Fundació Institut Universitari per a la recerca a l'Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol), Barcelona, Spain.
Nursing Department, Faculty of Nursing, Universitat de Girona, Girona, Spain.
Worldviews Evid Based Nurs. 2023 Dec;20(6):559-573. doi: 10.1111/wvn.12682. Epub 2023 Sep 24.
Missed nursing care is defined as care that is delayed, partially completed, or not completed at all. The scenario created by the COVID-19 pandemic may have influenced multifactorial determinants related to the care environment, nursing processes, internal processes, and decision-making processes, increasing missed nursing care.
This scoping review aimed to establish the quantity and type of research undertaken on missed nursing care during the COVID-19 pandemic.
This review was conducted following the Joanna Briggs Institute methodology for scoping reviews. We searched CINAHL, MEDLINE, Scopus, two national and regional databases, two dissertations and theses databases, a gray literature database, two study registers, and a search engine from November 1, 2019, to March 23, 2023. We included quantitative, qualitative, and mixed studies carried out in all healthcare settings that examined missed nursing care during the COVID-19 pandemic. Language restrictions were not applied. Two independent reviewers conducted study selection and data extraction. Disagreements between the reviewers were resolved through discussion or with an additional reviewer.
We included 25 studies with different designs, the most common being acute care cross-sectional survey designs. Studies focused on determining the frequency and reasons for missed nursing care and its influence on nurses and organizational outcomes.
Missed nursing care studies during the COVID-19 pandemic were essentially nurses-based prevalence surveys. There is an urgent need to advance the design and development of longitudinal and intervention studies, as well as to broaden the focus of research beyond acute care. Further research is needed to determine the impact of missed nursing care on nursing-sensitive outcomes and from the patient's perspective.
遗漏的护理是指护理被延迟、部分完成或根本未完成。COVID-19 大流行所造成的情况可能影响与护理环境、护理过程、内部过程和决策过程有关的多因素决定因素，从而增加遗漏的护理。
本范围综述旨在确定在 COVID-19 大流行期间进行的遗漏护理研究的数量和类型。
本综述按照 Joanna Briggs 研究所的范围综述方法进行。我们从 2019 年 11 月 1 日至 2023 年 3 月 23 日，在 CINAHL、MEDLINE、Scopus、两个国家和地区数据库、两个论文和论文数据库、一个灰色文献数据库、两个研究登记处和一个搜索引擎中进行了搜索。我们纳入了在所有医疗保健环境中进行的、在 COVID-19 大流行期间检查遗漏护理的定量、定性和混合研究。未应用语言限制。两名独立的审查员进行了研究选择和数据提取。如果审查员之间存在分歧，则通过讨论或额外的审查员来解决。
我们纳入了 25 项具有不同设计的研究，最常见的是急性护理横断面调查设计。这些研究主要集中在确定遗漏护理的频率和原因，以及它对护士和组织结果的影响。
COVID-19 大流行期间的遗漏护理研究本质上是基于护士的患病率调查。迫切需要推进纵向和干预研究的设计和开发，并拓宽研究重点，超越急性护理。需要进一步研究来确定遗漏护理对护理敏感结果的影响，并从患者的角度进行研究。
