College of Nursing, Sultan Qaboos University, Muscat, Oman.
College of Nursing, Visayas State University, Baybay City, Philippines.
J Nurs Manag. 2020 Nov;28(8):2257-2265. doi: 10.1111/jonm.12894. Epub 2019 Dec 4.
This study evaluated the role of nurse caring in predicting missed nursing care, adverse patient events and the quality of nursing care.
Missed nursing care is an issue essential in health care, as it is associated with adverse patient events. While studies have previously examined factors that result in missed nursing care activities and adverse events, the role of nurse caring itself in this context has not yet been explored.
A cross-sectional research design was adopted, employing a convenience sample of 549 registered nurses from six hospitals in the Philippines identified between October 2018 and January 2019. Four self-report scales were used in this study as follows: the caring behaviour inventory, the missed nursing care scale, the adverse patient events scale and a single-item scale to measure the quality of nursing care.
Comforting or talking with patients and changing patients' positioning in bed were the most frequently missed care tasks, while patient/family complaints and patient/family verbal abuse were the most frequently reported adverse events. Nurse caring strongly predicted the quality of care, missed nursing care and patient adverse events.
Fostering caring behaviours among nurses has a profound effect on nurses' decision to omit or provide nursing care as well as on reducing adverse events and promoting quality nursing care.
The adoption of strategies to improve caring behaviours among nurses is critically important to prevent or reduce the occurrence of errors and adverse events.
本研究评估了护士关怀在预测护理缺失、患者不良事件和护理质量方面的作用。
护理缺失是医疗保健中一个至关重要的问题，因为它与患者不良事件有关。虽然之前的研究已经检查了导致护理缺失活动和不良事件的因素，但护士关怀本身在这方面的作用尚未得到探讨。
采用横断面研究设计，于 2018 年 10 月至 2019 年 1 月期间在菲律宾的六家医院采用便利抽样法抽取了 549 名注册护士作为研究对象。本研究使用了四个自我报告量表，分别是关怀行为量表、护理缺失量表、患者不良事件量表和单一项目量表来衡量护理质量。
与患者交谈和为患者翻身是最常被忽视的护理任务，而患者/家属投诉和患者/家属言语虐待是最常报告的不良事件。护士关怀强烈预测护理质量、护理缺失和患者不良事件。
培养护士的关怀行为对护士决定省略或提供护理以及减少不良事件和促进优质护理有深远影响。
采取策略来改善护士的关怀行为对于预防或减少错误和不良事件的发生至关重要。
