Journals / Sağlık Akademisyenleri Dergisi / 2024 / Cilt: 11 Sayı: 4

Evaluation of missed nursing care needs and reasons in a hospital of Turkey: A comparative cross-sectional study

Türkiye'deki bir hastanede kaçırılan hemşirelik bakımı gereksinimlerinin ve nedenlerinin değerlendirilmesi: Karşılaştırmalı kesitsel bir çalışma

Diğdem Lafçı(MERSİN ÜNİVERSİTESİ)0000-0001-7199-416X
Fatma Canlı(MERSİN ÜNİVERSİTESİ)0000-0001-7215-4971
Pages
456–464
Publication Date
2024-12-31
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Results: According to the results of our study, most frequently the nurses found that missed nursing care requirements were ambulation three times daily, turning the patient every 2 h, patient bathing/skin care, mouth care, feeding patients while food is still warm, and to provide emotional support to the patient and / or patient relatives.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Aim: The research was descriptive in order to examination of missed nursing care requirements and reasons.
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Key Findings & Data:The research was conducted with 400 nurses working in the emergency, intensive care and clinics of a hospital in Turkey.
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Conclusion & Impact:Results: According to the results of our study, most frequently the nurses found that missed nursing care requirements were ambulation three times daily, turning the patient every 2 h, patient bathing/skin care, mouth care, feeding patients while food is still warm, and to provide emotional support to the patient and / or patient relatives.
🔬Design:Araştırma Makalesi
📍Scope:Comprehensive Sample
⚙️Variables:Hastane · kaçırılan hemşirelik bakımı · hemşirelik bakımı

Abstract

Aim: The research was descriptive in order to examination of missed nursing care requirements and reasons. Method: A descriptive, cross-sectional, and comparative research design was used in this study. The research was conducted with 400 nurses working in the emergency, intensive care and clinics of a hospital in Turkey. Research data were collected the Introductory Information Form and the Missed Nursing Care Scale. The descriptive number of the study was represented by the percentage mean ± standard deviation. Results: According to the results of our study, most frequently the nurses found that missed nursing care requirements were ambulation three times daily, turning the patient every 2 h, patient bathing/skin care, mouth care, feeding patients while food is still warm, and to provide emotional support to the patient and / or patient relatives. The most highly ranked reasons for missed nursing care were the inadequate number of staff members, unexpected increase in patient volume and/or acuity on the unit, inadequate number of assistive and/or clerical personnel, urgent patient situations. Conclusion: According to the results of our study, it was determined that the nurses missed the care needs of the patients. Labor resources are among the most important reasons for unmet nursing care needs.

Özet

Amaç: Araştırma, kaçırılan hemşirelik bakım gereksinimleri ve nedenlerini incelemek amacıyla tanımlayıcı olarak yapılmıştır. Yöntem: Bu çalışmada tanımlayıcı, kesitsel ve karşılaştırmalı bir araştırma tasarımı kullanılmıştır. Araştırma Türkiye'de bir hastanenin acil, yoğun bakım ve kliniklerinde çalışan 400 hemşire ile gerçekleştirilmiştir. Araştırma verileri “Tanıtıcı Bilgi Formu” ve “Kaçırılan Hemşirelik Bakımı Ölçeği” ile toplanmıştır. Araştırmanın tanımlayıcı sayısı yüzde ortalama ± standart sapma ile temsil edildi. Bulgular: Araştırmamızın sonuçlarına göre, hemşirelerin en sık karşılamadığı bakım gereksinimleri; günde üç kez yürüme, 2 saatte bir hastayı döndürme, hasta banyo/cilt bakımı, ağız bakımı, hastayı yemek sıcakken besleme ve hastaya ve/veya hasta yakınlarına duygusal destek sağlamaktır Hemşirelik bakımının kaçırılmasının en üst sıradaki nedenleri yetersiz personel sayısı, ünitedeki hasta hacminde ve/veya keskinliğinde beklenmedik artış, yardımcı ve/veya büro personeli sayısının yetersiz olması, acil hasta durumlarıdır. Sonuç: Çalışmamızın sonuçlarına göre hemşirelerin hastaların bakım ihtiyaçlarını gözden kaçırdıkları belirlendi. Hemşirelik bakım ihtiyaçlarının karşılanamamasının en önemli nedenleri arasında iş gücü kaynakları yer almaktadır.

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Cite This Article

Lafçı, D., Canlı, F. (2024). Evaluation of missed nursing care needs and reasons in a hospital of Turkey: A comparative cross-sectional study. Sağlık Akademisyenleri Dergisi, Cilt: 11 Sayı: 4, 456–464. https://doi.org/10.52880/sagakaderg.1380677

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References (39)

  1. Albsoul, R., FitzGerald, G., Finucane, J., & Borkoles, E. (2019). Factors influencing missed nursing care in public hospitals in Australia: An exploratory mixed methods study. The International Journal of Health Planning and Management, 34(4), e1820-e1832. https://doi.org/10.1002/hpm.2898
  2. Blackman, I., Henderson, J., Willis, E., Hamilton, P., Toffoli, L., Verrall, C., Abery, E., & Harvey, C. (2015). Factors influencing why nursing care is missed. Journal of Clinical Nursing, 24(1-2), 47-56. https://doi.org/10.1111/jocn.12688
  3. Bragadottir, ´ H., Burmeister, E. A., Terzioglu, F., & Kalisch, B. J. (2020). The association of missed nursing care and determinants of satisfaction with current position for direct-care nurses—An international study. Journal of Nursing Management, 28, 1851–1860.
  4. Bragadóttir, H., Kalisch, B. J., & Tryggvadóttir, G. B. (2017). Correlates and predictors of missed nursing care in hospitals. Journal of Clinical Nursing, 26(11-12), 1524-1534. https://doi.org/10.1111/jocn.13449
  5. Caldwell-Wright, J. (2019). Letter to the editor: Perspectives of oncology unit nurse managers on missed nursing care: A qualitative study. Asia-Pacific Journal of Oncology Nursing, 6(1), 94. https://doi.org/10.4103/apjon.apjon_4_18
  6. Cho, E., Lee, N. J., Kim, E. Y., Kim, S., Lee, K., Park, K. O., & Sung, Y. H. (2016). Nurse staffing level and overtime associated with patient safety, quality of care, and care left undone in hospitals: a cross-sectional study. International Journal of Nursing Studies, 60, 263-271. https://doi.org/10.1016/j.ijnurstu.2016.05.009
  7. Cho, S. H., Kim, Y. S., Yeon, K. N., You, S. J., & Lee, I. D. (2015). Effects of increasing nurse staffing on missed nursing care. International Nursing Review, 62(2), 267-274. https://doi.org/10.1111/inr.12173
  8. Cho, S. H., Lee, J. Y., You, S. J., Song, K. J., & Hong, K. J. (2020). Nurse staffing, nurses prioritization, missed care, quality of nursing care, and nurse outcomes. International Journal of Nursing Practice, 26, Article e12803. https://doi.org/10.1111/ijn.12803
  9. Dehghan-Nayeri, N., Shali, M., Navabi, N., & Ghaffari, F. (2018). Perspectives of oncology unit nurse managers on missed nursing care: A qualitative study. Asia-Pacific Journal of Oncology Nursing, 5, 327. https://doi.org/10.4103/apjon.apjon_6_18
  10. Diab, G. H., & Ebrahim, R. M. R. (2019). Factors leading to missed nursing care among nurses at selected hospitals. Am J Nurs Res, 7(2), 136-147. DOI:10.12691/ajnr-7-2-5
  11. Duffy, J. R., Culp, S., & Padrutt, T. (2018). Description and factors associated with missed nursing care in an acute care community hospital. JONA: The Journal of Nursing Administration, 48(7/8), 361-367. doi: 10.1097/NNA.0000000000000630
  12. Falk, A. C., Nymark, C., Göransson, K. E., & Von Vogelsang, A. C. (2022). Missed nursing care in the critical care unit, before and during the COVID-19 pandemic: A comparative cross-sectional study. Intensive and Critical Care Nursing, 72, 103276. https://doi.org/10.1016/j.iccn.2022.103276
  13. Gathara, D., Serem, G., Murphy, G. A., Obengo, A., Tallam, E., Jackson, D., Brownie, S., & English, M. (2020). Missed nursing care in newborn units: a cross-sectional direct observational study. BMJ Quality & Safety, 29, 19–30. http://dx.doi.org/10.1136/bmjqs-2019-009363
  14. Griffiths, P., Ball, J., Drennan, J., Dall’Ora, C., Jones, J., Maruotti, A., Pope, C., Saucedo, A.L., & Simon, M. (2016). Nurse staffing and patient outcomes: Strengths and limitations of the evidence to inform policy and practice. A review and discussion paper based on evidence reviewed for the National Institute for Health and Care Excellence Safe Staffing guideline development. International Journal of Nursing Studies, 63, 213-225. https://doi.org/10.1016/j.ijnurstu.2016.03.012
  15. Harvey, C., Willis, E., Henderson, J., Hamilton, P., Toffoli, L., Verrall, C., Blackman, I., & Abery, E. (2016). Priced to care: factors underpinning missed care. Journal of Industrial Relations, 58(4), 510-526. https://doi.org/10.1177/00221856166380
  16. Henderson, J., Willis, E., Blackman, I., Toffoli, L., & Verrall, C. (2016). Causes of missed nursing care: qualitative responses to a survey of Australian nurses. Labour & Industry: a Journal of the Social and Economic Relations of Work, 26(4), 281-297. https://doi.org/10.1080/10301763.2016.1257755
  17. Hessels, A., Paliwal, M., Weaver, S. H., Siddiqui, D., & Wurmser, T. A. (2019). Impact of patient safety culture on missed nursing care and adverse patient events. Journal of nursing care quality, 34(4), 287. doi: 10.1097/NCQ.0000000000000378 https://doi.org/10.1111/jonm.13051
  18. İlaslan, N. & Yıldırım Şişman, N. (2019). Evaluation of nurses in a university hospital for the amount and reasons of unmet nursing need. Cukurova Medical Journal, 2019;44(4):1226-1236
  19. Jones, T. L., Hamilton, P., & Murry, N. (2015). Unfinished nursing care, missed care, and implicitly rationed care: State of the science review. International Journal of Nursing Studies, 52(6), 1121-1137. https://doi.org/10.1016/j.ijnurstu.2015.02.012
  20. Kalisch, B. J., Landstrom, G. L., & Hinshaw, A. S. (2009). Missed nursing care: a concept analysis. Journal of Advanced Nursing, 65(7), 1509-1517. https://doi.org/10.1111/j.1365-2648.2009.05027.x
  21. Kalisch, B. J., Terzioglu, F., & Duygulu, S. (2012). The MISSCARE Survey-Turkish: psychometric properties and findings. Nursing Economics, 30(1), 29.
  22. Labrague, L. J., De los Santos, J. A. A., Tsaras, K., Galabay, J. R., Falguera, C. C., Rosales, R. A., & Firmo, C. N. (2020). The association of nurse caring behaviours on missed nursing care, adverse patient events and perceived quality of care: A cross‐sectional study. Journal of Nursing Management, 28(8), 2257-2265. https://doi.org/10.1111/jonm.12894
  23. Lake, E. T., French, R., O'rourke, K., Sanders, J., & Srinivas, S. K. (2020a). Linking the work environment to missed nursing care in labour and delivery. Journal of Nursing Management, 28, 1901–1908. https://doi.org/10.1111/jonm.12856
  24. Lake, E. T., Riman, K. A., & Sloane, D. M. (2020b). Improved work environments and staffing lead to less missed nursing care: A panel study. Journal of Nursing Management, 28, 2157–2165. https://doi.org/10.1111/jonm.12970
  25. Lee, E., & Kalisch, B J. (2020). Identification and comparison of missed nursing care in the United States of America and South Korea. Journal of Clinical Nursing, 1(30),1596–1606. https://doi.org/10.1111/jocn.15712
  26. Mynaríkova, E., Jarosova, D., Janíkov´a, E., Plevov´a, I., Polansk´a, A., & Zeleníkova, R. (2020). Occurrence of hospital-acquired infections in relation to missed nursing care: A literature review. Central European Journal of Nursing and Midwifery, 11, 43–49.
  27. Palese, A., Ambrosi, E., Prosperi, L., Guarnier, A., Barelli, P., Zambiasi, P.,. & Saiani, L. (2015). Missed nursing care and predicting factors in the Italian medical care setting. Internal and Emergency Medicine, 10(6), 693-702. DOI 10.1007/s11739-015-1232-6
  28. Park, S. H., Hanchett, M., & Ma, C. (2018). Practice environment characteristics associated with missed nursing care. Journal of Nursing Scholarship, 50(6), 722-730. https://doi.org/10.1111/jnu.12434
  29. Rezaee, S., Baljani, E., & Feizi, A. (2019). Missed nursing care in educational, private and social welfare hospitals. Nursing and Midwifery Journal, 17(4): 300-308.
  30. Rivaz, M., Ebadi, A., & Momennasab, M. (2018). The role of magnet hospitals in making the nursing practice environment attractive. Hayat Journal, 23, 290–294.
  31. Saqer, T. J., & AbuAlRub, R. F. (2018). Missed nursing care and its relation‐ ship with confidence in delegation among hospital nurses. Journal of Clinical Nursing, 27(13–14), 2887–2895. https://doi.org/10.1111/ jocn.14380 Schubert, M., Ausserhofer, D., Bragadottir, ´ H., Rochefort, C. M., Bruyneel, L., Stemmer, R., Andreou, P., Lepp´ee, M., Palese, A., & RANCARE Consortium COST Action–CA 15208. (2021). Interventions to prevent or reduce rationing or missed nursing care: A scoping review. Journal of Advanced Nursing, 77(2), 550–564. https://doi.org/10.1111/jan.14596
  32. Sepulveda-Pacsi, A. L., Soderman, M., & Kertesz, L. (2016). Nurses' perceptions of their knowledge and barriers to ambulating hospitalized patients in acute settings. Applied Nursing Research, 32, 117-121. https://doi.org/10.1016/j.apnr.2016.06.001
  33. Siqueira, L. D. C., Caliri, M. H. L., Haas, V. J., Kalisch, B., & Dantas, R. A. S. (2017). Validation of the MISSCARE-BRASIL survey-A tool to assess missed nursing care. Revista Latino-Americana de Enfermagem, 25. https://doi.org/10.1590/1518-8345.2354.2975
  34. Smith, J. G., Morin, K. H., Wallace, L. E., & Lake, E. T. (2018). Association of the nurse work environment, collective efficacy, and missed care. Western Journal of Nursing Research, 40(6), 779-798. https://doi.org/10.1177/01939459177341
  35. Tubbs‐Cooley, H. L., Pickler, R. H., Younger, J. B., & Mark, B. A. (2015). A descriptive study of nurse‐reported missed care in neonatal intensive care units. Journal of Advanced Nursing, 71(4), 813-824. https://doi.org/10.1111/jan.12578
  36. Vatankhah, I., Rezaei, M., & Baljani, E. (2020). The correlation of missed nursing care and perceived supervisory support in nurses. Iran Journal of Nursing, 33, 103–116. DOI:10.29252/ijn.33.126.103
  37. Von Vogelsang, A. C., Göransson, K. E., Falk, A. C., & Nymark, C. (2021). Missed nursing care during the COVID‐19 pandemic: A comparative observational study. Journal of Nursing Management, 29(8), 2343-2352. https://doi.org/10.1111/jonm.13392
  38. Willis, E., Zelenikova, R., Bail, K., & Papastavrou, E. (2021). The globalization of missed nursing care terminology. International Journal of Nursing Practice, 27(1), e12859. https://doi.org/10.1111/ijn.12859
  39. Palese, A., Ambrosi, E., Prosperi, L., Guarnier, A., Barelli, P., Zambiasi, P.,. & Saiani, L. (2015). Missed nursing care and predicting factors in the Italian medical care setting. Internal and Emergency Medicine, 10(6), 693-702. DOI 10.1007/s11739-015-1232-6