重症监护病房护士的团队合作、道德敏感性与护理缺失之间的关系。
The relationship between teamwork, moral sensitivity, and missed nursing care in intensive care unit nurses.
作者信息
Nobahar Monir, Ameri Malihe, Goli Shahrbanoo
机构信息
Nursing Care Research Center, Semnan University of Medical Sciences, Semnan, Iran.
Student Research Committee, Semnan University of Medical Sciences, Semnan, Iran.
出版信息
BMC Nurs. 2023 Jul 26;22(1):241. doi: 10.1186/s12912-023-01400-y.
BACKGROUND
Teamwork, moral sensitivity, and missed nursing care are important healthcare challenges for Intensive Care Unit (ICU) nurses and the existence of a relationship between these variables can be useful for developing better care improvement strategies. This study aimed to determine the relationship between teamwork, moral sensitivity, and missed nursing care in ICU nurses.
METHODS
This is a descriptive cross-sectional study conducted on a total of 200 ICU nurses working at teaching hospitals affiliated to Semnan and Shahroud Universities of Medical Sciences, Semnan, Iran in 2022. Sampling was conducted using the census method. Data collection was conducted using a demographic checklist, the TeamSTEPPS Team Perception Questionnaire (T-TPQ), Lützén Moral Sensitivity Questionnaire (L-MSQ), and Kalisch and Williams Missed Nursing Care (MISSCARE) Survey. The examination of the relationship between the three variables was conducted using Pearson's correlation coefficient and multiple regression analysis.
RESULTS
The mean and standard deviation of teamwork, moral sensitivity, and missed nursing care was 3.47 ± 0.69, 64.19 ± 13.43, and 55.04 ± 34.10, respectively. The variable of teamwork had a significant positive relationship with moral sensitivity (p < .001) and a significant negative relationship with missed nursing care (p < .001). Teamwork was also a positive predictor of moral sensitivity (p < .001) and a negative predictor of missed nursing care (p < .001). The clinical experience of ICU nurses was a positive predictor of teamwork (p = .01) and a negative predictor of missed nursing care (p = .001). The age of ICU nurses was a positive predictor of moral sensitivity (p = .001) and a negative predictor of missed nursing care (p = .008).
CONCLUSION
The findings showed that a higher level of teamwork was associated with increased moral sensitivity and reduced missed nursing care among ICU nurses. Therefore, focusing on planning interventions on teamwork improvement can lead ICU nurses to improve moral sensitivity, lower missed nursing care, and promote the quality of patient care.
背景
团队合作、道德敏感性和护理缺失是重症监护病房（ICU）护士面临的重要医疗挑战，这些变量之间的关系对于制定更好的护理改进策略可能有用。本研究旨在确定ICU护士的团队合作、道德敏感性和护理缺失之间的关系。
方法
这是一项描述性横断面研究，于2022年对伊朗塞姆南医科大学和沙赫鲁德医科大学附属教学医院的200名ICU护士进行。采用普查法进行抽样。使用人口统计学清单、团队策略与工具提升绩效（TeamSTEPPS）团队认知问卷（T-TPQ）、吕岑道德敏感性问卷（L-MSQ）以及卡利施和威廉姆斯护理缺失（MISSCARE）调查进行数据收集。使用皮尔逊相关系数和多元回归分析对这三个变量之间的关系进行检验。
结果
团队合作、道德敏感性和护理缺失的均值及标准差分别为3.47±0.69、64.19±13.43和55.04±34.10。团队合作变量与道德敏感性呈显著正相关（p<0.001），与护理缺失呈显著负相关（p<0.001）。团队合作也是道德敏感性的正向预测因子（p<0.001）和护理缺失的负向预测因子（p<0.001）。ICU护士的临床经验是团队合作的正向预测因子（p=0.01）和护理缺失的负向预测因子（p=0.001）。ICU护士的年龄是道德敏感性的正向预测因子（p=0.001）和护理缺失的负向预测因子（p=0.008）。
结论
研究结果表明，更高水平的团队合作与ICU护士道德敏感性的提高和护理缺失的减少相关。因此，专注于规划改善团队合作的干预措施可促使ICU护士提高道德敏感性、降低护理缺失，并提升患者护理质量。
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