Paiva Ivo C S, Ventura Filipa I Q S, Vilela António C L, Moreira Isabel M P B
ICBAS - School of Medicine and Biomedical Sciences - Porto University, Porto, Portugal; Higher School of Nursing, Coimbra, Portugal; Health Sciences Research Unit: Nursing, Higher School of Nursing of Coimbra, Coimbra, Portugal.
Health Sciences Research Unit: Nursing, Higher School of Nursing of Coimbra, Coimbra, Portugal.
Eur J Oncol Nurs. 2025 Feb;74:102749. doi: 10.1016/j.ejon.2024.102749. Epub 2024 Nov 27.
To identify Missed Nursing Care (MNC) and related factors, as well as analyze the influence of nurses' decision-making and personality traits on MNC in two Portuguese hospitals dedicated to cancer care.
A cross-sectional, multicentric, descriptive-correlational study was conducted using a convenience sample of 298 nurses working in two hospitals dedicated to cancer care. Data were collected in the first semester of 2023 using a questionnaire that included sociodemographic and professional questions and the Portuguese versions of the MISSCARE Survey, the Nursing Decision-Making Instrument (NDMI-PT), and the Ten-Item Personality Inventory (TIPI-P).
Nurses missed care occasionally, namely in the dimensions related to Patient empowerment/autonomy care and Efficacy of feeding and medication. Staffing, Patient volume and acuity, and Management and organization were moderate to significant reasons for MNC. The flexible decision-making style was predominant (81.5%). The most prevalent personality traits were Conscientiousness, Agreeableness, and Openness to experience. Significant correlations were found between the four stages of the decision-making process and the personality traits and several dimensions of MNC. Data collection to assess a patient's condition was negatively correlated with Team communication and Material resources. Similarly, the Emotional stability trait was negatively correlated with Team communication and Patient volume and acuity.
This study identified MNC and factors that can influence the quality of care. It is crucial to promote nurses' training and specialization within healthcare teams, with a particular focus on enhancing some of their personality traits to make them more effective and efficient therapeutic agents.
识别漏护护理（MNC）及其相关因素，并分析护士的决策和人格特质对两家葡萄牙癌症专科医院MNC的影响。
采用横断面、多中心、描述性相关研究，对两家癌症专科医院的298名护士进行便利抽样。2023年上半年使用问卷收集数据，问卷包括社会人口学和专业问题以及MISSCARE调查、护理决策工具（NDMI-PT）和十项人格量表（TIPI-P）的葡萄牙语版本。
护士偶尔会漏护护理，即在与患者赋权/自主护理以及喂食和用药效果相关的维度上。人员配备、患者数量和病情严重程度以及管理和组织是MNC的中度至重要原因。灵活的决策风格占主导地位（81.5%）。最普遍的人格特质是尽责性、宜人性和开放性。在决策过程的四个阶段与人格特质以及MNC的几个维度之间发现了显著相关性。评估患者病情的数据收集与团队沟通和物质资源呈负相关。同样，情绪稳定性特质与团队沟通以及患者数量和病情严重程度呈负相关。
本研究识别了MNC以及可能影响护理质量的因素。促进医疗团队中护士的培训和专业化至关重要，尤其要注重增强他们的一些人格特质，使他们成为更有效和高效的治疗者。
