Ozmen Sinem, Arslan Yurumezoglu Havva
Dokuz Eylul University, Institute of Health Science, Izmir, Turkey.
Dokuz Eylul University, Faculty of Nursing, Department of Nursing Management, İzmir, Turkey.
J Pediatr Nurs. 2025 Mar-Apr;81:e1-e8. doi: 10.1016/j.pedn.2024.10.019. Epub 2024 Nov 18.
To examine the frequency and predictors of missed nursing care in pediatric units.
This study with a descriptive cross-sectional design was conducted in the pediatric clinics of two public university hospitals in Türkiye. The convenience sampling method was employed, including all nurses working in pediatric units, with a total of 123 nurses participating. Data were collected face-to-face from May to October 2023 using a sociodemographic and job-related characteristics form, the Practice Environment Scale of the Nursing Work Index (PES-NWI), the Maslach Burnout Inventory (MBI), and missed nursing care activity questions. The data were analyzed using descriptive statistics and logistic regression analysis.
The most frequently missed care activities were found to be skin care (45.5 %), educating patients and families (40.7 %), and preparing patients and families for discharge (37.4 %). Predictors of missed nursing care were nurses' educational level, high nurse-to-patient ratios, low job satisfaction, enough opportunity to discuss patient care issues with other nurses, nursing foundations for quality of care, nurse manager's ability, leadership, and support for nurses, staffing and resource adequacy, and collegial nurse-physician relations, emotional exhaustion and personal accomplishment.
This study revealed that the most frequently missed care activities among nurses were related to skin care, education, and discharge preparation. Understanding the underlying causes is essential for reducing the rate of missed care.
To reduce the frequency of missed care, it is necessary to improve the work environment and make institutional investments in nursing, enabling nurses to effectively fulfill their duties.
探讨儿科病房护理缺失的频率及预测因素。
本研究采用描述性横断面设计，在土耳其两所公立大学医院的儿科诊所进行。采用便利抽样法，纳入儿科病房所有护士，共123名护士参与。2023年5月至10月，通过社会人口学和工作相关特征表、护理工作指数实践环境量表（PES-NWI）、马氏倦怠量表（MBI）以及护理缺失活动问题进行面对面数据收集。数据采用描述性统计和逻辑回归分析。
发现最常被遗漏的护理活动是皮肤护理（45.5%）、对患者及家属进行教育（40.7%）以及为患者及家属准备出院（37.4%）。护理缺失的预测因素包括护士的教育水平、护士与患者比例高、工作满意度低、有足够机会与其他护士讨论患者护理问题、护理质量基础、护士长的能力、领导力以及对护士的支持、人员配备和资源充足情况、护士与医生的合作关系、情感耗竭和个人成就感。
本研究表明，护士中最常被遗漏的护理活动与皮肤护理、教育和出院准备有关。了解潜在原因对于降低护理缺失率至关重要。
为降低护理缺失频率，有必要改善工作环境并对护理进行机构投资，使护士能够有效履行职责。
