Ahansaz Naiier, Adib-Hajbaghery Mohsen, Baghaei Rahim
Departmentof Medical Surgical Nursing, Trauma Nursing Research Center, Faculty of Nursing and Midwifery, Kashan University of Medical Sciences, Kashan, Iran.
Trauma Nursing Research Center, Faculty of Nursing and Midwifery, Kashan University of Medical Sciences, 5th of Qotb -e Ravandi Blvd, P.O.Box: 8715981151, Kashan, Iran.
BMC Nurs. 2024 Mar 13;23(1):169. doi: 10.1186/s12912-024-01854-8.
Missed care rates are an indicator of healthcare quality. Missed nursing care can reduce patient safety and lead to adverse events. Moral sensitivity enables nurses to interpret and respond to clients' needs according to ethical principles. Despite the importance of moral sensitivity and its role in the quality of care, the relationship between nurses' moral sensitivity and missed nursing care has not been extensively studied. This raises the question of whether there is an association between nurses' moral sensitivity and missed care. This study was conducted to investigate the relationship between nurses' moral sensitivity and missed nursing care in the medical and surgical departments of Imam Khomeini Hospital in Urmia, Iran.
A cross-sectional study was conducted in 2022, on 202 nurses working in the medical and surgical departments of Imam Khomeini Medical Education Center, Urmia, Iran. Stratified random sampling was used to select the participants. A questionnaire on demographic characteristics, Kalisch's missed care questionnaire, and Lutzen's moral sensitivity questionnaire were used to collect data. Data were analyzed using the Pearson correlation test and linear regression analysis.
Most participants (52.97%) showed moderate moral sensitivity. Nurses' mean moral sensitivity and total missed care scores were 149.07 ± 21.60 and 59.45 ± 4.87, respectively. Pearson correlation test showed no significant correlation between moral sensitivity scores and the total missed care scores (r = 0.041, p = 0.152). However, in the regression analysis, moral sensitivity (β = 0.213, p < 0.001), age (β = 0.131, p < 0.001), working in rotating shifts (β = 0.183, p < 0.001), monthly income (β = 0.079, p = 0.004), work experience (β = 0.030, p = 0.010), and monthly work hours (β = 0.247, p = 0.010) influenced missed care. Approximately, 0.98% of the variance in the missed care was explained by these variables.
Our nurses reported moderate levels of moral sensitivity and a concerning level of missed care. Missed care can have detrimental effects on patient safety. Therefore, nursing managers must address this issue promptly.
护理缺失率是医疗质量的一个指标。护理缺失会降低患者安全性并导致不良事件。道德敏感性使护士能够根据伦理原则解读并回应患者需求。尽管道德敏感性很重要及其在护理质量中的作用，但护士的道德敏感性与护理缺失之间的关系尚未得到广泛研究。这就引发了一个问题，即护士的道德敏感性与护理缺失之间是否存在关联。本研究旨在调查伊朗乌尔米耶伊玛目霍梅尼医院内科和外科护士的道德敏感性与护理缺失之间的关系。
2022年对伊朗乌尔米耶伊玛目霍梅尼医学教育中心内科和外科的202名护士进行了一项横断面研究。采用分层随机抽样选择参与者。使用一份关于人口统计学特征的问卷、卡利施护理缺失问卷和卢岑道德敏感性问卷收集数据。使用皮尔逊相关检验和线性回归分析对数据进行分析。
大多数参与者（52.97%）表现出中等道德敏感性。护士的平均道德敏感性得分和护理缺失总分分别为149.07±21.60和59.45±4.87。皮尔逊相关检验显示道德敏感性得分与护理缺失总分之间无显著相关性（r = 0.041，p = 0.152）。然而，在回归分析中，道德敏感性（β = 0.213，p < 0.001）、年龄（β = 0.131，p < 0.001）、轮班工作（β = 0.183，p < 0.001）、月收入（β = 0.079，p = 0.004）、工作经验（β = 0.030，p = 0.010）和月工作时长（β = 0.247，p = 0.010）影响护理缺失。这些变量解释了护理缺失中约0.98%的方差。
我们的护士报告的道德敏感性水平中等，护理缺失水平令人担忧。护理缺失会对患者安全产生有害影响。因此，护理管理者必须迅速解决这个问题。
