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探索新生儿重症监护病房(NICU)中被忽视的护理服务:沙特阿拉伯东部医疗集团NICU护士的观点

Exploring Missed Nursing Care in the NICU: Perspectives of NICU Nurses in Saudi Arabia's Eastern Health Cluster.

作者信息

Alsalem Nasreen, Rashid Fatima Abu, Aljarudi Saleh, Al Bazroun Mohammed I, Almatrouk Roqayah Mirza, Alharbi Fatimah M, Al Mansour Lames, Abuzaid Nahid Baker

机构信息

Maternity and Children Hospital, Dammam 32253, Saudi Arabia.

Qatif Health Network, Qatif 32654, Saudi Arabia.

出版信息

Pediatr Rep. 2023 Oct 2;15(4):571-581. doi: 10.3390/pediatric15040052.

Abstract

(1) Background: Missed nursing care, an omission error characterized by delayed or omitted nursing interventions, poses significant risks to patients' safety and quality of car.; (2) Methods: This is a quantitative cross-sectional study on 151 nurses who work in NICUs in three main networks in the Eastern Health Province, Saudi Arabia: Dammam ( = 84), Qatif ( = 53), and Jubail ( = 14). The study uses a self-reported questionnaire (MISSCARE) and applies the 5-point Likert Scale. Statistical analysis data were analyzed using SPSS version 23.0. (3) Results: The primary reasons for missed care were shortage of nursing staff and unbalanced patient assignments. Missed nursing care negatively affects job satisfaction and was positively correlated with nurses' intentions to quit their jobs. Inadequate equipment, supplies, and breakdowns in communication between nurses and other healthcare professionals were also significant factors contributing to missed care. (4) Conclusions: Missed nursing care is associated with overwork, nursing shortages, and lower job satisfaction, impacting the quality of care provided in the NICU. Improving working conditions, nurse staffing, and patient assignment planning should be prioritized to address this issue effectively.

摘要

(1) 背景:漏护,一种以护理干预延迟或遗漏为特征的疏忽性错误,对患者安全和护理质量构成重大风险。(2) 方法:这是一项针对沙特阿拉伯东部卫生省三个主要网络中重症监护病房工作的151名护士开展的定量横断面研究:达曼(n = 84)、盖提夫(n = 53)和朱拜勒(n = 14)。该研究使用一份自填式问卷(MISSCARE)并采用5点李克特量表。统计分析数据使用SPSS 23.0版进行分析。(3) 结果:漏护的主要原因是护理人员短缺和患者分配不均衡。漏护对工作满意度有负面影响,且与护士离职意愿呈正相关。设备不足、物资供应短缺以及护士与其他医疗专业人员之间的沟通障碍也是导致漏护的重要因素。(4) 结论:漏护与工作过度、护理人员短缺及较低的工作满意度相关,影响重症监护病房的护理质量。应优先改善工作条件、护士人员配备和患者分配计划,以有效解决这一问题。

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