Widener University School of Nursing, Chester, Pennsylvania, USA.
Christiana Hospital, Newark, Delaware, USA.
Nurs Open. 2024 Sep;11(9):e70042. doi: 10.1002/nop2.70042.
This study aimed to determine clinical nurse and nurse manager perspectives on missed nursing care (MNC) during the COVID-19 pandemic.
This study utilized a qualitative exploratory descriptive design.
Data were obtained through focus groups and virtual interviews. Purposive sampling was used to select nurse and nurse manager participants in COVID-19 units and the Emergency Department in one large healthcare organization in the northeastern United States of America.
A total of 15 nurses and nurse managers participated in the study. Results revealed five categories: medication delivery, turning patients, double checks, communication and rapport, and patient surveillance.
A variety of factors contributed to the perceptions and experiences of MNC of COVID-19 patients during the early stage of the pandemic. The COVID-19 crisis put additional and unparalleled pressure on a strained nursing workforce. Hospital leaders are responsible for ensuring their frontline nurses have the resources they need to feel supported in their roles regardless of the presenting circumstances.
Nurse leaders should employ evidence-based strategies such as promoting and championing teamwork to support staff and reduce incidences of MNC during crises. Our current work may serve as a basis for informing future revisions of pre-pandemic measurement tools when applied in a pandemic-specific context.
This manuscript adheres to the standards for reporting qualitative research (SRQR); a synthesis of recommendations.
There was not patient or public contribution for this study.
本研究旨在确定临床护士和护士长在 COVID-19 大流行期间对遗漏护理（MNC）的看法。
本研究采用定性探索性描述设计。
通过焦点小组和虚拟访谈获得数据。采用目的抽样法，选择美国东北部一家大型医疗机构的 COVID-19 病房和急诊科的护士和护士长参与研究。
共有 15 名护士和护士长参与了研究。结果揭示了五个类别：药物输送、翻身患者、双重检查、沟通和融洽、以及患者监测。
各种因素导致了 COVID-19 患者在大流行早期阶段对 MNC 的看法和体验。COVID-19 危机给紧张的护理人员队伍带来了额外的、前所未有的压力。医院领导有责任确保他们的一线护士在任何情况下都能获得所需的资源，以感受到在其角色中的支持。
护士领导者应采用循证策略，如促进和倡导团队合作，以支持员工并减少危机期间的 MNC 发生。我们目前的工作可以为未来在大流行特定背景下应用的、针对大流行的预测量表修订提供依据。
本文稿符合定性研究报告标准（SRQR）；建议的综合。
本研究没有患者或公众的贡献。
