Reasons of Missed Nursing Care From the Viewpoints of Nurses in Educational, Private, and Social Security Hospitals in Urmia-Iran in 2018

Rezaee, Solmaz; Baljani, Esfandyar; Feizi, Aram; Delnavaz, Parvin

doi:10.52547/pcnm.11.4.26

Cited by 4 publications

(6 citation statements)

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“…Although the Saudi Ministry of Health and Saudi Central Board for Accreditation of Healthcare Institutions laid out safe staffing “nurse to patient ratios” standards in its facilities, the national nursing shortage hinders achieving these standards that led nurses to an excessive workload which is considered as a significant reason for missed nursing care. Therefore, nurses prioritize their patients according to their acuity level, and critical patients usually receive the most attention compared with those who are less critical [ 36 ]. Tubbs–Cooley et al [ 37 ] revealed a direct relationship between missed nursing care and nursing workload.…”

Section: Discussionmentioning

confidence: 99%

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An Overview of Missed Nursing Care and Its Predictors in Saudi Arabia: A Cross-Sectional Study

Alallah

Alkhayrat

Jahlan

2022

Nursing Research and Practice

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Background. Nursing care is holistic, and missing any aspect of care can be critical to patients’ health. However, due to the complex and intense nature of the nursing practice, nurses have to unintentionally prioritize some activities, forcing them to omit some aspects of nursing care. Aim. To explore the dimensions of missed nursing care and its predictors within the Saudi Arabian healthcare system. Methods. Quantitative, cross-sectional study used the MISSCARE survey by utilizing nonprobability convenience sampling to collect the data of 604 staff nurses working in inpatient wards in Jazan, Saudi Arabia. Results. The overall mean of missed nursing care is (m = 1.37, SD = 0.45). Missed nursing care activities were mostly failure to attend interdisciplinary care conferences (m = 1.66, SD = 0.96) and patient ambulation thrice a day (m = 1.63, SD = 0.97). Missed nursing care was mainly caused by human resource shortage (m = 3.53, SD = 0.88). Missed nursing care is predicted by the turnover intention (B = 2.380, t = 3.829, p < 001 ) and job satisfaction (B = −0.864, t = −4.788, p < 001 ). Conclusion. Although missed nursing care is evident in Saudi Arabia, it is significantly lower than the international rates, and it is mainly caused by labor resource shortage which directly influences nurses’ job satisfaction and intention to leave. Optimizing the recruitment process, resource allocation and effective nurses’ retention programs are proposed solutions that may be beneficial to mitigate missed nursing care.

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Section: Discussionmentioning

confidence: 99%

“…erefore, nurses prioritize their patients according to their acuity level, and critical patients usually receive the most attention compared with those who are less critical [36]. Tubbs-Cooley et al [37] revealed a direct relationship between missed nursing care and nursing workload.…”

Section: Although the Saudi Ministry Of Health And Saudimentioning

confidence: 99%

An Overview of Missed Nursing Care and Its Predictors in Saudi Arabia: A Cross-Sectional Study

Alallah

Alkhayrat

Jahlan

2022

Nursing Research and Practice

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“…3 In other words, missed nursing care can increase the duration of hospitalization, hospital infections, and imposed costs. 8 Many factors, including human resources (lack of staff), high workload, and financial resources, have been proposed as factors affecting missed care. 9 The exhausting nature of caring for patients and the high emotional expectations of patients from nurses expose nurses to an increased risk of burnout so the extreme level of occupational stress of nurses in many countries has led to the burnout phenomenon being a severe concern of the health system.…”

Section: Introductionmentioning

confidence: 99%

“…Missed nursing care is a type of nursing error that can not only affect the patient’s safety but also lead to the neglect of the patients’ rights and endangers their rehabilitation and recovery 3. In other words, missed nursing care can increase the duration of hospitalization, hospital infections, and imposed costs 8. Many factors, including human resources (lack of staff), high workload, and financial resources, have been proposed as factors affecting missed care 9…”

Section: Introductionmentioning

confidence: 99%

Missed Nursing Care and Relationship to Burnout and Leave the Profession

Jafari-Koulaee,

Heidari,

Khorram

et al. 2024

Critical Care Nursing Quarterly

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Background/objective Nurses are at high risk of burnout, desire to leave the profession, and possibly missed nursing care due to the exhausting nature of caring. Missed nursing care may also affect nurses’ burnout and desire to leave the profession. Therefore, the objective of this study was to determine the missed nursing care and its relationship with burnout and desire to leave the profession among intensive care unit nurses. Subjects/Methods The participants of this descriptive analytical study were 249 Iranian nurses working in intensive care units in 2022. The data were collected using a Demographic Information Questionnaire, Kalish’s Missed Nursing Care Questionnaire, Maslach Burnout Inventory, and desire to leave the profession questionnaire. Results The majority of nurses (71%) were females. The generalized linear regression model showed that there was a significant relationship between missed care with gender (B = 5.55, P < .001), marital status (B = −7.37, P = .04), working shift (B = 7.80, P < .001), and employment status (B = −2.87, P = .02). Using structural equation modeling, it was found that the effect of missed care on burnout was significant. Conclusions Considering the effect of missed care on burnout among nurses working in intensive care units, it seems that creating better working conditions, providing sufficient resources for nurses, supporting them, and changing the factors affecting missed care in order to improve the conditions can reduce the possibility of missing nursing care and, finally, burnout.

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“…Missed care and its reasons are of higher importance in developing countries due to the lack of resources (21). Although many quantitative studies have focused on the frequency and causes of missed care in Iran (22)(23)(24), no study has yet investigated the status of missed care in the pediatric ward using a qualitative approach that offers a deep understanding of subtle situations (25). Accordingly, the present study aimed to explain the nurses' perceptions of missed care in the pediatric acute care setting.…”

Section: Introductionmentioning

confidence: 99%

Pediatric Nurses’ Perceptions of Missed Care: A Qualitative Study

Dadgari,

Bagheri,

Salmani

et al. 2023

Journal of Qualitative Research in Health Sciences

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Background: Pediatric nurses are responsible for caring for children and their families; thus, investigating missed care in the pediatric ward is important and helps to improve the quality of care. Accordingly, this study aimed to explain the perceptions of pediatric nurses about missed care. Methods: This study was conducted using content analysis on 15 pediatric nurses selected by purposive sampling. The data were collected through in-depth semi-structured interviews. After obtaining informed consent, interviews were audio-recorded and transcribed verbatim. MAXQDA software (version 10) was used to facilitate coding and thematic analysis. Results: Four main categories emerged from the data analysis, including missed family-centered care, unsafe care, predisposing factors, and adverse outcomes. Conclusion: The findings showed that from the perspective of pediatric nurses, missed care occurs in different dimensions, including psychological support, communication, education, assessment, drug treatment, and infection control, and it can ultimately lead to mother’s dissatisfaction and bring about adverse effects on the child’s recovery besides harming the nurse.

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Reasons of Missed Nursing Care From the Viewpoints of Nurses in Educational, Private, and Social Security Hospitals in Urmia-Iran in 2018

Cited by 4 publications

References 0 publications

An Overview of Missed Nursing Care and Its Predictors in Saudi Arabia: A Cross-Sectional Study

An Overview of Missed Nursing Care and Its Predictors in Saudi Arabia: A Cross-Sectional Study

Missed Nursing Care and Relationship to Burnout and Leave the Profession

Pediatric Nurses’ Perceptions of Missed Care: A Qualitative Study

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