漏护护理及相关因素：一项横断面研究。
Missed nursing care and related factors: a cross-sectional study.
作者信息
Khajoei Rahimeh, Balvardi Mohadeseh, Eghbali Tayebeh, Yousefi Mahboubeh Sadat, Forouzi Mansooreh Azizzadeh
机构信息
Department of Nursing and Midwifery, Sirjan School of Medical Sciences, Sirjan, IR, Iran.
Department of Biostatistics, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran.
出版信息
BMC Nurs. 2025 Apr 4;24(1):375. doi: 10.1186/s12912-025-02984-3.
BACKGROUND
Nurses facing numerous responsibilities in hospitals are often forced to prioritize nursing care. Missed nursing care affects nurses' ability to effectively manage, oversee, and assess patient care interventions and may contribute to unfavorable patient outcomes. Awareness of missed nursing care is essential for improving patient care and nursing performance and optimizing the work environment. Research on the factors contributing to missed nursing care is essential for implementing targeted strategies. This study aimed to determine missed nursing care and its related factors in Iran.
METHODS
This cross-sectional study involved 189 nurses. Two questionnaires on missed nursing care and related factors were used for the data collection. Mann-Whitney U test and one-way ANOVA or Kruskal-Wallis test were used to analyze the data.
RESULTS
The mean (SD) of nurses' age was 31.19 (6.4). The mean of missed nursing care was 6.4 (SD = 31.1), which was higher than the median of the questionnaire. The most frequently reported missed care was toilet monitoring (23.3%) and setting up food (19.6%). The total mean score of factors related to missed nursing care was 11.6 (SD = 68.7), which was lower than the median of the questionnaire. The factors related to missed nursing care included engaging the nurse with other actions (76.7%) and an inadequate number of staff (76.2%). There was a significant association between the mean MNC score and participants' age (P < 0.001), work experience (P = 0.002), and employment type (P < 0.001).
CONCLUSION
Given the severe nursing shortage and its potential negative impact on patients, healthcare management and policymakers need to address missed nursing care. Proposed solutions to alleviate the nursing staff shortage include enhancing the work environment, increasing nurse recruitment opportunities, and improving their compensation and benefits packages. Additionally, there is a need for governmental and hospital initiatives to enhance the working conditions through increased financial investment and support programs for nurses. Management should focus on minimizing nurses' non-essential responsibilities and supporting efforts to reduce missed nursing care occurrences.
背景
在医院承担众多职责的护士常常被迫对护理工作进行优先排序。护理工作的疏漏会影响护士有效管理、监督和评估患者护理干预措施的能力，并可能导致患者出现不良后果。了解护理工作的疏漏对于改善患者护理和护理绩效以及优化工作环境至关重要。研究导致护理工作疏漏的因素对于实施针对性策略至关重要。本研究旨在确定伊朗护理工作的疏漏情况及其相关因素。
方法
这项横断面研究涉及189名护士。使用两份关于护理工作疏漏及相关因素的问卷进行数据收集。采用曼-惠特尼U检验和单因素方差分析或克鲁斯卡尔-沃利斯检验对数据进行分析。
结果
护士的平均年龄为31.19岁（标准差为6.4）。护理工作疏漏的平均值为6.4（标准差=31.1），高于问卷中位数。最常报告的护理疏漏是如厕监测（23.3%）和准备食物（19.6%）。护理工作疏漏相关因素的总平均分是11.6（标准差=68.7），低于问卷中位数。护理工作疏漏相关因素包括护士从事其他工作（76.7%）和工作人员数量不足（76.2%）。护理工作疏漏平均得分与参与者年龄（P<0.001）、工作经验（P=0.002）和就业类型（P<0.001）之间存在显著关联。
结论
鉴于严重的护士短缺及其对患者的潜在负面影响，医疗保健管理部门和政策制定者需要解决护理工作的疏漏问题。缓解护士短缺的建议解决方案包括改善工作环境、增加护士招聘机会以及改善他们的薪酬和福利套餐。此外，政府和医院需要采取举措，通过增加财政投入和护士支持项目来改善工作条件。管理层应专注于尽量减少护士的非必要职责，并支持减少护理工作疏漏发生的努力。
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