从成人重症监护病房护士的角度看，关怀护理与护理缺失及患者安全文化之间的关系
The Relationship Between Compassionate Care with Missed Nursing Care and Patient Safety Culture from the Perspective of Nurses in Adult Critical Care Units.
作者信息
Beheshtaeen Fateme, Soltanian Mitra, Khaki Sahar, Ahmadipour Seyedeh Farahnaz
机构信息
School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.
Student Research Committee, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.
出版信息
SAGE Open Nurs. 2025 Aug 3;11:23779608251364098. doi: 10.1177/23779608251364098. eCollection 2025 Jan-Dec.
BACKGROUND
Compassionate care, one of the essential elements of nursing, can positively impact various dimensions of the quality of nursing services. Patient safety culture can be associated with missed nursing care through its effects on patient health outcomes.
AIM
This study aimed to examine the relationship between compassionate care, missed nursing care, and patient safety culture among nurses working in adult critical care units.
METHODS
This cross-sectional descriptive study was conducted using convenience sampling on 290 nurses working in adult critical care units in 2023. During the study, four questionnaires were utilized to collect data: Demographic Information, the Compassionate Care Scale, the Patient Safety Culture Questionnaire, and the MISSCARE survey. The data were analyzed using SPSS version 24 through descriptive and correlational analysis.
RESULTS
The results of the study indicated a significant inverse relationship between compassionate care and the level of missed nursing care (P = 0.007, r = -0.158). Additionally, there was a significant relationship between compassionate care and several dimensions of patient safety culture (P < 0.05).
CONCLUSION
Given the significant inverse relationship between compassionate care and missed nursing care, as well as the significant positive relationship between compassionate care and certain dimensions of patient safety culture in critical care units, nursing managers can enhance the quality of nursing care by prioritizing compassionate care.
背景
关怀护理是护理的基本要素之一，可对护理服务质量的各个方面产生积极影响。患者安全文化可通过对患者健康结局的影响与护理缺失相关联。
目的
本研究旨在探讨成人重症监护病房护士的关怀护理、护理缺失与患者安全文化之间的关系。
方法
本横断面描述性研究于2023年采用便利抽样法，对290名在成人重症监护病房工作的护士进行。研究期间，使用四份问卷收集数据：人口统计学信息、关怀护理量表、患者安全文化问卷和护理缺失情况调查。通过描述性和相关性分析，使用SPSS 24版对数据进行分析。
结果
研究结果表明，关怀护理与护理缺失水平之间存在显著的负相关关系（P = 0.007，r = -0.158）。此外，关怀护理与患者安全文化的几个维度之间存在显著关系（P < 0.05）。
结论
鉴于关怀护理与护理缺失之间存在显著的负相关关系，以及关怀护理与重症监护病房患者安全文化的某些维度之间存在显著的正相关关系，护理管理者可通过优先考虑关怀护理来提高护理质量。
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