lorenz, A. , & Erikson, P. (2005). Principles of good practice for the translation and cultural adaptation process for patient‐reported outcomes (PRO) measures: Report of the ISPOR Task Force for Translation and Cultural Adaptation. Value in Health, 8(2), 94–104. 10.1111/j.1524-4733.2005.04054.x PubMed DOI

World Health Organization . (2002). Prevention of hospital‐acquired infections: A practical guide. https://apps.who.int/iris/handle/10665/67350

World Health Organization . (2009). WHO guidelines on hand hygiene in health care: A summary. https://www.who.int/gpsc/information_centre/hand‐hygiene‐summary/en/ PubMed

World Health Organization . (2011). Report on the burden of endemic health care‐associated infection worldwide. https://apps.who.int/iris/handle/10665/80135

World Health Organization . (2014). Evidence of hand hygiene to reduce transmission and infections by multidrug resistant organisms in healthcare settings. http://www.who.int/gpsc/5may/MDRO_literature‐review.pdf

World Health Organization . (2016). Guidelines on core components of infection prevention and control programmes at the national and acute health care facility level. https://apps.who.int/iris/bitstream/handle/10665/251730/9789241549929‐eng.pdf PubMed