影响私立医院患者护理缺失的因素。
Factors influencing the missed nursing care in patients from a private hospital.
作者信息
Hernández-Cruz Raúl, Moreno-Monsiváis María Guadalupe, Cheverría-Rivera Sofía, Díaz-Oviedo Aracely
机构信息
MSc, Professor, Facultad de Enfermería, Universidad Autónoma de San Luis Potosí, San Luis Potosí, Mexico.
PhD, Researcher, Facultad de Enfermería, Universidad Autónoma de Nuevo León, Nuevo León, Mexico.
出版信息
Rev Lat Am Enfermagem. 2017 Jul 10;25:e2877. doi: 10.1590/1518-8345.1227.2877.
OBJECTIVE
to determine the factors that influence the missed nursing care in hospitalized patients.
METHODS
descriptive correlational study developed at a private hospital in Mexico. To identify the missed nursing care and related factors, the MISSCARE survey was used, which measures the care missed and associated factors. The care missed and the factors were grouped in global and dimension rates. For the analysis, descriptive statistics, Spearman's correlation and simple linear regression were used. Approval for the study was obtained from the ethics committee.
RESULTS
the participants were 71 nurses from emergency, intensive care and inpatient services. The global missed care index corresponded to M=7.45 (SD=10.74); the highest missed care index was found in the dimension basic care interventions (M=13.02, SD=17.60). The main factor contributing to the care missed was human resources (M=56.13, SD=21.38). The factors related to the care missed were human resources (rs=0.408, p<0.001) and communication (rs=0.418, p<0.001).
CONCLUSIONS
the nursing care missed is mainly due to the human resource factor; these study findings will permit the strengthening of nursing care continuity.
目的
确定影响住院患者护理缺失的因素。
方法
在墨西哥一家私立医院开展描述性相关性研究。为识别护理缺失及相关因素，使用了MISSCARE调查问卷，该问卷用于测量护理缺失及相关因素。护理缺失及因素按总体率和维度率进行分组。分析时采用描述性统计、Spearman相关性分析和简单线性回归。本研究获得了伦理委员会的批准。
结果
参与者为来自急诊科、重症监护室和住院部的71名护士。总体护理缺失指数为M = 7.45（标准差= 10.74）；在基本护理干预维度中护理缺失指数最高（M = 13.02，标准差= 17.60）。导致护理缺失的主要因素是人力资源（M = 56.13，标准差= 21.38）。与护理缺失相关的因素是人力资源（rs = 0.408，p < 0.001）和沟通（rs = 0.418，p < 0.001）。
结论
护理缺失主要归因于人力资源因素；这些研究结果将有助于加强护理的连续性。
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