Missed nursing care in the COVID‐19 pandemic in Iran

Hosseini, Zeinab; Raisi, Leila; Maghari, Amirhossein; Karimollahi, Mansoureh

doi:10.1111/2047-3095.12390

Cited by 9 publications

(18 citation statements)

References 37 publications

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“…The nding of this study showed that in addition to the rules and regulations related to the nursing profession, nurses are burdened with long working hours, performing non-specialized tasks, and in exibility in working hours, which, in line with the ndings of another study in Iran (25). Singh and colleagues (2020) reported that the experienced stress by nurses is related to the working environment, which describes the individual's perception and reaction to work-related demands and the ability to adapt to these demands (26).…”

Section: Discussionsupporting

confidence: 87%

Work-related stressors in nurses, a mixed method study

Imani-Goghary

Moqaddasi

Mina

et al. 2023

Preprint

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background Nurses experience a notable level of stress due to the complex job demands, exacerbating the likelihood of diminished performance and compromising their mental and physical well-being. The primary objective of this study is to pinpoint the sources of work-related stress experienced by nurses employed in Sirjan hospitals as an initial step towards establishing effective stress management strategies for nurses. Method The study used a parallel mixed-method design, collecting and analyzing data separately before integrating them. In the quantitative phase, a cross-sectional study was conducted using the Toft & Anderson Nursing Stress Scale questionnaire with 125 out of 180 eligible nurses. SPSS software version 25 was used for analysis. In the qualitative phase, 12 participants with higher stress scores were selected through purposive sampling, and interviews were conducted until data saturation was achieved. The qualitative data were analyzed using the qualitative content analysis method with MAXQDA 2020 software. Results The average score of the Stress Questionnaire among nurses was, 21.42 ± 93.53, indicating a moderate level of stress. The data analysis also reveals that only 6.4% experienced low levels of stress, while the majority experienced moderate to high levels of work-related stress. The main theme of the interview analyses was identified as “stressors”. This theme consists of three main categories: " The nature of a Profession", "organizational factors", and "individual factors", which represent the different sources of stress that nurses face in their workplace. Conclusion The study found that most nurses face significant work-related stress due to various factors such as the nature of their profession, ethical concerns, caring for critically ill patients, conflicts with colleagues, long and inflexible working hours. To address this, hospitals should prioritize creating a supportive environment, and implementing flexible programs based on nurses’ needs. These measures will help reduce stress, burnout, and improve job satisfaction and overall hospital efficiency.

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Section: Discussionsupporting

confidence: 87%

Work-related stressors in nurses, a mixed method study

Imani-Goghary

Moqaddasi

Mina

et al. 2023

Preprint

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“…Study locations ranged from a hospital (e.g., [ 35 ]) to specific hospital settings (tertiary [ 55 ], district [ 51 ], government [ 56 ], private [ 34 ], teaching [ 50 ]) in various types of units (e.g., medical/surgical [ 54 ], urology [ 43 ], cardiology [ 48 ]). In addition, COVID-19 units were included in two studies [ 22 , 37 , 41 ] and nursing homes in another two [ 22 , 40 ].…”

Section: Resultsmentioning

confidence: 99%

Unfinished nursing care in healthcare settings during the COVID-19 pandemic: a systematic review

Bayram,

Chiappinotto,

Palese

2024

BMC Health Serv Res

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Background Unfinished nursing care is becoming increasingly more of a concern in worldwide healthcare settings. Given their negative outcomes, it is crucial to continuously assess those nursing interventions that are commonly postponed or missed, as well as the underlying reasons and consequences. The worldwide COVID-19 pandemic has made it difficult for health facilities to maintain their sustainability and continuity of care, which has also influenced the unfinished nursing care phenomenon. However, no summary of the studies conducted during the COVID-19 pandemic was produced up to now. The main aim of this study was to systematically review the occurrence of, reasons for, and consequences of unfinished nursing care among patients in healthcare settings during the COVID-19 pandemic. Methods Systematic review registered in PROSPERO (CRD42023422871). The Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement guideline and the Joanna Briggs Institute Critical Appraisal tool for cross-sectional studies were used. MEDLINE-PubMed, the Cumulative Index to Nursing and Allied Health Literature, and Scopus were searched from March 2020 up to May 2023, using keywords established in the field as missed care, unfinished nursing care, or implicit rationing. Results Twenty-five studies conducted mainly in European and Asiatic countries were included and assessed as possessing good methodological quality. The following tools were used: the MISSCARE Survey (= 14); the Basel Extent of Rationing of Nursing Care (= 1), also in its revised form (= 2) and regarding nursing homes (= 2); the Perceived Implicit Rationing of Nursing Care (= 4); the Intensive Care Unit-Omitted Nursing Care (= 1); and the Unfinished Nursing Care Survey (= 1). The order of unfinished nursing care interventions that emerged across studies for some countries is substantially in line with pre-pandemic data (e.g., oral care, ambulation). However, some interesting variations emerged at the country and inter-country levels. Conversely, labour resources and reasons close to the emotional state and well-being of nurses were mentioned homogeneously as most affecting unfinished nursing care during the pandemic. None of the studies investigated the consequences of unfinished nursing care. Conclusions Two continents led the research in this field during the pandemic: Europe, where this research was already well established, and Asia, where this research is substantially new. While unfinished care occurrence seems to be based on pre-established patterns across Europe (e.g., regarding fundamentals needs), new patterns emerged across Asiatic countries. Among the reasons, homogeneity in the findings emerged all in line with those documented in the pre-pandemic era.

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“…All these cross‐sectional studies determined the prevalence of missed nursing care and the possible determinants. Furthermore, 14 studies analyzed the influence of missed nursing care on nurses and organizational outcomes (Alfuqaha et al, 2023; Bartoníčková et al, 2022; Cengia et al, 2022; Edmonds et al, 2022; Falk et al, 2022; Ferreira, 2022; Gurková, Mikšová, & Šáteková, 2021; Hosseini et al, 2022; Khrais et al, 2023; Nymark et al, 2022; Obregón‐Gutiérrez et al, 2022; Özdeli̇Kara & Yaman, 2021; Qureshi et al, 2022; von Vogelsang et al, 2021). Two studies compared missed nursing care during different phases of the COVID‐19 pandemic (Falk et al, 2022; Nymark et al, 2022), and one study compared the perception of nurses about missed nursing care before and during the COVID‐19 pandemic (Alfuqaha et al, 2023).…”

Section: Resultsmentioning

confidence: 99%

“…Included studies were conducted between April 2020 and August 2021 in six European countries (n = 13; Bartoníčková et al, 2022;Cengia et al, 2022;Falk et al, 2022;Gurková, Bartoníčková, et al, 2021;Gurková, Mikšová, & Šáteková, 2021;Jørgensen et al, 2021;King et al, 2021;Moretti et al, 2021;Nymark et al, 2022;Obregón-Gutiérrez et al, 2022;Senek et al, 2022;Sugg et al, 2021;von Vogelsang et al, 2021), four Asian countries (n = 8; Alfuqaha et al, 2023;Alsolami, 2021;Hosseini et al, 2022;Khrais et al, 2023;Labrague et al, 2022;Pourmovahed et al, 2022;Safdari et al, 2022Safdari et al, , 2023, two North American countries (n = 2; Edmonds et al, 2022;Qureshi et al, 2022), one South American country (n = 1; Ferreira, 2022), and one transcontinental country (n = 1; Özdeli Kara & Yaman, 2021).…”

Section: Description Of Included Studiesmentioning

confidence: 99%

Research on missed nursing care during the COVID‐19 pandemic: A scoping review

Zabaleta‐Del‐Olmo,

Santesmases‐Masana,

Martín‐Payo

et al. 2023

Worldviews Ev Based Nurs

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BackgroundMissed nursing care is defined as care that is delayed, partially completed, or not completed at all. The scenario created by the COVID‐19 pandemic may have influenced multifactorial determinants related to the care environment, nursing processes, internal processes, and decision‐making processes, increasing missed nursing care.AimThis scoping review aimed to establish the quantity and type of research undertaken on missed nursing care during the COVID‐19 pandemic.MethodsThis review was conducted following the Joanna Briggs Institute methodology for scoping reviews. We searched CINAHL, MEDLINE, Scopus, two national and regional databases, two dissertations and theses databases, a gray literature database, two study registers, and a search engine from November 1, 2019, to March 23, 2023. We included quantitative, qualitative, and mixed studies carried out in all healthcare settings that examined missed nursing care during the COVID‐19 pandemic. Language restrictions were not applied. Two independent reviewers conducted study selection and data extraction. Disagreements between the reviewers were resolved through discussion or with an additional reviewer.ResultsWe included 25 studies with different designs, the most common being acute care cross‐sectional survey designs. Studies focused on determining the frequency and reasons for missed nursing care and its influence on nurses and organizational outcomes.Linking Evidence to ActionMissed nursing care studies during the COVID‐19 pandemic were essentially nurses‐based prevalence surveys. There is an urgent need to advance the design and development of longitudinal and intervention studies, as well as to broaden the focus of research beyond acute care. Further research is needed to determine the impact of missed nursing care on nursing‐sensitive outcomes and from the patient's perspective.

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Missed nursing care in the COVID‐19 pandemic in Iran

Cited by 9 publications

References 37 publications

Work-related stressors in nurses, a mixed method study

Work-related stressors in nurses, a mixed method study

Unfinished nursing care in healthcare settings during the COVID-19 pandemic: a systematic review

Research on missed nursing care during the COVID‐19 pandemic: A scoping review

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