Lima Juliana Carvalho de, Silva Ana Elisa Bauer de Camargo, Caliri Maria Helena Larcher
Universidade Federal de Goiás, Faculdade de Enfermagem, Goiânia, GO, Brazil.
Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, PAHO/WHO Collaborating Centre for Nursing Research Development, Ribeirão Preto, SP, Brazil.
Rev Lat Am Enfermagem. 2020 Feb 14;28:e3233. doi: 10.1590/1518-8345.3138.3233. eCollection 2020.
to describe the prevalence and reasons for omission of nursing care, according to the perception of nursing professionals working in a teaching hospital.
a cross-sectional study was carried out with 267 professionals from ten hospitalization units. Data were collected by the MISSCARE-Brasil instrument. Descriptive statistics and Pearson's Chi-square or Fisher's exact tests were used to compare differences in the prevalence of omission among professional categories.
among the elements of nursing care, the highest prevalence of omission consisted in: to sit up the patient out of bed (70.3%), ambulation three times a day (69.1%), and participation in the discussion of the interdisciplinary team on patient's health care (67.2%). The most frequent reasons were: inadequate number of staff (85.4%), inadequate number of staff for providing care or in administrative tasks (81.6%), and unexpected increase in the number and/or greater severity of patients (79.8%). Nurses reported major omission than nursing technicians/auxiliaries in four elements of care (p<0.05).
according to our study, there is high prevalence of omission of nursing care elements from the professionals' perspective. Factors related to human and material resources were more reported as causes for such omission.
根据教学医院护理专业人员的认知，描述护理缺失的发生率及原因。
对来自十个住院科室的267名专业人员进行了横断面研究。数据通过巴西版MISSCARE工具收集。采用描述性统计以及Pearson卡方检验或Fisher精确检验来比较不同专业类别中护理缺失发生率的差异。
在护理要素中，护理缺失发生率最高的项目包括：协助患者坐起（70.3%）、每日三次步行锻炼（69.1%）以及参与跨学科团队关于患者医疗护理的讨论（67.2%）。最常见的原因是：工作人员数量不足（85.4%）、提供护理或行政工作的人员数量不足（81.6%）以及患者数量意外增加和/或病情更严重（79.8%）。在四项护理要素中，护士报告的护理缺失情况比护理技术员/辅助人员更多（p<0.05）。
根据我们的研究，从专业人员的角度来看，护理要素缺失的发生率很高。与人力和物力资源相关的因素被更多地报告为导致此类缺失的原因。
