埃塞俄比亚锡达马地区公立医院产科病房护士和助产士的护理缺失及相关因素
Missed nursing care and associated factors among nurses and midwives in maternity wards of Sidama region public hospitals, Ethiopia.
作者信息
Tsegaye Tewodros Getachew, Tadesse Hiwot, Yesera Gesila Endashaw, Bezie Habtamu Esubalew, Oyato Befekadu Tesfaye, Kena Sintayehu Solomon, Debela Derese Eshetu, Andarge Rediet Belay
机构信息
Department of Midwifery, College of Medicine and Health Sciences, Hawassa University, Hawassa, Ethiopia.
School of Nursing, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Arba, Minch, Ethiopia.
出版信息
BMC Nurs. 2024 Sep 27;23(1):686. doi: 10.1186/s12912-024-02352-7.
BACKGROUND
Missed nursing care refers to any aspect of care performed by nursing staff that is omitted or significantly delayed. Even though the potential impact of missing nursing care on maternal and fetal outcomes is significant, there is currently limited evidence regarding the extent of this issue specifically within the maternity wards. Therefore, this study aimed to assess missed nursing care and associated factors in the maternity wards of public hospitals in the Sidama region, Ethiopia 2022.
METHODS
A hospital-based cross-sectional study was conducted among 361 nurses and midwives in maternity wards of Sidama region public hospitals from March 28 to April 26, 2022. Simple random sampling was used to select participants. The data was collected using the MISSCARE survey tool and analyzed with SPSS version 26. Simple linear and multiple linear regression analyses were used to identify the factors associated with missed nursing care.
RESULTS
The overall mean missed nursing care score was 67 out of 130 (95% CI: 65.92, 68.02) and the average score for each nursing intervention was 2.58 out of 5 (95% CI: 2.54, 2.62). The intention to leave the institution (β = 3.812, 95% CI: 2.285, 5.340) and increasing weekly work hours (β = 0.203, 95% CI: 0.134, 0.272) were factors positively associated with missed nursing care. However, increased work experience (β= -0.963, 95%CI: -1.475, -0.452) and job satisfaction (β= -4.976, 95%CI: -6.431, -3.522) were negatively associated with missed nursing care.
CONCLUSION
This study found that the level of missed nursing care was significant. Factors positively associated with missed nursing care included an intention to leave the institution and an increase in weekly work hours. In contrast, an increase in work experience and higher job satisfaction were negatively associated with missed nursing care.
背景
漏做护理是指护理人员执行的护理工作中任何被遗漏或严重延迟的方面。尽管漏做护理对母婴结局的潜在影响很大，但目前关于这一问题在产科病房中的具体程度的证据有限。因此，本研究旨在评估2022年埃塞俄比亚锡达马地区公立医院产科病房的漏做护理情况及相关因素。
方法
2022年3月28日至4月26日，在锡达马地区公立医院产科病房的361名护士和助产士中进行了一项基于医院的横断面研究。采用简单随机抽样选择参与者。使用MISSCARE调查工具收集数据，并使用SPSS 26版进行分析。采用简单线性回归和多元线性回归分析来确定与漏做护理相关的因素。
结果
漏做护理的总体平均得分在130分中为67分（95%置信区间：65.92, 68.02），每项护理干预的平均得分为5分中的2.58分（95%置信区间：2.54, 2.62）。打算离开机构（β = 3.812, 95%置信区间：2.285, 5.340）和每周工作时间增加（β = 0.203, 95%置信区间：0.134, 0.272）是与漏做护理呈正相关的因素。然而，工作经验增加（β = -0.963, 95%置信区间：-1.475, -0.452）和工作满意度（β = -4.976, 95%置信区间：-6.431, -3.522）与漏做护理呈负相关。
结论
本研究发现漏做护理的程度很高。与漏做护理呈正相关的因素包括打算离开机构和每周工作时间增加。相比之下，工作经验增加和工作满意度较高与漏做护理呈负相关。
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