Amrolahi-Mishavan Fatemeh, Emami-Sigaroudi Abdolhossein, Jafaraghaee Fatemeh, Shahsavari Hooman, Maroufizadeh Saman, Babaeipour-Divshali Mohammad
Department of Nursing, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran.
Department of Community Health Nursing, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran.
Iran J Nurs Midwifery Res. 2024 Jan 9;29(1):133-139. doi: 10.4103/ijnmr.ijnmr_133_23. eCollection 2024 Jan-Feb.
Cardiovascular care units are among the most crucial departments in any healthcare system. In these units, nurses play the most pivotal roles, and the quality of nursing care is essential; missing certain aspects of care can have irreversible adverse effects on patient health. This qualitative study aims to investigate the factors influencing Missed Nursing Care (MNCs) based on the experiences of nurses and patients in cardiovascular care units.
This qualitative study utilized the conventional content analysis approach to explore the factors affecting MNCs in cardiovascular care units. Data were collected between December 2021 and September 2022 through in-depth, semi-structured individual interviews with 11 participants selected through purposive sampling. Data analysis followed the five-step method proposed by Graneheim and Lundman.
The analysis revealed five main themes: nurse's job characteristics, work-life conflict, nurse's professional competence, the cardiac work environment atmosphere, and organizational management.
The findings of this study suggest that authorities should consider factors such as understanding the occupational characteristics of nurses when assigning them to cardiovascular care units, providing solutions to mitigate work-life conflicts for nurses, enhancing nurses' professional competence, improving the working environment for nurses, and enhancing the performance and skills of organizational managers.
心血管护理单元是任何医疗系统中最关键的科室之一。在这些单元中，护士发挥着最为关键的作用，护理质量至关重要；护理过程中某些方面的缺失可能会对患者健康产生不可逆转的不利影响。本定性研究旨在基于心血管护理单元护士和患者的经验，调查影响漏护（MNCs）的因素。
本定性研究采用传统内容分析法，探讨心血管护理单元中影响漏护的因素。2021年12月至2022年9月期间，通过目的抽样法选取11名参与者，进行深入的半结构化个人访谈收集数据。数据分析遵循Graneheim和Lundman提出的五步方法。
分析揭示了五个主要主题：护士的工作特征、工作与生活的冲突、护士的专业能力、心脏工作环境氛围和组织管理。
本研究结果表明，当局在将护士分配到心血管护理单元时应考虑了解护士职业特征等因素，为护士提供缓解工作与生活冲突的解决方案，提高护士的专业能力，改善护士的工作环境，提升组织管理者的绩效和技能。
