Ahmadzadeh-Zeidi Mohammad Javad, Rooddehghan Zahra, Haghani Shima
Department Of Medical-Surgical Nursing, Faculty Of Nursing And Midwifery, Tehran University Of Medical Sciences, Tehran, Iran.
Department Of Biostatistics, Nursing And Midwifery Research Center, Faculty Of Nursing And Midwifery, Iran University Of Medical Sciences, Tehran, Iran.
BMC Nurs. 2024 Nov 30;23(1):869. doi: 10.1186/s12912-024-02556-x.
BACKGROUND & AIMS: Work-family conflict, an important issue in nursing management, has been examined extensively worldwide among nurses. Nurses' inability to handle these conflicts affect their quality of care and may lead to missed nursing care. This study aimed to investigate the relationship between work-family conflict and missed nursing care in Iran.
MATERIALS & METHODS: This cross-sectional descriptive-analytical study was conducted on 270 nurses working in two hospitals affiliated to Tehran University of Medical Sciences (Sina & Shariati) from September to December 2023. The research community included all nurses working in medical-surgical wards in the designated hospitals. The research samples were included in the study in a targeted and quota sampling after obtaining organizational permits, ethical approval and informed consent. Data collection was done using three questionnaires including: Demographic information form, Carlson's work-family conflict and Kalisch MISSCARE Questionnaire. The collected data was analyzed in SPSS software, version 25.
The results of Pearson's correlation test showed that there is a positive relationship between nurses' work-family conflict and missed nursing care scores (r = 0.21) (p = 0.001). The mean (SD) score of nurses' work-family conflict was reported at a moderate level (61.58(11.57)) and the mean (SD) score of missed nursing care was reported at a low level (47.84(16.48)). Nurses under 29 years old and male nurses had more missed nursing care other than their participants. No more relationship was observed between other demographic variables with missed nursing care and nurses' work-family conflict.
According to the results of this research, it can be concluded that the existence of work-family conflict can be an obstacle for the correct implementation of nursing care. In such a way that nurses exposed to higher work-family conflict level had higher missed nursing care. Based on the findings of this research, it is recommended for health care providers and nursing managers to identify nurses exposed to high work-family conflicts, adopt programs to decrease their conflicts and consequently reduce missed nursing care.
工作-家庭冲突是护理管理中的一个重要问题，在全球范围内已对护士进行了广泛研究。护士处理这些冲突的能力不足会影响他们的护理质量，并可能导致护理缺失。本研究旨在调查伊朗工作-家庭冲突与护理缺失之间的关系。
本横断面描述性分析研究于2023年9月至12月对在德黑兰医科大学附属的两家医院（西娜医院和沙里亚蒂医院）工作的270名护士进行。研究群体包括指定医院内科-外科病房的所有护士。在获得组织许可、伦理批准和知情同意后，通过定向和配额抽样将研究样本纳入研究。使用三份问卷进行数据收集，包括：人口统计学信息表、卡尔森工作-家庭冲突问卷和卡利施护理缺失问卷。收集的数据在SPSS 25.0软件中进行分析。
皮尔逊相关检验结果显示，护士的工作-家庭冲突与护理缺失得分之间存在正相关（r = 0.21）（p = 0.001）。护士工作-家庭冲突的平均（标准差）得分为中等水平（61.58(11.57)），护理缺失的平均（标准差）得分为低水平（47.84(16.48)）。29岁以下的护士和男护士比其他参与者有更多的护理缺失。未观察到其他人口统计学变量与护理缺失和护士工作-家庭冲突之间有更多关联。
根据本研究结果，可以得出结论，工作-家庭冲突的存在可能是正确实施护理的障碍。即工作-家庭冲突水平较高的护士护理缺失率更高。基于本研究结果，建议医疗保健提供者和护理管理者识别面临高工作-家庭冲突的护士，采用方案减少他们的冲突，从而减少护理缺失。
