Social Development and Health Promotion Research Center, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Infectious Diseases Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran.
J Nurs Manag. 2022 Sep;30(6):2054-2061. doi: 10.1111/jonm.13662. Epub 2022 May 24.
To describe the experiences of nurses regarding strategies to prevent missed nursing care.
One of the global challenges is missed nursing care, which includes missed or delayed care. This problem puts patients' clinical outcome at risk, so understanding nurses' experiences of how to prevent or reduce it can help the health care policymakers.
In this qualitative descriptive study, 14 nurses were selected by purposive sampling. In-depth semi-structured interviews were conducted to collect data. The Graneheim and Lundman's approach of qualitative content analysis was used for data analysis. MAXQDA (version 10) software was used for data management.
The extracted codes were summarized into seven categories and one theme. The categories included "empowering nurses," "manpower supply," "supervision," "specializing the activities," "providing resources and facilities," "encouraging teamwork," and "resolving dissatisfaction." The main theme was "missed nursing care prevention strategies."
The frequency of missed nursing care can be reduced or prevented using management strategies such as paying attention to nurses "empowerment, increasing nurses" job satisfaction, normalizing nurses' salaries, providing equipment and facilities, and monitoring nurses' performance. Experimental studies are recommended to evaluate the effectiveness of these strategies.
Nursing managers can take steps such as workplace improvement, reducing nurses' workload, and empowering nurses to reduce or eliminate missed care.
描述护士在预防护理缺失策略方面的经验。
全球面临的挑战之一是护理缺失,包括护理的遗漏和延迟。这个问题使患者的临床结果处于风险之中,因此了解护士在预防或减少护理缺失方面的经验可以帮助医疗保健政策制定者。
在这项定性描述性研究中,通过目的抽样选择了 14 名护士。采用深入的半结构式访谈收集数据。采用 Graneheim 和 Lundman 的定性内容分析方法进行数据分析。使用 MAXQDA(版本 10)软件进行数据管理。
提取的代码被总结为七个类别和一个主题。这些类别包括“赋予护士权力”、“人力供应”、“监督”、“活动专业化”、“提供资源和设施”、“鼓励团队合作”和“解决不满”。主要主题是“预防护理缺失策略”。
通过管理策略,如关注护士的“赋权”、提高护士的工作满意度、规范护士的薪酬、提供设备和设施以及监测护士的绩效,可以减少或预防护理缺失的发生。建议进行实验研究来评估这些策略的有效性。
护理管理人员可以采取改善工作场所、减轻护士工作量和赋权护士等措施,以减少或消除护理缺失。