Department of Medical Nursing, School of Nursing, University of Gondar, Gondar, Ethiopia.
Department of Comprehensive Nursing, School of Nursing, University of Gondar, Gondar, Ethiopia.
Sci Rep. 2024 Oct 26;14(1):25571. doi: 10.1038/s41598-024-76325-w.
The issue of missed nursing care is a problem that affects the overall quality of nursing care in hospitals around the world. However, there is limited research about it in Ethiopia. This study assessed missed nursing care and factors among nurses. An institutional-based cross-sectional study was conducted among 485 nurses at the University of Gondar Specialized Hospital. The data were collected from May 15 to June 15, 2022 using a self-administered questionnaire. A simple random sampling technique was used to select study participants. The data was entered to EPI DATA version 4.6 and exported to SPSS version 23 for analysis. Descriptive statistics were computed, and a summative score of missed nursing care was calculated. Then, multiple linear regression analysis was used to identify the factors. A P-value of 0.05 was used to declare significant level. In this study, missed nursing care was 62.5% (95% CI 60.98-64.02). Documentation, vital signs assessment, intravenous care, and assessment as per hospital policy and patient education were the most frequently missed nursing care. Being single in marital status (B = -4.609, P = 0.004), adequacy of nursing staff (B = -2.458, P = 0.003), satisfaction with income (B = -8.753, P = 0.007), working in medical unit (B = -5.708, P = 0.002) and working in both day and night shift (B = 1.731, P = 0.027) were statistically associated factors. More than half of the participants missed basic nursing care. Most of the identified factors correlated with missed nursing care negatively. Efforts should be done to enhance communication between health team members, assign a manageable number of patients per nurse, and adjust shifts and units.
护理缺失问题是一个影响全球医院整体护理质量的问题。然而，在埃塞俄比亚，对此问题的研究有限。本研究评估了护士护理缺失和相关因素。这是一项在贡德尔大学专科医院进行的基于机构的横断面研究，共有 485 名护士参与。数据于 2022 年 5 月 15 日至 6 月 15 日通过自填式问卷收集。采用简单随机抽样技术选择研究对象。数据录入 EPI DATA 版本 4.6，然后导出到 SPSS 版本 23 进行分析。计算描述性统计量，并计算护理缺失的综合评分。然后，采用多元线性回归分析来确定相关因素。采用 P 值 0.05 表示具有统计学意义。本研究中，护理缺失率为 62.5%（95%CI 60.98-64.02）。最常被忽视的护理操作包括护理记录、生命体征评估、静脉护理、以及按照医院政策和患者教育进行评估。在婚姻状况方面为单身（B = -4.609，P = 0.004）、护理人员配备充足（B = -2.458，P = 0.003）、对收入满意（B = -8.753，P = 0.007）、在医疗单元工作（B = -5.708，P = 0.002）和上日夜班（B = 1.731，P = 0.027）与护理缺失存在统计学关联。超过一半的参与者忽略了基本护理。大多数确定的因素与护理缺失呈负相关。应努力加强卫生团队成员之间的沟通，为每位护士分配可管理的患者数量，并调整班次和科室。
