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与临终和死亡质量以及护理缺失相关的因素。

Factors associated with the quality of dying and death and missed nursing care.

机构信息

Students Research Committee, Kurdistan University of Medical Sciences, Iran.

Assistant Professor, Clinical Care Research Center, Kurdistan University of Medical Sciences, Iran.

出版信息

Int J Palliat Nurs. 2024 Apr 2;30(4):190-198. doi: 10.12968/ijpn.2024.30.4.190.

DOI:10.12968/ijpn.2024.30.4.190
PMID:38630644
Abstract

BACKGROUND

Patients in intensive care units need full nursing care due to the high mortality rate. However, some aspects of nursing care can be forgotten.

AIMS

To investigate the quality of death and dying and its association with aspects of missed nursing care, alongside the overall perception of nurses in intensive care units about factors associated with missed nursing care.

METHODS

This cross-sectional study used a census sampling method of 105 nurses working in intensive care units. In order to collect data, the Quality of Dying and Death Questionnaire (QODD), missed nursing care (MISSCARE survey) and factors associated with missed nursing care questionnaire were used. Data analysis was performed by using SPSS 16.

FINDINGS

The quality of death and dying, as perceived by nurses, was found to be lower than the average (Range score: 0 to 100). The range of missed nursing care was average (Range of score: 24 to 96) and the most noticeable reason for this missed nursing care was the shortage of nursing staff.

CONCLUSION

Managers should ensure that nurses provide complete nursing care for terminally ill patients in intensive care units and eliminate factors that lead to aspects of nursing care being missed, such as staffing levels, material resources and communication between staff members.

摘要

背景

由于 ICU 患者死亡率高,因此需要全面的护理。但护理过程中可能会忽略某些方面。

目的

调查 ICU 护士对死亡和濒死患者的护理质量及其与遗漏护理方面的关系,以及 ICU 护士对与遗漏护理相关因素的整体看法。

方法

本横断面研究采用普查抽样法,对 105 名在 ICU 工作的护士进行调查。为了收集数据,使用了死亡和濒死质量问卷(QODD)、遗漏护理(MISSCARE 调查)和与遗漏护理相关因素问卷。使用 SPSS 16 进行数据分析。

结果

护士对死亡和濒死的护理质量的评价低于平均水平(范围评分:0 至 100)。遗漏护理的范围为平均水平(评分范围:24 至 96),造成这种遗漏护理的最明显原因是护理人员短缺。

结论

管理者应确保 ICU 中临终患者的护士提供全面的护理,并消除导致护理方面遗漏的因素,如人员配备水平、物质资源和员工之间的沟通。

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