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意大利护理专业学生所感知的疫情前后未完成护理的发生情况及原因变化:一项二次分析

Changes in the Pre- and Postpandemic Unfinished Nursing Care Occurrence and Reasons as Perceived by Italian Nursing Students: A Secondary Analysis.

作者信息

Chiappinotto Stefania, Lupi Tommaso, Bayram Aysun, Moreale Renzo, Grassetti Luca, Palese Alvisa

机构信息

Department of Medicine, University of Udine, Udine, Italy.

Faculty of Health Sciences, Karadeniz Technical University, Trabzon, Türkiye.

出版信息

J Nurs Manag. 2025 Apr 7;2025:8892363. doi: 10.1155/jonm/8892363. eCollection 2025.

Abstract

Missed care, a phenomenon born in the United States more than 30 years ago and currently called unfinished nursing care (UNC), has been compared in pre- and postpandemic to detect changes in the trends as perceived by nurses. However, no studies have compared the perceptions of nursing students before and after these challenging times. The aim of this study was to compare pre- and postpandemic UNC occurrence and the reasons for it as perceived by Italian nursing students during their clinical rotations. A secondary analysis of data collected in 2018 (prepandemic) and 2023 (postpandemic) was conducted and here reported according to STROBE guidelines. The Unfinished Nursing Care Survey for Students (UNCS4S), measuring 22 expected interventions (from 22 [] to 110 []) and 18 possible reasons for it (from 18 [] to 90 []), was administered. The UNCS4S total scores of 231 (prepandemic) and 352 (postpandemic) students were 39.80 (CI 95% 37.06-42.54) and 50.89 (CI 95% 47.66-54.12), respectively ( ≤ 0.001). No significant differences between groups emerged for reasons (47.91, CI 95% 45.10-50.71 vs. 45.92, CI 95% 43.91-47.93, respectively;  = 0.257). Postpandemic students perceived a higher occurrence of UNC but with similar reasons to those reported before the pandemic.

摘要

漏护,这一30多年前在美国出现的现象,目前被称为未完成的护理照护(UNC),在疫情前和疫情后进行了比较,以检测护士所感知到的趋势变化。然而,尚无研究比较在这些具有挑战性的时期前后护理专业学生的看法。本研究的目的是比较意大利护理专业学生在临床实习期间,疫情前和疫情后UNC的发生率及其原因。对2018年(疫情前)和2023年(疫情后)收集的数据进行了二次分析,并根据STROBE指南在此报告。使用了学生未完成护理照护调查问卷(UNCS4S),该问卷测量了22项预期干预措施(从22 []到110 [])及其18种可能的原因(从18 []到90 [])。231名(疫情前)和352名(疫情后)学生的UNCS4S总分分别为39.80(95%CI 37.06 - 42.54)和50.89(95%CI 47.66 - 54.12)(≤0.001)。两组在原因方面未出现显著差异(分别为47.91,95%CI 45.10 - 50.71和45.92,95%CI 43.91 - 47.93;P = 0.257)。疫情后的学生认为UNC的发生率更高,但原因与疫情前报告的相似。

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