Missed Nursing Care and Related Factors in Iranian Hospitals: A Cross Sectional Survey

Missed Nursing Care and Related Factors in Iranian Hospitals: A Cross Sectional Survey


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پژوهان
صفحه نخست سامانه
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چکیده مقاله
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دانشگاه علوم پزشکی تبریز
دانشگاه علوم پزشکی تبریز

نویسندگان: توحید جعفری کشکی

کلمات کلیدی: Care left undone, health services misuses, medical errors of omission, missed nursing care

نشریه: 18222 , 1 , 1 , 2020

اطلاعات کلی مقاله
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نویسنده ثبت کننده مقاله توحید جعفری کشکی
مرحله جاری مقاله تایید نهایی
دانشکده/مرکز مربوطه مرکز تحقیقات پزشکی مولکولی
کد مقاله 73966
عنوان فارسی مقاله Missed Nursing Care and Related Factors in Iranian Hospitals: A Cross Sectional Survey
عنوان لاتین مقاله Missed Nursing Care and Related Factors in Iranian Hospitals: A Cross Sectional Survey
ناشر 7
آیا مقاله از طرح تحقیقاتی و یا منتورشیپ استخراج شده است؟ بلی
عنوان نشریه (خارج از لیست فوق)
نوع مقاله Original Article
نحوه ایندکس شدن مقاله ایندکس شده سطح یک – ISI - Web of Science
آدرس لینک مقاله/ همایش در شبکه اینترنت

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Background Despite providing high‐quality patient care in hospitals, nurses often fail to deliver optimum care which jeopardizes the safety of patients and increases health care costs. Identifying missed nursing care is essential therefore if the quality of health services is to be improved. This study, focused on Iranian hospitals, aimed to determine the prevalence of, and reasons for, missed care by nurses and the factors associated with it. Methods A cross‐sectional study was conducted among 215 nurses working in the medical‐surgical wards of eight public and private hospitals in Tabriz, Iran. The ‘MISSCARE’ survey tool was used to collect data in relation to the extent of missed care and the related reasons. Logistic regression models were used to assess the association between factors and missed nursing care. Results Results showed that the mean score of overall missed nursing care was 2.57 and 72.1% of nurses reported that they commonly missed at least one nursing care on their last shift. “Patient discharge planning and teaching”, “emotional support to patient and/or family” and “attend interdisciplinary care conferences whenever held” were the most common missed items by nurses in Iran. In a 5‐point Likert scale, the most important reasons identified by nurses for missed care were “human resources” 3.11 (95 % CI: 3.03–3.19), “material resources” 2.7 (95 % CI: 2.6–2.8), and “communication” 2.4 (95 % CI: 2.3–2.5) respectively. Missed nursing care was associated with sex (OR for males = 2.83, 95% CI: 1.01–7.89), age (OR = 1.16, 95% CI: 1.01–1.33) and the number of patients under care (OR = 1.11, 95% CI 1.01–1.22). Reverse association was found with the number of patients discharged (OR = 0.89, 95% CI: 0.82–0.96) and satisfaction with teamwork (OR = 0.60, 95% CI: 0.41–0.89). Conclusions There is a need to identify the factors contributing to the incidence of missed nursing care in hospitals and to develop strategies to address these.

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نویسنده نفر چندم مقاله
توحید جعفری کشکیدوم

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91141871.doc1399/07/15242176دانلود
91144861.pdf1399/07/1511560470دانلود