Institute of Clinical Sciences, Thompson Yates Building, University of Liverpool, Liverpool, L69 3GB, UK; School of Health Sciences, Whelan Building, University of Liverpool, L69 3GB, UK.
Nurse Educ Today. 2018 Jul;66:19-24. doi: 10.1016/j.nedt.2018.04.002. Epub 2018 Apr 7.
Missed care is a recently described concept that is subject to an increasing amount of international nursing research. The impact of missed care is associated with poorer patient outcomes (mortality and morbidity) and poorer levels of patient satisfaction with the services provided by the hospital. Missed care has also been linked to decreased staff satisfaction and increased intention to leave. Overall disaffection amongst registered nurses has also been reported. Professional socialisation refers to the acquisition of behaviours within cultural norms, and it has been suggested that students enter a period of professional socialisation during their programme. Whilst it has been proposed that students may absorb the characteristics of those around them, to date, no empirical studies have reported the impact of missed care on student nurses.
The aim of this project is to explore the impact of missed care on the professional socialisation of student nurses. A qualitative study was undertaken in one higher education institute in UK with final year pre-registration nursing degree (adult field) students. Focus group interviews, utilizing a broad topic guide, were used to collect data which was analysed using thematic analysis.
Student nurses were aware that some planned care is missed and these findings resonated with those identified in the literature. In addition to illuminating aspects of professional socialisation, analysis yielded five themes with regards to missed care: awareness, rationale, impact, strategies to avoid and influence of missed care on career aspiration. Student nurses exposed to missed care appear to accept this as part of their professional socialisation.
With regards to professional socialisation, student nurses developed a pragmatic acceptance that care would be missed and that this could happen in any environment. As such they did not see missed care as influencing their career aspirations.
漏护是一个最近被描述的概念，受到越来越多的国际护理研究的关注。漏护的影响与较差的患者结局（死亡率和发病率）和较差的患者对医院提供的服务的满意度有关。漏护也与员工满意度下降和离职意愿增加有关。据报道，注册护士的整体不满情绪也有所增加。专业社会化是指在文化规范内获得行为，有人认为学生在其课程期间进入专业社会化阶段。虽然有人提出学生可能会吸收周围人的特征，但迄今为止，没有实证研究报告漏护对护生的影响。
本项目旨在探讨漏护对护生专业社会化的影响。在英国的一所高等教育机构中进行了一项定性研究，研究对象是最后一年的预注册护理学位（成人领域）学生。使用广泛的主题指南进行焦点小组访谈，以收集数据，然后使用主题分析进行分析。
护生意识到一些计划中的护理被遗漏了，这些发现与文献中确定的发现相呼应。除了阐明专业社会化的各个方面外，分析还产生了五个与漏护相关的主题：意识、理由、影响、避免策略和漏护对职业抱负的影响。接触到漏护的护生似乎接受了这是他们专业社会化的一部分。
就专业社会化而言，护生形成了一种实用主义的接受，即护理会被遗漏，而且这种情况可能会在任何环境中发生。因此，他们认为漏护不会影响他们的职业抱负。
