Faculty of Nursing, Jordan University of Science and Technology, Irbid, Jordan.
J Clin Nurs. 2018 Jul;27(13-14):2887-2895. doi: 10.1111/jocn.14380. Epub 2018 May 11.
To (i) identify the types and reasons for missed nursing care among Jordanian hospital nurses; (ii) identify predictors of missed nursing care based on study variables; and (iii) examine the relationship between nurses' confidence in delegation and missed nursing care.
Missed nursing care is a global concern for nurses and nurse administrators. Investigating the relation between the confidence in delegation and missed nursing care might help in designing strategies that enable nurses to minimise missed care and enhance quality of services.
A correlational research design was used for this study. A convenience sample of 362 hospital nurses completed the missed nursing care survey, and confidence and intent to delegate scale.
The results of the study revealed that ambulating and feeding patients on time, doing mouth care and attending interdisciplinary care conferences were the most frequent types of missed care. The mean score for missed nursing care was (2.78) on a scale from 1-5. The most prevalent reasons for missed care were "labour resources, followed by material resources, and then communication". Around 45% of the variation in the perceived level of "missed nursing care" was explained by background variables and perceived reasons for missed nursing. However, the relationship between confidence in delegation and missed care was insignificant.
The results of this study add to the body of international literature on most prevalent types and reasons for missed nursing care in a different cultural context.
Highlighting most prevalent reasons for missed nursing care could help nurse administrators in designing responsive strategies to eliminate or reduces such reasons.
(i) 识别约旦医院护士护理遗漏的类型和原因；(ii) 根据研究变量确定护理遗漏的预测因素；(iii) 检查护士对授权的信心与护理遗漏之间的关系。
护理遗漏是全球护士和护士管理人员关注的问题。调查授权信心与护理遗漏之间的关系可能有助于设计策略，使护士能够最大限度地减少遗漏护理，并提高服务质量。
本研究采用相关性研究设计。一个方便的样本量为 362 名医院护士完成了护理遗漏调查、信心和意图授权量表。
研究结果表明，按时为患者提供活动和喂食、进行口腔护理和参加跨学科护理会议是最常见的遗漏护理类型。护理遗漏的平均得分为 1-5 分制的（2.78）。护理遗漏的最常见原因是“劳动力资源，其次是物质资源，然后是沟通”。大约 45%的“护理遗漏”感知水平的变化可以用背景变量和感知的遗漏原因来解释。然而，授权信心与遗漏护理之间的关系并不显著。
本研究的结果增加了国际文献中关于不同文化背景下最常见的护理遗漏类型和原因的内容。
突出最常见的护理遗漏原因，可以帮助护士管理人员设计响应策略，以消除或减少这些原因。
