Ida-Viru Central Hospital, Kohtla-Järve, Estonia.
Department of Nursing Science, Faculty of Medicine, Institute of Family Medicine and Public Health, University of Tartu, Tartu, Estonia.
Scand J Caring Sci. 2022 Mar;36(1):285-294. doi: 10.1111/scs.12987. Epub 2021 Apr 24.
Care left undone is a worldwide problem for both the quality of health care and the safety of patients. In surgical nursing, care left undone is a critical issue arising from the intensive pace of work, invasive procedures and the pressure for efficiency. Previous knowledge about care left undone in surgical contexts is missing.
To describe care left undone and its relationship to nursing and organisational characteristics in the surgical wards of regional and central hospitals in Estonia.
A cross-sectional study with an online questionnaire took place from June to October of 2018. The target population (N = 570) consisted of nurses working in the surgical wards of two regional and three central hospitals at the time of the study. The data were analysed using descriptive statistics and Fisher's exact test. The open-ended questions were analysed with deductive content analysis.
Nursing care in the surgical wards was reported as having been left undone sometimes or often by 88% of the nurses. Most often, the documentation and evaluation of care plans (33%) were reported as undone and most rarely, disinfection measures were left undone (5%). Nurses with a shorter employment history left care undone more frequently, and when the number of patients per nurse increased, the amount of care left undone increased as well. More than half of the participants (59%) considered work organisation to be the cause of care left undone.
Work organisation and staffing in surgical wards require more attention at the management level, as nursing care left undone occurred to a significant degree in the investigated wards, and more than half of the nurses considered work organisation to be the reason for care left undone.
医护未完成的工作是一个全球性的问题，既影响医疗质量，又危及患者安全。在外科护理中，由于工作节奏紧张、手术程序侵入性以及对效率的压力，医护未完成的工作是一个关键问题。之前在外科环境中对医护未完成的工作的了解是缺失的。
描述爱沙尼亚地区和中心医院外科病房中未完成的护理工作及其与护理和组织特征的关系。
这是一项横断面研究，于 2018 年 6 月至 10 月期间通过在线问卷进行。目标人群（N=570）由研究时在 2 家地区医院和 3 家中心医院外科病房工作的护士组成。使用描述性统计和 Fisher 确切检验分析数据。对开放式问题采用演绎内容分析法进行分析。
88%的护士报告说，外科病房的护理工作有时或经常未完成。最常未完成的是护理计划的记录和评估（33%），最罕见的是未完成消毒措施（5%）。工作经验较短的护士更频繁地留下未完成的护理工作，而且随着护士负责的患者人数增加，未完成的护理工作也会增加。超过一半的参与者（59%）认为工作组织是导致医护未完成的原因。
外科病房的工作组织和人员配置需要在管理层面上给予更多关注，因为在所调查的病房中，护理工作未完成的情况相当普遍，而且超过一半的护士认为工作组织是导致医护未完成的原因。
