Graduate School, St. Paul University Philippines, Tuguegarao, Philippines.
Int Nurs Rev. 2022 Sep;69(3):350-358. doi: 10.1111/inr.12736. Epub 2021 Dec 8.
This study examined the aspects of the nurse practice environment and patient safety climate and the various job dimensions that contribute to the occurrence of missed nursing care.
Missed nursing care is a crucial healthcare concern that poses significant threats to patient safety. The available literature on missed nursing care is confined to high-resource nations, where hospital policies, mechanisms and processes to support professional nursing practice are well established.
This is a multi-centre, cross-sectional study, using self-report scales, which involves 624 clinical nurses in selected hospitals in the Philippines.
Patient safety climate (β = -0.148, p = 0.001), decision authority (β = -0.101, p = 0.018) and staffing/resource adequacy (β = -0.086, p = 0.014) significantly predicted missed nursing care. Nurse, unit and hospital variables were not related with missed nursing care.
Nurses who perceived greater decision authority, positive safety climate and adequate staffing/resources were less likely to miss or omit patient care activities.
Institutional measures to foster decision authority in nurses, improve safety climate and address staffing/resource issues can be a viable solution to reduce the occurrence of missed nursing care.
本研究考察了护士实践环境和患者安全氛围的各个方面，以及导致护理遗漏发生的各种工作维度。
护理遗漏是一个至关重要的医疗保健问题，对患者安全构成重大威胁。关于护理遗漏的现有文献仅限于资源丰富的国家，这些国家的医院政策、机制和流程都支持专业护理实践。
这是一项多中心、横断面研究，使用自我报告量表，涉及菲律宾选定医院的 624 名临床护士。
患者安全氛围（β=-0.148，p=0.001）、决策自主权（β=-0.101，p=0.018）和人员配备/资源充足性（β=-0.086，p=0.014）显著预测了护理遗漏。护士、单位和医院变量与护理遗漏无关。
感知到更大决策自主权、积极安全氛围和充足人员配备/资源的护士不太可能错过或遗漏患者护理活动。
促进护士决策权、改善安全氛围和解决人员配备/资源问题的机构措施可能是减少护理遗漏发生的可行解决方案。
