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遗漏、配给或未完成的护理:患者结局的范围综述。

Missed, rationed or unfinished nursing care: A scoping review of patient outcomes.

机构信息

Department of Nursing, Jessenius Faculty of Medicine in Martin, Comenius University in Bratislava, Martin, Slovak Republic.

School of Nursing and Human Sciences, Dublin City University in Dublin, Glasnevin, Dublin, Ireland.

出版信息

J Nurs Manag. 2020 Nov;28(8):1783-1797. doi: 10.1111/jonm.12978. Epub 2020 Mar 20.

DOI:10.1111/jonm.12978
PMID:32064694
Abstract

AIMS

To collate evidence about patient outcomes resulting from the phenomenon of incomplete nursing care described in the literature variously as missed, rationed, or unfinished nursing care.

BACKGROUND

Nursing care which is not completed is known to have a negative impact on patients. However, to date, there has been no thorough exploration of the extent and potential seriousness of patient outcomes.

METHODS

The search was performed in four scientific databases; 44 studies were included in the final content analysis.

RESULTS

Missed, rationed and unfinished care negatively influence the patient outcomes in the context of patient safety and quality of nursing care. Despite the differences among concepts, the negative association with patient outcomes was significant and common for all concepts.

CONCLUSION

Awareness of potential harm of the phenomena to patient outcomes may help the management to develop preventive strategies to reduce or eliminate its actual occurrence.

IMPLICATIONS FOR NURSING MANAGEMENT

Hospital management should consider the phenomenon as an indicator of the quality of nursing care as well as establish the routine monitoring of the phenomena in the assessment of patient safety in healthcare facilities.

摘要

目的

整理文献中描述的不完全护理现象(如遗漏、配给或未完成的护理)对患者结局的证据。

背景

未完成的护理已知会对患者产生负面影响。然而,迄今为止,尚未对患者结局的程度和潜在严重性进行彻底探讨。

方法

在四个科学数据库中进行检索;最终内容分析纳入了 44 项研究。

结果

遗漏、配给和未完成的护理会对患者安全和护理质量方面的患者结局产生负面影响。尽管概念之间存在差异,但与患者结局的负面关联是显著且普遍存在于所有概念中的。

结论

对这些现象对患者结局可能造成的潜在危害的认识可能有助于管理层制定预防策略,以减少或消除其实际发生。

对护理管理的影响

医院管理层应将这种现象视为护理质量的指标,并在医疗机构的患者安全评估中建立对这种现象的常规监测。

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