School of Nursing and Midwifery, La Trobe University, Australia; School of Nursing and Midwifery, Wollega University, Ethiopia.
School of Nursing and Midwifery, La Trobe University, Australia.
Nurse Educ Today. 2024 Jun;137:106169. doi: 10.1016/j.nedt.2024.106169. Epub 2024 Mar 20.
Nursing students report facing inconsistencies between theoretical knowledge and actualities of clinical practice, and research indicates they witness missed nursing care during clinical practice. Understanding nursing students' experiences can inform improved clinical learning environments and enhance patient care quality. Recently, research has focused on students' views regarding missed care, yet comprehensive understandings of this phenomenon are lacking.
This review explored what is known about missed nursing care from perspectives of nursing students.
A scoping review according to Arksey and O'Malley's framework and Joanna Briggs Institute methodology was undertaken.
Key databases were searched, including Medline, Embase, CINAHL, Scopus, ProQuest, PsycINFO and Web of Science in August 2023.
The review included qualitative, quantitative, and structured literature reviews published in English between 2006 and 2023. Inclusion and exclusion criteria and keywords guided the search. Data screening and extraction were independently performed by two reviewers. Included studies were analysed using descriptive statistics and narrative synthesis. Findings are reported in accordance with the PRISMA-ScR.
Of the 5873 articles identified, nine were included in the review. Studies were conducted in seven countries. Themes in students' perceptions included negligence of patients' rights and dignity, living in limbo, and pragmatic acceptance. Reasons for missed care included ineffective teamwork, lack of interest in caring, and inefficient leadership. Missed nursing care adversely affected patient health, hindered student learning and professional growth. Strategies for improvement included enhancing teamwork, enforcing ethical issues, increasing supervision, and creating commitment to work.
Missed nursing care affects patient safety and education of nursing students. Incorporating practical training modules into curricula, establishing preceptorship programs, and incorporating ethics education into clinical practice are crucial to address missed nursing care. Further research in diverse settings is warranted.
护理专业学生反映理论知识与临床实践实际情况之间存在不一致，研究表明他们在临床实践中观察到护理缺失。了解护理专业学生的体验可以为改善临床学习环境和提高患者护理质量提供信息。最近，研究重点关注学生对护理缺失的看法，但对这一现象的全面理解仍有所欠缺。
本综述从护理专业学生的角度探讨了护理缺失的相关内容。
根据 Arksey 和 O'Malley 的框架和 Joanna Briggs 研究所的方法进行了范围综述。
2023 年 8 月，在 Medline、Embase、CINAHL、Scopus、ProQuest、PsycINFO 和 Web of Science 等主要数据库中进行了检索。
综述纳入了 2006 年至 2023 年间以英文发表的定性、定量和结构化文献综述。纳入和排除标准以及关键词指导了检索。两名评审员独立进行了数据筛选和提取。使用描述性统计和叙述性综合对纳入的研究进行了分析。研究结果按照 PRISMA-ScR 报告。
在 5873 篇文章中，有 9 篇被纳入综述。研究在七个国家进行。学生对护理缺失的看法包括忽视患者的权利和尊严、处于困境中以及实际接受等主题。护理缺失的原因包括团队合作无效、缺乏护理兴趣以及领导效率低下。护理缺失对患者健康产生了不利影响，阻碍了学生的学习和专业成长。改善策略包括加强团队合作、执行伦理问题、增加监督以及培养对工作的承诺。
护理缺失会影响患者安全和护理专业学生的教育。将实践培训模块纳入课程、建立导师制项目以及将伦理教育纳入临床实践对于解决护理缺失至关重要。需要在不同环境中进一步开展研究。
