Abere Yirgalem, Ayenew Yeshiambaw Eshetie, Aytenew Tigabu Munye, Erega Besfat Berihun, Yirga Gebrie Kassaw, Ewunetu Mengistu, Andargie Astewle, Bantie Berihun, Belay Bekalu Mekonen
Department of Adult Health Nursing, College of Health Science, Debre Tabor University, Debre Tabor, Ethiopia.
Department of Midwifery, College of Health Science, Debre Tabor University, Debre Tabor, Ethiopia.
BMC Nurs. 2024 Oct 17;23(1):765. doi: 10.1186/s12912-024-02438-2.
Missed nursing care has become a global health concern because of its impact on patient safety and nursing care quality. It is a critical indicator of nursing care quality and adverse patient outcomes. However, data regarding the magnitude and reasons for missed nursing care is limited in the study area. This study aimed to determine the magnitude and reasons for missed nursing care among nurses working in South Gondar zone public hospitals.
An institution-based cross-sectional study design was conducted among nurses working in South Gondar zone public hospitals from December 12, 2023, to January 20, 2024. The data was collected through self-administered MISSCARE survey tools. The collected data were entered into EpiData V.4.2 and then exported to SPSS V.25 for analysis. The statistical significance of the association between outcome variables and independent variables was declared at a P-value less than 5% (0.05) at 95% CI.
The magnitude of missed nursing care in the study area was 51.7% (95% CI: 46.89-55.47%). Medications administered as ordered (69.8%), skin/wound care (69.8%), vital signs assessed as ordered and accordingly (68.8%), and IV/central line site care and assessments according to hospital policy (66.2%) were among the nursing care elements that were frequently missed. Material resource (76.7%), teamwork (69.1%), labor resource (65.5%), and communication (56.3%) were the main reasons for missed nursing care. Inadequate number of staff 2.9 (1.75, 4.75), training (CPD) in nursing care 1.9 (1.16, 3.14), equipment's not available 3.9 (2.16, 6.89), and medication were not available. 4.4 (2.48, 7.76) were associated with missed nursing care.
The proportion of commonly missed nursing care was high. After adjusting for demographic variables, labor resources, material resources, and communication were reasons for commonly missed nursing care. Increasing the number of nurses, investing in nurse training, working on equipment availability, and increasing medication availability could minimize frequent omissions of nursing care.
由于漏做护理对患者安全和护理质量产生影响，已成为全球卫生关注的问题。它是护理质量和不良患者结局的关键指标。然而，在研究区域内，关于漏做护理的程度和原因的数据有限。本研究旨在确定南贡德尔地区公立医院护士漏做护理的程度和原因。
于2023年12月12日至2024年1月20日，在南贡德尔地区公立医院工作的护士中进行了一项基于机构的横断面研究设计。数据通过自我管理的MISSCARE调查工具收集。收集到的数据录入EpiData V.4.2，然后导出到SPSS V.25进行分析。在95%置信区间，当P值小于5%（0.05）时，宣布结果变量与自变量之间关联具有统计学意义。
研究区域内漏做护理的程度为51.7%（95%置信区间：46.89 - 55.47%）。按医嘱给药（69.8%）、皮肤/伤口护理（69.8%）、按医嘱并相应评估生命体征（68.8%）以及根据医院政策进行静脉/中心静脉置管部位护理和评估（66.2%）是经常漏做的护理项目。物质资源（76.7%）、团队合作（69.1%）、人力资源（65.5%）和沟通（56.3%）是漏做护理的主要原因。工作人员数量不足2.9（1.75，4.75）、护理培训（继续职业发展）1.9（1.16，3.14）、设备不可用3.9（2.16，6.89）以及药物不可用4.4（2.48，7.76）与漏做护理相关。
常见漏做护理的比例较高。在调整人口统计学变量后，人力资源、物质资源和沟通是常见漏做护理的原因。增加护士数量、投资护士培训、解决设备可用性问题以及增加药物供应可以尽量减少护理的频繁遗漏。
