College of Nursing, Research Institute of Nursing Science, Kyungpook National University, Daegu, South Korea.
Innovation and Evaluation, University of Michigan School of Nursing, Ann Arbor, MI, USA.
J Clin Nurs. 2021 Jun;30(11-12):1596-1606. doi: 10.1111/jocn.15712. Epub 2021 Mar 11.
This study aimed to identify and compare missed nursing care types and reasons between South Korea and the United States of America.
Patient safety has become a significant task of the healthcare delivery systems worldwide. The omission of nursing care constitutes a growing concern because it threatens both patient safety and nursing care quality.
This study used a cross-sectional, descriptive and comparative design.
Data were collected from registered nurses working in two university-affiliated tertiary hospitals and a general hospital in Korea and a Midwest United States tertiary hospital. In addition, the STROBE checklist was used in this study.
While substantial, the level of missed nursing care reported by Korean nurses was lower than that of United States nurses. Only three nursing care activities, setting up meals, patient assessment and skin/wound care, did not significantly differed between two countries. More basic nursing care types such as ambulation, feeding and mouth care were missed more than others in both countries. The reasons for missed care differed between two countries. However, both Korean and US nurses reported labour resource problems as reasons for missed care.
Although the types of missed nursing care differed significantly between countries, both Korean and US nurses reported labour resource problems for the top reasons for missed care. Thus, comparing missed nursing care could assist nursing administrators in developing strategies to improve care quality and patient safety.
The level and reasons for missed nursing care are very influential factors for patient outcomes and patient safety. Appropriate skill mix and staffing are needed to decrease extent of missed care, so that enhancing patient safety and quality of nursing care.
本研究旨在识别和比较韩国与美国的遗漏护理类型和原因。
患者安全已成为全球医疗保健系统的重要任务。护理遗漏构成了一个日益严重的问题，因为它既威胁患者安全，又威胁护理质量。
本研究采用了横断面、描述性和比较性设计。
数据来自韩国两所大学附属医院和一家综合医院以及美国中西部一所三级医院的注册护士。此外，本研究还使用了 STROBE 清单。
尽管韩国护士报告的遗漏护理水平相当高，但低于美国护士。只有三项护理活动，即安排膳食、患者评估和皮肤/伤口护理，两国之间没有显著差异。两国都有更多基本的护理类型被遗漏，如活动、喂食和口腔护理。遗漏护理的原因在两国之间有所不同。然而，韩国和美国的护士都报告了劳动力资源问题是遗漏护理的原因。
尽管两国的遗漏护理类型存在显著差异，但韩国和美国的护士都报告了劳动力资源问题是遗漏护理的首要原因。因此，比较遗漏护理可以帮助护理管理人员制定策略，以提高护理质量和患者安全。
遗漏护理的水平和原因对患者结局和患者安全有很大影响。需要适当的技能组合和人员配备来减少遗漏护理的程度，从而提高患者安全和护理质量。
