جستجوی مقالات مرتبط با کلیدواژه « missed care » در نشریات گروه « پزشکی »

Intensive Care Units nurses prioritize their assigned tasks due to their high workload, which may result in missing some care. On the other hand, accurately documenting these care activities is very complex, time-consuming, and may affect the provision of complete care. Therefore, this study was conducted with the aim of determining the quality of nursing records and its relationship to missed care by Neonatal Intensive Care Units (NICU) Nurses in Tabriz.

This descriptive correlational study was conducted in 2022, using a census study, on all 151 nurses working in the Neonatal Intensive Care Units of Al-Zahra, Mardani, Azar, and Taleghani hospitals in Tabriz. The data collection was performed using the Nursing Report Quality Questionnaire and the Tubbs-Cooley Missed Care Questionnaire. Data analysis was performed using descriptive statistics, Spearman's correlation test, and t-test using SPSS-26.

The average score of the total nursing records quality was 56.19±8.69. The most neglected cares were "Parents inclusion in baby’s care" and "Parents education about home management of illness". The number of 12 cares had a significant relationship with the quality of nursing records (p<0.05). Among theme, "Medication administration principles follow", "Medications administration in scheduled time" and "Infection control precautions follow" had the highest correlation coefficient (p<0.001).

From the nurses’ perspective in neonatal intensive care units, the quality of nursing records was above the average and most of the cares are provided completely. At higher quality recordings, the missed cares are less likely. Considering that there are many detailed cares in the neonatal intensive care units, recording them accurately can be important in reducing the negligence of care.

Pediatric nursing care is different from adult nursing care because nurses are responsible for caring for children in a wide range of development and must also care for the sick child's family, so the occurrence of lost care in the department Children can have profound effects.The present study aims to determine the views of pediatric nurses about missed nursing care and factors related to it was conducted in Yazd hospitals in 1401.

The present descriptive-cross-sectional study was carried out on 80 nurses by counting all method. Data were collected through demographic questionnaire  and  missed nursing care questionnaire(factors related and types of) (.Data analysis was done by descriptive statistics (mean -standard deviation - frequency) using SPSS software version 23.

The highest amount of missed care in terms of the three points above was respectively related to "oral care" with an average of 3.44+ 1.29,"change position every 2 hours or according to the order with an average of 3.37 ± 1.15 and evaluating the effectiveness of drugs with the average is 3.28 ± 19/1.The investigation of the causes of missed care in three areas showed that in the area of work resources, "insufficient number of nurses" with an average of 3.5± 0.67, the area of communication "incomplete delivery of the previous shift or sent unit" with an average of 3.77±0.48  and the area of resources material "unavailability of drugs when needed" with an average of 3.79 ± 0.47were the three main reasons.

It seems necessary that nursing managers  plan interventions regarding the importance of paying attention to oral care, using standard shift delivery checklists and managing the supply and distribution of children's medicine to take a step towards reducing the missed nursing care.

Background:

 Missed care means elimination or delay of any aspect of patient care (whether part of care or the whole care). Incidence of missed care as a common threat to the quality of care and patient safety leads to many health outcomes for patients in emergency departments. This study was conducted to investigate the causes of missed nursing care in emergency departments of selected hospitals affiliated to Tehran University of Medical Sciences.

Methods  :

This cross-sectional and descriptive study was conducted on 146 nurses working in emergency departments of selected hospitals affiliated to Tehran University of Medical Sciences. The samples were selected by census method. Iinclusion criteria included having a bachelorchr('39')s degree in nursing and at least 6 months of experience in the emergency department and consent to participate in the study. The method of data collection was self-report and the data collection tool was two demographic information questionnaires and Kalish Missing Nursing Care Questionnaire. The validity of the instrument was calculated by content validity method and its reliability was calculated by Cronbachchr('39')s alpha method with a coefficient of 0.743. Data analysis was carried out by SPSS-16 software using descriptive statistics.

In general, the overall mean score of causes of missed care was 0.44 ± 2.90. The reasons for missed care in the areas of human resources with the mean score of 3.26, material resources with the mean score of 2.82 and communication with the mean score of 2.73 had the highest and lowest mean, respectively.

The results of this study showed that causes of missed care are rooted in three areas of human resources, material resources and communication. Therefore, nursing managers are recommended to consider the root causes of missed nursing care in each area of human resources, material resources and communication.