护士的职业承诺与护理缺失之间的关系:一项在伊朗开展的横断面研究。

The relationship between nurses' professional commitment and missed nursing care: a cross-sectional study in Iran.

作者信息

Ahmadzadeh-Zeidi Mohammad Javad, Rooddehghan Zahra, Haghani Shima

机构信息

Department of Medical-Surgical Nursing, Faculty of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.

Department of Biostatistics, Nursing and Midwifery Research Center, Faculty of Nursing and Midwifery, University Of Medical Sciences, Tehran, Iran.

出版信息

BMC Nurs. 2024 Aug 5;23(1):533. doi: 10.1186/s12912-024-02196-1.

Abstract

BACKGROUND & AIMS: Missed nursing care is a global challenge that can have many consequences and it's known as a common threat to the patient safety and quality of nursing care. The nurses' professional commitment plays the final role in the occurrence of this issue. This study aimed to investigate the relationship between nurses' professional commitment and missed nursing care in Iran.

MATERIALS & METHODS: This cross-sectional descriptive-analytical study was conducted on 270 nurses working in two hospitals affiliated to Tehran University of Medical Sciences (Sina & Shariati) from September to December 2023. The research community included all nurses working in medical-surgical wards in the designated hospitals. The research samples were included in a targeted and quota method after obtaining organizational permits, ethical approval and informed consent. Data collection was done using three questionnaires including demographic information form, Nursing Professional Commitment Scale, and MISSCARE Questionnaire. The collected data was analyzed in SPSS software, version 25.

RESULTS

The results of Pearson's correlation test showed that there is a significant negative relationship between nurses' professional commitment and missed nursing care scores (r=-0.23) (p < 0.001). The mean score of nurses' professional commitment was reported at a moderate to high level (83.72 ± 16.02) and the mean score of missed nursing care was reported at a low level (47.84 ± 16.48). Nurses over 40 years old, morning shift and employed nurses showed higher professional commitment. Also, nurses under 29 years old and male nurses had more missed nursing care other than their participants. No relationship was observed between other demographic variables with nurses' professional commitment and missed nursing care.

CONCLUSION

The results of this study showed that higher nurses' professional commitment leads to higher quality of care and less missed nursing care. Based on findings of this research, it is recommended for health care providers and nursing managers to adopt programs to increase nurses' professional commitment and consequently reduce missed nursing care.

摘要

背景与目的

护理缺失是一项全球性挑战,可能产生诸多后果,是对患者安全和护理质量的常见威胁。护士的职业承诺在该问题的发生中起最终作用。本研究旨在调查伊朗护士的职业承诺与护理缺失之间的关系。

材料与方法

本横断面描述性分析研究于2023年9月至12月对在德黑兰医科大学附属的两家医院(西娜医院和沙里亚蒂医院)工作的270名护士进行。研究群体包括指定医院内科-外科病房工作的所有护士。在获得组织许可、伦理批准和知情同意后,采用有针对性的配额方法选取研究样本。使用包括人口统计学信息表、护理职业承诺量表和MISSCARE问卷在内的三份问卷收集数据。收集的数据在SPSS 25版软件中进行分析。

结果

皮尔逊相关性检验结果显示,护士的职业承诺与护理缺失得分之间存在显著负相关(r=-0.23)(p<0.001)。护士职业承诺的平均得分报告为中高水平(83.72±16.02),护理缺失的平均得分报告为低水平(47.84±16.48)。40岁以上的护士、早班护士和在职护士表现出更高的职业承诺。此外,29岁以下的护士和男护士比其他参与者有更多的护理缺失。未观察到其他人口统计学变量与护士的职业承诺和护理缺失之间存在关联。

结论

本研究结果表明,护士更高的职业承诺会带来更高的护理质量和更少的护理缺失。基于本研究结果,建议医疗服务提供者和护理管理者采用相关项目来提高护士的职业承诺,从而减少护理缺失。

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