Voldbjerg Siri Lygum, Ellehave Sara Mandahl, Poulsen Ingrid, Eekholm Signe, Grønkjær Mette, Kusk Kathrine Hoffmann, Buus Amanda Agnes Østervig, Mainz Hanne, Haslund-Thomsen Helle, Jørgensen Lone, Laugesen Britt
Clinical Nursing Research Unit, Aalborg University Hospital, Aalborg, Denmark.
Department of Clinical Medicine, Aalborg University, Aalborg, Denmark.
J Adv Nurs. 2025 Jan 9. doi: 10.1111/jan.16717.
To explore nurses' perceptions of reasons for missed nursing care.
A multicentre qualitative descriptive study was undertaken from August 2022 to January 2023.
Interpretive description methodology was used. Individual interviews were conducted with 36 registered nurses and eight licensed practical nurses working in medical, surgical and intensive care units at three public university hospitals in Denmark. Using a semi-structured interview guide, nurses were asked to share their perceptions of reasons for missed care. The analysis was guided by an inductive thematic approach.
The nurses' immediate responses to reasons for missed nursing care circulated around limited time and busyness. However, further analysis unfolded layers of reasons described within three themes: being challenged by workload and patients' diverse care needs; falling short on competencies; and being governed by organisational structures and decisions.
The study underlines that reasons for missed nursing care are multiple and complex and extend from an individual to an organisational level. They can therefore not be seen nor targeted isolated. Furthermore, there is a need to draw attention to organisation of care and nurses' clinical decision-making to ensure that patient's fundamental care needs are met.
Reducing missed nursing care calls for interventions that require nurses to change their working practices, roles and value perceptions. This study provides valuable insight into nurses' perspectives on reasons for missed nursing care, which is pertinent for designing interventions targeting missed nursing care.
The study provides insight into nurses' perceptions on reasons for missed nursing care within hospital settings. The findings of the study show that reasons for missed nursing care are multiple and complex and cannot be limited to time and busyness. The findings can be used to inform future interventions aimed at reducing missed nursing care.
The reporting of the study followed the consolidated criteria for reporting qualitative research.
No patient or public contribution.
探讨护士对护理缺失原因的看法。
2022年8月至2023年1月进行了一项多中心定性描述性研究。
采用解释性描述方法。对丹麦三所公立大学医院的内科、外科和重症监护病房工作的36名注册护士和8名执业护士进行了个人访谈。使用半结构化访谈指南，要求护士分享他们对护理缺失原因的看法。分析采用归纳主题法。
护士对护理缺失原因的直接反应集中在时间有限和忙碌上。然而，进一步分析揭示了三个主题下描述的多层原因：受到工作量和患者多样化护理需求的挑战；能力不足；受组织结构和决策的制约。
该研究强调，护理缺失的原因是多方面且复杂的，从个人层面延伸到组织层面。因此，不能孤立地看待或针对这些原因。此外，需要关注护理组织和护士的临床决策，以确保满足患者的基本护理需求。
减少护理缺失需要采取干预措施，要求护士改变工作方式、角色和价值观念。本研究为护士对护理缺失原因的看法提供了有价值的见解，这对于设计针对护理缺失的干预措施具有重要意义。
该研究深入了解了医院环境中护士对护理缺失原因的看法。研究结果表明，护理缺失的原因是多方面且复杂的，不能局限于时间和忙碌。这些结果可用于为未来旨在减少护理缺失的干预措施提供参考。
该研究的报告遵循了定性研究报告的综合标准。
无患者或公众参与。
