Other reasons for missed care are peer pressure and team norms. Nurses in focus groups repeatedly said that, when they consulted with team members about not completing aspects of care, it was not uncommon for their peers to say: “Oh, we don’t do that. Don’t worry about it” (Kalisch, 2006). It appears that, over time, a “culture of missing care” has somehow evolved. Nurses who have practiced more than 20 years point to a major decline in completeness of nursing care over the last several decades.