Dirgar Ezgi, Berşe Soner, Şahin Ayşe, Tosun Betül, Manuel Levya-Moral Juan
Department of Midwifery, Faculty of Health Sciences, Gaziantep University, Gaziantep, Turkey.
Department of Nursing, Faculty of Health Sciences, Gaziantep University, Gaziantep, Turkey.
BMC Nurs. 2024 Sep 13;23(1):652. doi: 10.1186/s12912-024-02253-9.
Missed nursing care poses a significant challenge for healthcare staff in terms of patient safety and care quality.
To evaluate presenteeism and missed care attitudes of nurses and to determine the correlation between presenteeism and missed care.
This descriptive, correlational, and observational study was conducted between February and August 2023. The Stanford Presenteeism Scale-Short Form and the MISSCARE Survey were used to collect the data among nurses at two public hospitals in a city in Turkey. The study was completed with 229 nurses representing 27.4% of the total number of nurses who met the inclusion criteria. The data was analyzed using a comprehensive analytical approach, including Cronbach's alpha analysis, frequency and percentage distribution, the Shapiro-Wilk test of normality, correlation coefficient analysis, Pearson correlation coefficient, and the Bonferroni test.
The participants' mean age was 30.22 ± 7.14 years, and 74.2% of them were female. 53.3% of the participants reported difficulty providing patient care due to material shortages, and 62.9% experienced challenges delivering care due to the intensity of paperwork in the clinic. Nurses who felt that paperwork intensity affected patient care and were not confident in their care provision had higher levels of presenteeism (p = 0.041) and a significantly higher frequency of missed care instances (p < 0.001).
Material shortages and high paperwork intensity are contributing factors to the difficulties experienced by nurses in their practice. These difficulties may lead to an increase in presenteeism and instances of missed nursing care. It is important to address these challenges to ensure adequate care provision and reduce the likelihood of presenteeism among nurses. The correlation between presenteeism and instances of missed nursing care highlights the impact of presenteeism behaviors on the quality of patient care.
在患者安全和护理质量方面，漏做护理工作给医护人员带来了重大挑战。
评估护士的带病出勤情况和对漏做护理工作的态度，并确定带病出勤与漏做护理工作之间的相关性。
这项描述性、相关性和观察性研究于2023年2月至8月进行。采用斯坦福带病出勤量表简版和漏做护理工作调查问卷，在土耳其一个城市的两家公立医院的护士中收集数据。该研究共纳入229名护士，占符合纳入标准护士总数的27.4%。采用综合分析方法对数据进行分析，包括Cronbach's alpha分析、频率和百分比分布、Shapiro-Wilk正态性检验、相关系数分析、Pearson相关系数和Bonferroni检验。
参与者的平均年龄为30.22±7.14岁，其中74.2%为女性。53.3%的参与者报告称，由于物资短缺，难以提供患者护理；62.9%的参与者表示，由于诊所文书工作强度大，在提供护理方面面临挑战。认为文书工作强度影响患者护理且对自己提供护理缺乏信心的护士，带病出勤水平更高（p = 0.041），漏做护理工作的频率也显著更高（p < 0.001）。
物资短缺和文书工作强度大是护士在工作中遇到困难的促成因素。这些困难可能导致带病出勤增加和漏做护理工作的情况。应对这些挑战对于确保提供充分护理并降低护士带病出勤的可能性很重要。带病出勤与漏做护理工作情况之间的相关性凸显了带病出勤行为对患者护理质量的影响。
