Factors influencing the missed nursing care in patients from a private hospital

Abstract

Objective:to determine the factors that influence the missed nursing care in hospitalized patients. Methods:descriptive correlational study developed at a private hospital in Mexico. To identify the missed nursing care and related factors, the MISSCARE survey was used, which measures the care missed and associated factors. The care missed and the factors were grouped in global and dimension rates. For the analysis, descriptive statistics, Spearman’s correlation and simple linear regression were used. Approval for the study was obtained from the ethics committee. Results:the participants were 71 nurses from emergency, intensive care and inpatient services. The global missed care index corresponded to M=7.45 (SD=10.74); the highest missed care index was found in the dimension basic care interventions (M=13.02, SD=17.60). The main factor contributing to the care missed was human resources (M=56.13, SD=21.38). The factors related to the care missed were human resources (rs=0.408, p<0.001) and communication (rs=0.418, p<0.001). Conclusions:the nursing care missed is mainly due to the human resource factor; these study findings will permit the strengthening of nursing care continuity.

Situações e razões para a omissão do cuidado de enfermagem em unidades de clínica médica e cirúrgica

“…These results differ from studies carried out in Mexico, where the frequency of missed care was related to basic care interventions, especially oral hygiene, walking and feeding assistance (9,11) . The interventions related to continuous clinical evaluations such as evaluation of vital signs, capillary glycemia and water balance were performed more frequently (7,9,11,14) , similar to the findings of the present study.…”

“…The frequency of missed care related to activities such as patient education and emotional support to the patient and/or family is similar to the data found in international studies (9,11,15) . Likewise, the frequency of missed care in medication administration within 30 minutes before or after the prescribed time (39.66%) and in the participation of the interdisciplinary team discussion (44.83%) was similar to a study carried out in Mexico (9) .…”

“…Work environments with a lack of material and technological resources, insufficiently qualified professionals, and communication problems between teams are associated with missed nursing care (3,(8)(9) . Among the main situations are care with ambulation, patient education, oral hygiene care, pressure injury prevention and emotional support (3,(9)(10)(11) . The workload and the experience time of the professionals constitute important variables which influence the missed care situations, since long working days can result in a reduced concentration capacity to perform activities (3) .…”

“…Studies conducted in South Korea and Mexico (3,9,11) which assessed the frequency of missed nursing care sought to understand the reasons why such care actions were not performed. Considering the low occurrence of studies with this focus in Brazil, the impact of missed care on the results of patient care and a health system which differs from other countries, the present study aimed to evaluate the frequency and reasons for missed nursing care, and to verify whether the reasons for omission differ between professional categories.…”

Rationed nursing care – conclusions from focus groups

“…Similarly, other authors [13] reported oral hygiene, drug administration as ordered by doctors (within 30 minutes from the order). This is consistent with results from a study by Hernández-Cruz [17] who, apart from oral hygiene, reported patient ambulation three times a day and feeding patients while the food is warm. The focus group participants linked oral hygiene to the values system, stating that for many nurses, this intervention is generally not important (the role is played by the staff 's personal views rather than by a lack of time).…”