韩国急症医院护士流失率与护理缺失之间的关联。
Association between nurse turnover and missed nursing care in acute care hospitals in South Korea.
作者信息
Bae Sung-Heui
机构信息
College of Nursing, Graduate Program in System Health Science and Engineering, Ewha Womans University, Seoul, Republic of Korea.
出版信息
Front Med (Lausanne). 2025 Jan 7;11:1448839. doi: 10.3389/fmed.2024.1448839. eCollection 2024.
OBJECTIVES
High nurse turnover during nursing shortages can contribute to missed nursing care. This study investigated the prevalence of missed nursing care and how nurse turnover affects missed nursing care.
METHODS
A cross-sectional design was adopted to collect data from a convenience sample of nurses working in general hospitals in South Korea. Six-month turnover rates (0%, 1-14%, 15-22%, and 23-50%) and 24 missed nursing care activities were measured. A multivariate regression analysis was performed to examine the relationship between nurse turnover and missed nursing care, after controlling for nurse and work-related characteristics.
RESULTS
The final sample was 264 nurses. The mean six-month turnover rate was 15.49%. Seven activities (turning patient every 2 h, attending interdisciplinary care conference, ambulation, patient bathing/skin care, emotional support, mouth care, full documentation) had a missed care prevalence of 30% or higher. Nurses in units with moderate turnover rates (15 and 22%) reported more missed nursing care than those in units with zero turnover.
CONCLUSION
Nurse turnover increases missed nursing care, highlighting the adverse effects of nurse turnover on care processes. Consequently, hospitals and governments should implement policy changes and strategies to prevent nurse turnover.
目的
护理人员短缺期间护士的高离职率可能导致护理缺失。本研究调查了护理缺失的发生率以及护士离职率如何影响护理缺失情况。
方法
采用横断面设计，从韩国综合医院工作的护士便利样本中收集数据。测量了六个月的离职率（0%、1 - 14%、15 - 22%和23 - 50%）以及24项护理缺失活动。在控制了护士和工作相关特征后，进行多变量回归分析以检验护士离职率与护理缺失之间的关系。
结果
最终样本为264名护士。六个月的平均离职率为15.49%。七项活动（每2小时为患者翻身、参加跨学科护理会议、行走、患者沐浴/皮肤护理、情感支持、口腔护理、完整记录）的护理缺失发生率达到30%或更高。离职率适中（15%和22%）科室的护士报告的护理缺失比零离职率科室的护士更多。
结论
护士离职会增加护理缺失，凸显了护士离职对护理过程的不利影响。因此，医院和政府应实施政策变革和策略以防止护士离职。
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