Cohen Mirit, Drach-Zahavy Anat, Srulovici Einav
Tzafon Medical Center, Poriya, Israel.
Department of Nursing, The University of Haifa, Haifa, Israel.
J Adv Nurs. 2025 May;81(5):2657-2671. doi: 10.1111/jan.16476. Epub 2024 Sep 20.
To compare nurses' and patients' reports of missed nursing care, explore patients' perspectives and utilise these insights to elucidate discrepancies or congruence between perceptions.
A descriptive mixed-methods design combining quantitative (questionnaires) and qualitative (semi-structured interviews) methods.
In the quantitative phase, 143 nurses and 643 patients completed the MISSCARE and MISSCARE-Patient surveys. Correlations between their total missed care scores were examined. In the qualitative phase, 68 patients participated in semi-structured interviews analysed using thematic analysis.
The correlation between nurses' and patients' perceptions of missed nursing care was nonsignificant. Qualitative findings revealed three themes: (1) patients' need to preserve individuality; (2) most patients attributed missed care to systemic factors, while some attributed it to nurses' attitudes and (3) emotional responses varied from empathetic understanding, inadvertently enabling more missed care, to frustration and assertiveness to ensure receiving necessary care.
This study reveals a significant discrepancy between nurses' and patients' perceptions of missed care. Patient perspectives offer insights into this misalignment, highlighting differences in care priorities and role understanding.
IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: Enhancing nurse-patient communication and patient empowerment are crucial. Healthcare institutions should integrate patient feedback into quality initiatives, create supportive work environments and foster a patient-centred care culture. Effectively marketing nurses' expertise and implementing strategies to manage patient assertiveness are essential.
This study addresses the discrepancy in perceptions of missed nursing care between nurses and patients. It reveals how patients' care priorities and attributions influence their experience of missed care. Findings will impact healthcare policymakers, nursing educators and hospital administrators, informing strategies to improve care quality, patient satisfaction and nurse work environments across healthcare settings.
The study has adhered to STROBE guidelines for the quantitative component and SRQR guidelines for the qualitative component.
No patient or public contribution.
比较护士和患者关于护理缺失情况的报告，探究患者的观点，并利用这些见解阐明认知之间的差异或一致性。
一种描述性混合方法设计，结合了定量（问卷调查）和定性（半结构化访谈）方法。
在定量阶段，143名护士和643名患者完成了“护理缺失情况调查”（MISSCARE）和“患者护理缺失情况调查”（MISSCARE - Patient）。检查了他们的总护理缺失得分之间的相关性。在定性阶段，68名患者参与了使用主题分析法进行分析的半结构化访谈。
护士和患者对护理缺失的认知之间的相关性不显著。定性研究结果揭示了三个主题：（1）患者保持个性的需求；（2）大多数患者将护理缺失归因于系统因素，而一些患者将其归因于护士的态度；（3）情绪反应各不相同，从感同身受的理解（无意中导致更多护理缺失）到沮丧和坚定地确保获得必要护理。
本研究揭示了护士和患者对护理缺失的认知之间存在显著差异。患者的观点为这种不一致提供了见解，突出了护理重点和角色理解方面的差异。
对专业和/或患者护理的启示：加强护患沟通和患者赋权至关重要。医疗机构应将患者反馈纳入质量改进举措，营造支持性的工作环境，并培育以患者为中心的护理文化。有效宣传护士的专业知识并实施管理患者坚定态度的策略至关重要。
本研究解决了护士和患者对护理缺失认知的差异问题。它揭示了患者的护理重点和归因如何影响他们的护理缺失体验。研究结果将影响医疗保健政策制定者、护理教育工作者和医院管理人员，为改善医疗保健环境中的护理质量、患者满意度和护士工作环境的策略提供信息。
本研究在定量部分遵循了加强流行病学观察性研究报告规范（STROBE）指南，在定性部分遵循了定性研究报告的综合标准（SRQR）指南。
无患者或公众参与。
