Department of Nursing, Faculty of Nursing and Midwifery, Ardabil University of Medical Sciences, Ardabil, Iran.
Department of Family Health, Social Determinants of Health Research Center (SDHRC), Ardabil University of Medical Sciences, Ardabil, Iran.
Int J Nurs Knowl. 2023 Jul;34(3):179-184. doi: 10.1111/2047-3095.12390. Epub 2022 Aug 27.
Quality of care is one of the most critical issues in nursing care today. Moreover, all health care employees are responsible for providing support and high-quality, safe care. However, nurses caring for COVID-19 patients face problems such as unfamiliar work environments, exposure to the disease, lack of experience in their new positions, and close public and media attention. This study aimed to investigate missed nursing care and the reasons for missed nursing care during the coronavirus disease 2019 (COVID-19) pandemic in Iran.
This cross-sectional study included 135 nurses working in COVID-19 units. Data were collected using the MISSCARE Survey. The significance level for the statistical tests was set at p < 0.05.
Most of the participants were women and had a bachelor's degree in nursing. There was a lack of supportive and necessary care more than any other form of care. According to nurses, the most common reasons for missed care were urgent patient situations, inadequate staff, and an unexpected rise in patient volume and/or patient acuity on the unit.
Generally, the results showed that being positioned in a new situation and unfamiliarity with the disease had a significant impact-among nurses-on the amount of care provided. Managers can use this information to solve existing missed-nursing-care problems and contribute to improving the quality of care. These results can be helpful in controlling missed nursing care and finding a more optimal solution for this problem; thus, we can improve the quality of care delivery and increase the satisfaction of nurses and patients. Additionally, an understanding of the kind of missing nursing care during a pandemic can positively enhance the management of similar situations in the future.
护理质量是当今护理工作中最关键的问题之一。此外，所有医疗保健员工都有责任提供支持和高质量、安全的护理。然而，照顾 COVID-19 患者的护士面临着工作环境不熟悉、接触疾病、新岗位经验不足以及公众和媒体的密切关注等问题。本研究旨在调查伊朗冠状病毒病 2019（COVID-19）大流行期间遗漏的护理以及遗漏护理的原因。
这是一项横断面研究，包括在 COVID-19 病房工作的 135 名护士。使用 MISSCARE 调查收集数据。统计检验的显著性水平设为 p < 0.05。
大多数参与者是女性，拥有护理学士学位。缺乏支持性和必要的护理比任何其他形式的护理都多。根据护士的说法，护理疏忽的最常见原因是紧急患者情况、人员不足以及单位患者数量和/或患者病情突然增加。
总的来说，结果表明，在新情况下定位和对疾病不熟悉对护士提供的护理量有重大影响。管理人员可以利用这些信息来解决现有的护理疏忽问题，并有助于提高护理质量。这些结果有助于控制遗漏的护理，并为解决这一问题找到更优化的方案；从而，我们可以提高护理服务的质量，并增加护士和患者的满意度。此外，了解大流行期间遗漏的护理类型可以积极增强未来类似情况下的管理。
