Erdat Yildiz, Kuruca-Ozdemir Emine, Kocoglu-Tanyer Deniz, Duygulu Sergul
Faculty of Nursing, Department of Nursing Management, Hacettepe University, Ankara, Türkiye.
Faculty of Nursing, Department of Public Health Nursing, Selcuk University, Konya, Türkiye.
J Clin Nurs. 2024 Aug;33(9):3576-3585. doi: 10.1111/jocn.17030. Epub 2024 Jan 29.
To investigate the determinants of missed nursing care and to analyse the mediating effect of holistic nursing competence on the relationship between transition shock and missed nursing care.
Transition shock of newly graduated nurses is associated with missed nursing care. Previous studies have shown the determinants of missed nursing care among nurses, but little is known about the relationship between missed nursing care, transition shock and holistic nursing competence.
Descriptive and correlational design.
The study was conducted among newly graduated nurses (n = 201) working in acute care hospitals for 1-12 months. The MISSCARE survey, Holistic Nursing Competence Scale and Nursing Transition Shock Scale were used for data collection, in addition to a sociodemographic question form. Data were analysed using Pearson correlation, multiple regression and mediation analyses. The study was reported following the STROBE checklist.
The determinants of missed nursing care among newly graduated nurses were sex, unit type, rotating shift work, holding a certificate, holistic nursing competence and transition shock. All these variables explain 35% of the variance in missed nursing care. Holistic nursing competence directly mediated 51.7% of the relationship between transition shock and missed nursing care.
Holistic nursing competence may decrease missed nursing care by reducing the effects of transition shock on newly graduated nurses.
The study highlighted that newly graduated nurses are an important population regarding missed nursing care. The determinants of missed care should be considered in the nursing care delivery to prevent missed care by newly graduated nurses. Based on the study findings, some recommendations were made for nurse managers and faculty for the orientation program and undergraduate nursing education.
探讨漏护的决定因素，并分析整体护理能力在转型冲击与漏护之间关系中的中介作用。
新毕业护士的转型冲击与漏护有关。以往研究已表明护士漏护的决定因素，但对于漏护、转型冲击和整体护理能力之间的关系知之甚少。
描述性和相关性设计。
该研究在急症医院工作1至12个月的新毕业护士（n = 201）中进行。除社会人口学问题表格外，还使用了漏护情况调查问卷、整体护理能力量表和护理转型冲击量表进行数据收集。采用Pearson相关性分析、多元回归分析和中介分析对数据进行分析。本研究按照STROBE清单进行报告。
新毕业护士漏护的决定因素包括性别、科室类型、轮班工作、持有证书、整体护理能力和转型冲击。所有这些变量解释了漏护差异的35%。整体护理能力直接介导了转型冲击与漏护之间51.7%的关系。
整体护理能力可能通过减轻转型冲击对新毕业护士的影响来减少漏护情况。
该研究强调新毕业护士是漏护方面的重要人群。在提供护理服务时应考虑漏护的决定因素，以防止新毕业护士出现漏护情况。基于研究结果，针对护士长和教员在入职培训计划及本科护理教育方面提出了一些建议。
