Nazari Amir Mohamad, Borhani Fariba, Zare-Kaseb Akbar, Zafarnia Niloofar
Student Research Committee, Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
BMC Nurs. 2024 Jun 6;23(1):388. doi: 10.1186/s12912-024-02058-w.
When any aspect of patient care is overlooked or delayed, it is known as Missed Nursing Care (MNC), leading to adverse events such as medication errors, infections, increased mortality rates, and poor prognosis. Moral competence is crucial for clinical nurses as it guarantees high-quality patient care in nursing practice. Thus, this study aimed to investigate the correlation between moral competencies and MNC among nurses.
This study was conducted with a descriptive-correlational design. The participants in the study were nurses who were currently enrolled at Shahid Beheshti University of Medical Sciences. In order to recruit nurses for the study, a convenience sampling method was implemented. The study tools were completed by a total of two hundred nurses. Research tools included a demographic questionnaire, the Moral Competence of Clinical Nurses Questionnaire, and the Kalisch and Williams Missed Nursing Care (MISSCARE) survey.
This study was approved by the Medical Ethics and Law Research Center of Shahid Beheshti University of Medical Sciences.
The mean scores of moral competencies and MNC were 151.83 ± 12.60 and 42.71 ± 9.38, respectively. In other words, descriptive statistics showed that the moral competence score was more than 75%, and the MNC score was less than 50%. Also, there was a significant negative correlation between the total scores of moral competencies and MNC (r = -0.38, p < 0.001), indicating that more moral competence was correlated with lower levels of MNC.
The study revealed a negative correlation between nurses' moral competence and MNC, suggesting that enhancing moral competence could reduce MNC. To reduce MNC occurrences, hospitals, and organizations should prioritize moral competency, according to our research.
当患者护理的任何方面被忽视或延迟时，这被称为护理缺失（MNC），会导致诸如用药错误、感染、死亡率增加和预后不良等不良事件。道德能力对临床护士至关重要，因为它能确保护理实践中的高质量患者护理。因此，本研究旨在调查护士的道德能力与护理缺失之间的相关性。
本研究采用描述性相关性设计。研究参与者为目前就读于沙希德·贝赫什提医科大学的护士。为招募研究护士，采用了便利抽样法。共有两百名护士完成了研究工具。研究工具包括一份人口统计学问卷、临床护士道德能力问卷以及卡利施和威廉姆斯护理缺失（MISSCARE）调查。
本研究经沙希德·贝赫什提医科大学医学伦理与法律研究中心批准。
道德能力和护理缺失的平均得分分别为151.83±12.60和42.71±9.38。换句话说，描述性统计显示道德能力得分超过75%，护理缺失得分低于50%。此外，道德能力总分与护理缺失之间存在显著负相关（r = -0.38，p < 0.001），表明道德能力越强，护理缺失水平越低。
该研究揭示了护士的道德能力与护理缺失之间存在负相关，这表明提高道德能力可以减少护理缺失。根据我们的研究，为减少护理缺失的发生，医院和组织应优先考虑道德能力。
