Dehghan-Nayeri Nahid, Shali Mahboobeh, Navabi Nasrin, Ghaffari Fatemeh
Nursing and Midwifery Care Research Centre, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
Nursing Care Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.
Asia Pac J Oncol Nurs. 2018 Jul-Sep;5(3):327-336. doi: 10.4103/apjon.apjon_6_18.
The main objective of this study was to explore factors affecting missed nursing care in oncology units from the perspective of nurse managers.
Twenty nurse managers working at oncology units of referral teaching hospitals in Iran participated in this study. Data were collected through individual face-to-face and telephonic interviews using an interview guide. Focus groups were also conducted. Data were analyzed using conventional content analysis.
System structure, underlying factors, and barriers to missed-care reports were identified as factors that affect missed nursing care.
Nurse managers should reduce the effects of nursing staff shortages and increased workloads in addition to providing materials and equipment. They need to distribute experienced staff according to the type of ward or patients' needs. Nurse managers should create a favorable environment for reporting missed nursing care by having an open relationship with nurses by teaching and emphasizing nursing practice. Moreover, using a nonpunitive managerial approach and minimizing the use of an apathetic management style can be helpful.
本研究的主要目的是从护士长的角度探讨影响肿瘤科室护理缺失的因素。
20名在伊朗转诊教学医院肿瘤科室工作的护士长参与了本研究。通过使用访谈指南进行个人面对面和电话访谈收集数据。还开展了焦点小组讨论。采用常规内容分析法对数据进行分析。
系统结构、潜在因素以及护理缺失报告的障碍被确定为影响护理缺失的因素。
护士长除了提供物资和设备外，还应减少护理人员短缺和工作量增加的影响。他们需要根据病房类型或患者需求分配经验丰富的 staff。护士长应通过教学和强调护理实践与护士建立开放的关系，为报告护理缺失创造有利环境。此外，采用非惩罚性管理方法并尽量减少冷漠管理风格的使用可能会有所帮助。
