Author Affiliations: Student in Nursing, Faculty of Medical Sciences, Tarbiat Modares University, Tehran (Ms Jafari-Koulaee); Geriatric Nursing, Mazandaran University of Medical Sciences, Sari, Iran (Ms Jafari-Koulaee); Psychiatric Nursing, Mazandaran University of Medical Sciences, Sari, Iran (Ms Heidari); Student of Nursing, Golestan University of Medical Sciences, Gorgan, Iran (Ms Heidari); Psychiatric Nursing, Mazandaran University of Medical Sciences, Sari, Iran (Mr Khorram); Emergency Nursing, Mazandaran University of Medical Sciences, Sari, Iran (Ms Rezaei); Department of Biostatistics and Epidemiology, School of Health, Mazandaran University of Medical Sciences, Sari, Iran (Dr Nikbakht); and Department of Medical Surgical Nursing, School of Nursing and Midwifery, Traditional and Complementary Medicine Research Center, Addiction Institute, Mazandaran University of Medical Sciences, Sari, Iran (Dr Jafari).
Crit Care Nurs Q. 2024;47(3):193-201. doi: 10.1097/CNQ.0000000000000508. Epub 2024 Jun 7.
Nurses are at high risk of burnout, desire to leave the profession, and possibly missed nursing care due to the exhausting nature of caring. Missed nursing care may also affect nurses' burnout and desire to leave the profession. Therefore, the objective of this study was to determine the missed nursing care and its relationship with burnout and desire to leave the profession among intensive care unit nurses. The participants of this descriptive analytical study were 249 Iranian nurses working in intensive care units in 2022. The data were collected using a Demographic Information Questionnaire, Kalish's Missed Nursing Care Questionnaire, Maslach Burnout Inventory, and desire to leave the profession questionnaire. The majority of nurses (71%) were females. The generalized linear regression model showed that there was a significant relationship between missed care with gender (B = 5.55, P < .001), marital status (B = -7.37, P = .04), working shift (B = 7.80, P < .001), and employment status (B = -2.87, P = .02). Using structural equation modeling, it was found that the effect of missed care on burnout was significant. Considering the effect of missed care on burnout among nurses working in intensive care units, it seems that creating better working conditions, providing sufficient resources for nurses, supporting them, and changing the factors affecting missed care in order to improve the conditions can reduce the possibility of missing nursing care and, finally, burnout.
护士有很高的倦怠风险,渴望离开这个职业,并且由于照顾工作的疲惫性质,可能会错过护理。错过的护理也可能会影响护士的倦怠和离开职业的愿望。因此,本研究的目的是确定重症监护病房护士的护理缺失情况及其与倦怠和离开职业的关系。本描述性分析研究的参与者是 2022 年在重症监护病房工作的 249 名伊朗护士。使用人口统计学信息问卷、卡利什的护理缺失问卷、马斯拉赫倦怠量表和离开职业问卷收集数据。大多数护士(71%)是女性。广义线性回归模型显示,护理缺失与性别(B=5.55,P<.001)、婚姻状况(B=-7.37,P=.04)、工作班次(B=7.80,P<.001)和就业状况(B=-2.87,P=.02)有显著关系。使用结构方程模型发现,护理缺失对倦怠有显著影响。考虑到护理缺失对重症监护病房护士倦怠的影响,似乎可以通过改善工作条件、为护士提供充足的资源、支持他们以及改变影响护理缺失的因素来减少护理缺失的可能性,最终减轻倦怠。