School of Nursing and Midwifery and Menzies Health Institute Queensland, Griffith University, Gold Coast, Queensland, Australia.
College of Nursing, Kaohsiung Medical University, Kaohsiung, Taiwan.
Kaohsiung J Med Sci. 2021 Feb;37(2):82-91. doi: 10.1002/kjm2.12308. Epub 2020 Oct 6.
Missed nursing care is care that is delayed, partially completed, or not completed at all. The aim of this overview of reviews was to identify the nursing care that is missed, the factors that influence missed nursing care and the outcomes from it. To be included, reviews had to use the systematic review process and focus on hospital care. Databases were searched from inception until August sixth, 2020. One author screened the papers and extracted data on included reviews and a second checked this. Two authors independently assessed the quality of the reviews. Seven reviews were included in this overview. Categories of care missed included: (a) communication and information sharing; (b) self-management, autonomy, and education including care planning, discharge planning and decision; (c) fundamental physical care; and (d) emotional and psychological care including spiritual support. Factors associated with missed care were related to staffing levels and/or labor resources skill mix, material resources not being available, patient acuity and teamwork/communication. Outcomes of missed nursing care included: less/poorer quality of patient care, patient satisfaction, and nurses' job satisfaction, increased patient adverse events, and the organizational outcomes of increasing hospital length of stay and hospital readmission. In-depth qualitative and mixed methods research is needed to better understand how nurses prioritize care and why care is missed. Longitudinal and experimental research is required to better clarify if these relationships between missed care and negative patient outcomes are likely cause and effect.
遗漏护理是指护理延迟、部分完成或完全未完成。本次综述的目的是确定遗漏的护理、影响遗漏护理的因素以及由此产生的结果。纳入标准为使用系统评价过程且关注医院护理的综述。数据库检索从建库至 2020 年 8 月 6 日。一位作者筛选文献并提取纳入综述的数据，另一位作者对其进行检查。两位作者独立评估综述的质量。本次综述纳入了 7 篇综述。遗漏的护理类别包括：(a)沟通和信息共享；(b)自我管理、自主权和教育，包括护理计划、出院计划和决策；(c)基本的身体护理；(d)情感和心理护理，包括精神支持。与遗漏护理相关的因素与人员配备水平和/或劳动力资源技能组合、物资资源不可用、患者病情严重程度以及团队合作/沟通有关。遗漏护理的结果包括：患者护理质量下降/变差、患者满意度和护士工作满意度下降、患者不良事件增加，以及医院住院时间延长和再次入院等组织结果。需要进行深入的定性和混合方法研究，以更好地了解护士如何优先考虑护理以及为什么会遗漏护理。需要进行纵向和实验研究，以更好地阐明遗漏护理与负面患者结局之间的关系是否可能是因果关系。
