Running Head: Patient Outcomes Secondary 2The qualitative research study article, Nursing Care: A Qualitative Study, provides research that allows us to comprehend nursing care that is commonly omitted on med-surgical units, and the explanations given by staff members on these nursing units, as to why these tasks are often overlooked, or routinely missed. The precise aspects of missed care, possibly leading tothe negative connotation that less staffing and negative outcomes are directly linked, has not been recognized in examination as of yet (Kalisch,2006). It has been stated that nurses aid in the surveillance role in hospitals to avoid mistakes and guarantee excellence in healthcare, and staff deficiencies in numbers lead to insufficient surveillance (Kalisch,2006). Beatrice Kalisch realized a lapse in care, and wanted to discover what variables contributed to these substandard actions. The nine rudiments of repeatedly omitted nursing care (walking, rotating bed position, overdue or absent feedings, patient teaching, instructions regarding discharge, support emotionally, bathing, recording I&O’s, and observation) and 7 recurring themes in relation to the explanations for these lapses in care were described by nursing personnel. The purpose of this study was to determine the elements of nursing care regularlymissed on medical-surgical units and reasoning for the care not being administered. Themessage to the reader, was improving the quality of nursing care and safety of the patient,which has major challenges that face our nursing and leadership every day (Kalisch,2006). Thestudies that are done, will help to determine what changes in the nursing practicum can be madeto ensure better patient outcomes in the future. The grounded theory methodology was“originally developed as a sociologist’s tool”(Glazer, 1967). It is indistinguishable, whether ornot, the proper guidelines of the grounded theory method were followed.