Caillet Anaëlle, Dauvergne Jérôme E, Poiroux Laurent, Blanchard Pierre-Yves, Bruyneel Arnaud
Department of Anesthesiology and Intensive Care, University Hospital Lyon Sud, Hospices Civils de Lyon, Pierre-Bénite, France.
Nantes Université, CHU Nantes, Department of Anaesthesiology and Critical Care, Nantes, France.
Nurs Crit Care. 2025 May;30(3):e70055. doi: 10.1111/nicc.70055.
Increased workload is associated with a higher prevalence of missed nursing care.
Describe the prevalence of missed care in intensive care units (ICUs) and identify the workload scale most strongly associated with this prevalence.
A cross-sectional survey was combined with a longitudinal study conducted in 2024, between 15 January and 15 April, in France to assess the workload. A total of 1271 nurses working in 61 ICUs completed the questionnaire one time per shift.
A total of 72.3% of nurses reported at least one missed care. The Nursing Activities Score provided the strongest association with the prevalence of missed care compared to patient-to-nurse ratio and the Practice Environment Scale of the Nursing Work Index.
The prevalence of missed care and nursing workload was high. Nurses tended to focus on direct patient care.
Continuously assessing the prevalence of missed care can be a valuable tool for managing workload in ICUs.
工作量增加与护理缺失的患病率较高相关。
描述重症监护病房（ICU）中护理缺失的患病率，并确定与该患病率关联最密切的工作量量表。
2024年1月15日至4月15日在法国进行了一项横断面调查，并结合纵向研究以评估工作量。共有61个ICU的1271名护士每班完成一次问卷。
共有72.3%的护士报告至少有一次护理缺失。与护患比和护理工作指数的实践环境量表相比，护理活动评分与护理缺失患病率的关联最为密切。
护理缺失和护理工作量的患病率较高。护士倾向于专注直接的患者护理。
持续评估护理缺失的患病率可能是管理ICU工作量的一项有价值的工具。
