一项关于医院护士护理缺失与尽责性智能之间关系的横断面研究。
A cross-sectional study of the relationship between missed nursing care and conscientious intelligence in hospital nurses.
作者信息
Tiryaki Sen Hanife, Taskiran Eskici Gulcan, Ciftcioglu Gulcan
机构信息
Department of Nursing Administration, Hamidiye Faculty of Nursing, University of Health Sciences Türkiye, Istanbul, Türkiye.
Department of Nursing Administration, Faculty of Health Sciences, Ondokuz Mayis University, Samsun, Türkiye.
出版信息
Int Nurs Rev. 2025 Jun;72(2):e13024. doi: 10.1111/inr.13024. Epub 2024 Jul 25.
AIM
To examine the relationship between missed nursing care and conscientious intelligence.
BACKGROUND
Missed nursing care is a globally common patient safety issue that threatens quality nursing care. Current studies mainly focus on the relationship between missed nursing care and external factors such as nurse, unit and hospital characteristics. However, internal factors, such as the conscientious intelligence of nurses, are also very important for missed nursing care. Moreover, the relationship between missed nursing care and conscientious intelligence has not been examined so far. This study will contribute to filling this gap in the literature.
METHODS
This is a descriptive correlational study. The study sample consisted of 514 nurses working in a city in the southeastern region of Türkiye, reached by convenience sampling method. Study data were collected between 30 January and 30 June 2021. Descriptive statistics, difference statistics, Pearson correlation analysis and multiple regression analysis were performed.
RESULTS
Nurses missed nursing care at an occasional level (1.66 ± 0.63), and their conscientious intelligence score was high (131.26 ± 19.24). Conscientious intelligence alone accounted for 10.6% of the variance in missed nursing care. As nurses' conscientious intelligence levels increase, the level of missed nursing care decreases. Gender, education level, satisfaction with being a nurse and patient-to-nurse ratios had a statistically significant effect on missed nursing care scores.
CONCLUSION
Missed nursing care decreased as nurses' conscientious intelligence increased. Although nurses need to be knowledgeable and competent in caregiving, it is also necessary to consider their conscientious intelligence in patient care.
IMPLICATIONS FOR NURSING AND HEALTH POLICY
Organizations and nurse managers could improve nursing care by implementing strategies to increase nurses' conscientious intelligence. For this, they would need to encourage nurses to receive training on sensitivity, awareness, ethical decision-making and ethical sensitivity. Moreover, nurse managers should be role models and leaders in compliance with personal and professional values and ethical standards to improve nursing care.
目的
探讨遗漏护理与尽责性智能之间的关系。
背景
遗漏护理是一个全球普遍存在的患者安全问题，威胁着优质护理。目前的研究主要关注遗漏护理与护士、科室和医院特征等外部因素之间的关系。然而，护士的尽责性智能等内部因素对遗漏护理也非常重要。此外，到目前为止，遗漏护理与尽责性智能之间的关系尚未得到研究。本研究将有助于填补文献中的这一空白。
方法
这是一项描述性相关性研究。研究样本由通过便利抽样法选取的在土耳其东南部某城市工作的514名护士组成。研究数据于2021年1月30日至6月30日收集。进行了描述性统计、差异统计、Pearson相关性分析和多元回归分析。
结果
护士偶尔会出现遗漏护理的情况（1.66±0.63），其尽责性智能得分较高（131.26±19.24）。仅尽责性智能就占遗漏护理变异的10.6%。随着护士尽责性智能水平的提高，遗漏护理水平降低。性别、教育程度、对护士职业的满意度以及护患比在遗漏护理得分上有统计学显著影响。
结论
随着护士尽责性智能的提高，遗漏护理减少。虽然护士在护理工作中需要知识渊博且能力胜任，但在患者护理中考虑他们的尽责性智能也很有必要。
对护理和卫生政策的启示
组织和护士管理者可以通过实施提高护士尽责性智能的策略来改善护理。为此，他们需要鼓励护士接受关于敏感性、意识、道德决策和道德敏感性的培训。此外，护士管理者应成为遵守个人和职业价值观及道德标准的榜样和领导者，以改善护理。
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