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内科和外科临床科室护理缺失的情况及原因。

Situations and reasons for missed nursing care in medical and surgical clinic units.

作者信息

Dutra Carla Klava Dos Reis, Salles Bianca Gomes, Guirardello Edinêis de Brito

机构信息

Universidade Estadual de Campinas, Faculdade de Enfermagem, Campinas, São Paulo, SP, Brasil.

出版信息

Rev Esc Enferm USP. 2019 Aug 19;53:e03470. doi: 10.1590/S1980-220X2017050203470.

DOI:10.1590/S1980-220X2017050203470
PMID:31433012
Abstract

OBJECTIVE

To evaluate the frequency and reasons for missed nursing care and to verify whether the reasons for omission differ between professional categories.

METHOD

A quantitative and cross-sectional study carried out in the adult hospitalization units of a public hospital of a teaching institution. Data collection was performed from February to April 2017, through a personal and professional characterization form and the MISSCARE-BRASIL instrument.

RESULTS

Fifty-eight (58) nursing professionals responsible for direct patient care participated in the study, of which 74.1% reported at least one missed nursing care activity during the work shift. The main reasons attributed to missed care situations were an inadequate amount of professionals, urgent situations with the patients during the work shift, and the non-availability of medicine, materials or equipment when necessary.

CONCLUSION

Most care was "always" or "often" performed, and the reasons given for missed care are related to work resources, materials, and management style. Nurses differ from the technicians as to the reasons for not performing care.

摘要

目的

评估护理缺失的频率及原因,并验证不同专业类别之间护理缺失的原因是否存在差异。

方法

在一所教学机构的公立医院成人住院科室开展一项定量横断面研究。2017年2月至4月,通过个人及职业特征表和MISSCARE - 巴西工具进行数据收集。

结果

58名负责直接护理患者的护理专业人员参与了该研究,其中74.1%报告在工作班次期间至少有一项护理活动缺失。护理缺失情况的主要归因原因是专业人员数量不足、工作班次期间患者出现紧急情况以及必要时药品、材料或设备不可用。

结论

大多数护理“总是”或“经常”执行,护理缺失的原因与工作资源、材料和管理方式有关。护士与技术人员在不执行护理的原因方面存在差异。

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