Healthcare management, Department of Family and Community Medicine, School of Medicine, The University of Jordan, Amman, Jordan.
Health Services Management, Department of Public Health and Community Medicine, Faculty of Medicine, Jordan University of Science and Technology, P.O. Box 3030, Irbid 22110, Jordan.
J Pediatr Nurs. 2023 Nov-Dec;73:e277-e284. doi: 10.1016/j.pedn.2023.09.023. Epub 2023 Oct 1.
Missed nursing care (MNC) is a worldwide patient safety issue. However, little is known about MNC in neonatal intensive care units (NICU). The aim of this paper is to explore the elements and factors influencing the occurrence of MNC in the NICU in a teaching hospital in Amman, Jordan.
The study used a qualitative descriptive design. Semi-structured interviews were conducted with NICU nurses. Purposeful sampling was used to select the participants and data collection was performed in the period August 2022 to September 2022. Data were analyzed using thematic analysis.
The participants included 15 female nurses. The majority of the participants held a bachelor's degree in nursing. Five themes emerged from the analysis of data namely: (1) Conceptualizations of MNC (2) Missed care elements in the NICU (3) Reasons behind MNC in the NICU (4) Consequences of MNC and (5) Strategies to reduce the occurrence of MNC. Feeding,changing diapers, monitoring vital signs, and medication administrationwere identified as missed care elements in the NICU.
The findings of this research may inform the development of interventions that may reduce missed care incidents in the NICU.
Addressing staff shortages and the provision of necessary materials and equipment appear to be the key factors that may reduce the frequency of MNC. Thus, enhancing patient safety and quality healthcare in this challenging healthcare environment.
护理缺失（MNC）是一个全球性的患者安全问题。然而，人们对新生儿重症监护病房（NICU）中的 MNC 知之甚少。本文旨在探讨在约旦安曼的一所教学医院的 NICU 中发生 MNC 的要素和影响因素。
本研究采用定性描述设计。对 NICU 护士进行了半结构化访谈。采用目的性抽样选择参与者，数据收集时间为 2022 年 8 月至 2022 年 9 月。使用主题分析对数据进行分析。
参与者包括 15 名女性护士。大多数参与者持有护理学士学位。从数据分析中出现了五个主题：（1）MNC 的概念化（2）NICU 中的 MNC 要素（3）NICU 中 MNC 的背后原因（4）MNC 的后果和（5）减少 MNC 发生的策略。喂养、更换尿布、监测生命体征和给药被确定为 NICU 中的 MNC 要素。
本研究的结果可以为减少 NICU 中护理缺失事件的干预措施的制定提供信息。
解决人员短缺以及提供必要的材料和设备似乎是减少 MNC 频率的关键因素。因此，在这个具有挑战性的医疗保健环境中，提高患者安全性和医疗保健质量。
