Ghorbani Seyed Hasan, Ahmadi Chenari Hadi, Yazdanparast Elnaz, Javanmard Zohreh, Davoudi Malihe
Ferdows Medical Emergency and Accident Center, Birjand University of Medical Sciences, Birjand, Iran.
Department of Nursing, Paramedic School of Ferdows, Birjand University of Medical Sciences, Birjand, Iran.
Iran J Nurs Midwifery Res. 2023 Sep 8;28(5):604-609. doi: 10.4103/ijnmr.ijnmr_255_20. eCollection 2023 Sep-Oct.
For many reasons, some care services may be missed. This study was conducted to investigate missed care, the related factors, and solution for decreasing them.
A descriptive, cross-sectional study was performed on 122 nurses. A multi-part tool was used to gather information, which included demographic information, the Missing Nursing Care and Related Organizational Factors, and Missed Nursing Care Reduction Strategies Questionnaire. Descriptive and inferential statistical tests including ANOVA, independent t-test, and the Pearson correlation were used.
The mean score (SD) of the Missing Nursing Care Questionnaire was 82.04 (8.50); thus, the amount of missed nursing care is very high. Additionally, the mean score (SD) of the Organizational Factors Questionnaire related to it was 30.98 (9.35). Considering the maximum score of the questionnaire (80), the role of organizational factors in the incidence of missing nursing care is relatively moderate. There was also a weak and inverse correlation between organizational factors and missed nursing care (r = -0.30, < 0.01, df = 120). Based on the results, increasing the number of nurses and their level of knowledge has the greatest 67.21 (%) and least 34.42 (%) impact on reducing the incidence of missed nursing care.
According to the results, the prevalence of missed nursing care was high. However, the contribution of organizational factors to it is relatively little. This suggests that from the perspective of nurses, factors other than organizational factors related to the workplace can lead to missing care.
由于多种原因，一些护理服务可能会被遗漏。本研究旨在调查遗漏护理情况、相关因素以及减少遗漏护理的解决方案。
对122名护士进行了一项描述性横断面研究。使用了一个多部分工具来收集信息，其中包括人口统计学信息、《遗漏护理及相关组织因素》以及《减少遗漏护理策略问卷》。使用了描述性和推断性统计测试，包括方差分析、独立样本t检验和皮尔逊相关性分析。
《遗漏护理问卷》的平均得分（标准差）为82.04（8.50）；因此，遗漏护理的数量非常高。此外，与之相关的《组织因素问卷》的平均得分（标准差）为30.98（9.35）。考虑到问卷的最高分（80），组织因素在遗漏护理发生率中的作用相对适中。组织因素与遗漏护理之间也存在微弱的负相关（r = -0.30，<0.01，自由度 = 120）。根据结果，增加护士数量及其知识水平对降低遗漏护理发生率的影响最大（67.21%），最小（34.42%）。
根据结果，遗漏护理的发生率很高。然而，组织因素对其的贡献相对较小。这表明从护士的角度来看，与工作场所相关的组织因素以外的因素可能导致护理遗漏。
