Department of Health Sciences, Faculty of Health, Science, and Technology, Karlstad University, Karlstad, Sweden.
Department of Health Sciences, Faculty of Health, Science, and Technology, Karlstad University, Karlstad, Sweden.
Int Emerg Nurs. 2023 Jul;69:101296. doi: 10.1016/j.ienj.2023.101296. Epub 2023 Jun 21.
Patient safety is a global health priority. Errors of omission, such as missed nursing care in hospitals, are frequent and may lead to adverse events. Emergency departments (ED) are especially vulnerable to patient safety errors, and the significance missed nursing care has in this context is not as well known as in other contexts.
The aim of this scoping review was to summarize and disseminate research about missed nursing care in the context of EDs.
A scoping review following the framework suggested by Arksey and O'Malley was used to (1) identify the research question; (2) identify relevant studies; (3) select studies; (4) chart the data; (5) collate, summarize, and report the results; and (6) consultation.
In total, 20 themes were derived from the 55 included studies. Missed or delayed assessments or other fundamental care were examples of missed nursing care characteristics. EDs not staffed or dimensioned in relation to the patient load were identified as a cause of missed nursing care in most included studies. Clinical deteriorations and medication errors were described in the included studies in relation to patient safety and quality of care deficiencies. Registered nurses also expressed that missed nursing care was undignified and unsafe.
The findings from this scoping review indicate that patients' fundamental needs are not met in the ED, mainly because of the patient load and how the ED is designed. According to registered nurses, missed nursing care is perceived as undignified and unsafe.
患者安全是全球卫生的重点。遗漏错误，例如医院护理疏忽，很常见，可能导致不良事件。急诊部（ED）特别容易出现患者安全错误，而护理疏忽在这方面的重要性不如其他方面那么为人所知。
本范围综述旨在总结和传播有关 ED 护理疏忽的研究。
采用 Arksey 和 O'Malley 提出的框架进行范围综述，以（1）确定研究问题；（2）确定相关研究；（3）选择研究；（4）记录数据；（5）整理、总结和报告结果；（6）咨询。
共有 20 个主题来自 55 项纳入研究。遗漏或延迟评估或其他基本护理是护理疏忽特征的例子。在大多数纳入的研究中，ED 的人员配备或规模与患者负荷不匹配被认为是护理疏忽的原因。临床恶化和用药错误在纳入的研究中与患者安全和护理质量缺陷有关。注册护士还表示，护理疏忽是不体面和不安全的。
本范围综述的结果表明，患者的基本需求在 ED 得不到满足，主要是因为患者负荷和 ED 的设计方式。根据注册护士的说法，护理疏忽被认为是不体面和不安全的。
