Fereshteh Bahrami, Mansooreh Azizzadeh Forouzi, Monirsadat Nematollahi, Beatrice Kalisch, Behnaz Bagherian
Neonatal Intensive Care, Nursing Research Center, Razi School of Nursing and Midwifery, Kerman University of Medical Sciences, Kerman, Iran.
Instructor Neuroscience Research Center, Institute of Neuropharmacology, Razi School of Nursing and Midwifery, Kerman University of Medical Sciences, Kerman, Iran.
BMC Pregnancy Childbirth. 2025 May 27;25(1):615. doi: 10.1186/s12884-025-07647-4.
Missed nursing care is a newly defined concept and refers to any aspect of required patient care that is omitted or delayed. This study aimed to determine the effectiveness of electronic reminders on missed care in NICU.
This is a two groups (before and after) quasi experimental study. A random sampling technique was employed to collect a sample of 70 nurses among two NICUs in an educational hospital in the south east of Iran. Miss care questionnaire was used to determine Missed care before, immediate, and one month after the intervention. The study intervention includes sending electronic reminders regarding nursing care of NICU hospitalized neonate. Data were analysed using SPSS software, descriptive (frequency, percentage, mean, and standard deviation), and analytical statistics. The level of significance was considered as 0.05.
The results showed that the mean score of missed care was decreased after intervention in the intervention group (6.74 ± 8.47) rather than the control group (18.57 ± 14.59) (P = 0.001). The highest and the lowest mean score of missed care before and after the intervention was in general care and oxygen therapy domains in both groups. The second time intervention was one month after did not show any significant differences in the two groups. But decreasing in missed care was shown in both groups.
Using informational technologies like WhatsApp is an easy, low cost and available method which could help nurses decrease missed nursing care. More studies with a longer duration could probably have a greater impact on reducing missed care.
漏护是一个新定义的概念，指的是患者所需护理中被遗漏或延迟的任何方面。本研究旨在确定电子提醒对新生儿重症监护病房（NICU）漏护情况的有效性。
这是一项两组（干预前后）的准实验研究。采用随机抽样技术，从伊朗东南部一家教学医院的两个新生儿重症监护病房中抽取了70名护士作为样本。使用漏护问卷来确定干预前、干预后即刻和干预后一个月的漏护情况。研究干预措施包括发送关于NICU住院新生儿护理的电子提醒。使用SPSS软件对数据进行分析，包括描述性统计（频率、百分比、均值和标准差）以及分析性统计。显著性水平设定为0.05。
结果显示，干预组干预后漏护的平均得分（6.74±8.47）低于对照组（18.57±14.59）（P = 0.001）。两组干预前后漏护平均得分最高和最低的分别是一般护理和氧疗领域。第二次干预在一个月后进行，两组之间未显示出任何显著差异。但两组漏护情况均有所减少。
使用WhatsApp等信息技术是一种简单、低成本且可行的方法，有助于护士减少漏护情况。更多持续时间更长的研究可能对减少漏护有更大影响。
