Babaei Faranak, Nayeri Nahid Dehghan, Hajibabaee Fatemeh, Sharifi Farshad
School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
Department of Nursing Management, School of Nursing & Midwifery, Nursing and Midwifery Care Research Center, Tehran University of Medical Sciences, Tehran, Iran.
BMC Nurs. 2024 Aug 7;23(1):540. doi: 10.1186/s12912-024-02199-y.
The primary objective of the nursing profession is to provide comprehensive and appropriate nursing care that meets the individual needs of patients. However, instances of missed/rationed nursing care can jeopardize the delivery of complete and safe healthcare, potentially putting patients' lives at risk. The level of organizational commitment demonstrated by nurses is likely to impact various personnel and organizational factors. Therefore, this study aims to predict instances of missed/rationed nursing care by examining the influence of organizational commitment.
This descriptive and cross-sectional study will be conducted in 2023. Three hundred nurses working in general and intensive critical care units at Tehran University of Medical Sciences hospitals were randomly selected. Data collection included Allen and Mayer's organizational commitment questionnaires, Kalish's missed care questionnaire, and demographic variables. A multiple linear regression model was used to analyze the prediction of missed care by commitment and other variables. The relationship between these variables was also explored using SPSS version 26 software.
Half of the nurses reported occasionally missing nursing care. Moreover, more than half of the nurses reported moderate organizational commitment in all dimensions. The most significant reasons identified by nurses for missed care were financial resources, human resources, and communication (p < 0.001). There was a significant relationship between missed/rationed nursing care and organizational commitment (p = 0.042). In the multiple regression equation, a significant portion of missed care due to commitment was predicted when considering demographic variables (p < 0.001).
By understanding the relationship between organizational commitment and missed care, and identifying the factors contributing to missed/rationed care, managers can improve the efficiency of human resources and allocate appropriate financial resources. Establishing effective communication with employees can also enhance their commitment to addressing neglected care, ultimately reducing instances of oversight.
护理专业的主要目标是提供全面且恰当的护理服务，以满足患者的个体需求。然而，护理服务缺失/受限的情况可能会危及完整且安全的医疗服务的提供，有可能使患者生命面临风险。护士所展现的组织承诺水平可能会影响各种人员和组织因素。因此，本研究旨在通过考察组织承诺的影响来预测护理服务缺失/受限的情况。
本描述性横断面研究将于2023年进行。随机选取了德黑兰医科大学医院普通和重症监护病房工作的300名护士。数据收集包括艾伦和梅耶尔的组织承诺问卷、卡利什的护理缺失问卷以及人口统计学变量。采用多元线性回归模型分析承诺及其他变量对护理缺失的预测。还使用SPSS 26版软件探究了这些变量之间的关系。
一半的护士报告偶尔会出现护理服务缺失的情况。此外，超过一半的护士在所有维度上报告了中等程度的组织承诺。护士们确定的护理缺失的最主要原因是财务资源、人力资源和沟通（p < 0.001）。护理服务缺失/受限与组织承诺之间存在显著关系（p = 0.042）。在多元回归方程中，考虑人口统计学变量时，因承诺导致的护理缺失的很大一部分得到了预测（p < 0.001）。
通过了解组织承诺与护理缺失之间的关系，并识别导致护理服务缺失/受限的因素，管理者可以提高人力资源效率并分配适当的财务资源。与员工建立有效的沟通也可以增强他们解决被忽视护理问题的承诺，最终减少疏忽情况的发生。
