Department of Medical Sciences, School of Nursing, University of Udine, Udine, Italy.
Department of Nursing, School of Health Sciences, Cyprus University of Technology, Limassol, Cyprus.
J Nurs Manag. 2021 Apr;29(3):572-583. doi: 10.1111/jonm.13176. Epub 2020 Nov 3.
To identify the strategies to prevent missed nursing care (MNC) that can be implemented by nurse managers/directors on a daily basis.
Only few recommendations have been established to date aiming at supporting nurse managers/ directors in preventing MNC. However, several strategies are implemented on a daily basis, suggesting that a body of tacit, practical and wise knowledge is already in place.
METHOD(S): An international qualitative descriptive study based on the positive deviance approach conducted in 2019-2020 and reported according to the Consolidated Criteria for Reporting Qualitative Research. A purposeful sample of 35 nurse managers/directors working in hospitals in Cyprus, Italy, Germany and Switzerland was involved. Codes were extracted from each country, and a thematic analysis was performed at the transnational level to identify strategies and interventions preformed to prevent MNC.
Eight strategies and 22 interventions, mainly with preventive intent and designed at the hospital level, affecting both the processes and the structural dimensions, have been reported as effective in preventing MNC.
Nurse leaders are involved daily in implementing strategies to minimise MNC at the nursing and at the hospital system levels, integrated with each other.
Preventing MNC should be a core value of the entire hospital, and not merely a nursing issue. Therefore, complex interventions at the system level are required.
确定护士管理者/主任可以在日常工作中实施的预防护理遗漏（MNC）的策略。
迄今为止，仅制定了一些建议来支持护士管理者/主任预防 MNC。然而，许多策略是在日常工作中实施的，这表明已经存在大量的隐性、实践性和明智的知识。
这是一项基于积极偏差方法的国际定性描述研究，于 2019 年至 2020 年进行，并根据定性研究报告的统一标准进行报告。我们纳入了来自塞浦路斯、意大利、德国和瑞士的 35 名在医院工作的护士管理者/主任作为有目的的样本。从每个国家提取了代码，并在跨国层面进行了主题分析，以确定预防 MNC 所采用的策略和干预措施。
报告了八项策略和 22 项干预措施，主要具有预防意图，旨在预防 MNC，在医院层面上实施，影响护理和医院系统的流程和结构维度。
护士领导者每天都参与实施预防护理遗漏的策略，这些策略在护理和医院系统层面上相互结合。
预防 MNC 应该是整个医院的核心价值，而不仅仅是护理问题。因此，需要在系统层面上实施复杂的干预措施。
