The relationship between attitude of nurses toward the patient safety and missed nursing care: A predictive study

Rahmani, Parvin; Tavani, Fatemeh Molaei; Sheikhalipour, Zahra; Behshid, Mozhgan; Khodayari, Mohammadtaghi; Akhuleh, Omid Zadi

doi:10.1016/j.jhqr.2021.10.007

Cited by 6 publications

(9 citation statements)

References 32 publications

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“…This activity was third in another four studies ([ 35 , 36 , 38 ]; second wave [ 47 ]) (Table 2 , Supplementary Table 3 ). However, the first unfinished activity in five studies was “Attending interdisciplinary care conferences whenever held” ([ 36 , 44 , 49 ]; in the reference sample of Nymark et al [ 48 ]; in the COVID-19 sample of von Vogelsang et al [ 54 ]) and “Monitoring patient” in one study [ 45 ] (Table 2 , Supplementary Table 3 ). Conversely, the least frequently unfinished activities were “Monitoring intake/output”, “Vital signs assessed as ordered”, “Bedside glucose monitoring”, and “Patient assessments every shift” (Table 2 , Supplementary Table 3 ).…”

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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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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“…By delving into these areas, the research promises to provide valuable insights for healthcare workers, equipping them with a deeper understanding of how to address and mitigate missed care. Furthermore, this study endeavours to explore how innovative solutions can tackle this issue, offering policymakers and health organisations, including health offices and the Ministry of Health, actionable evidence to inform their decisions 25. In doing so, the research could play a pivotal role in enhancing patient care quality, showcasing how new approaches and technologies might be harnessed to improve outcomes in the healthcare sector 26.…”

Section: Introductionmentioning

confidence: 99%

Missed nursing care and its associated factors in public hospitals of Bahir Dar City, Northwest Ethiopia: a cross-sectional study

Abere,

Biresaw,

Misganaw

et al. 2024

BMJ Open

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ObjectivesThe aim of this study was to investigate the prevalence of missed nursing care and its associated factors among public hospitals in Bahir Dar City, Northwest Ethiopia.DesignAn institution-based cross-sectional study was conducted among 369 randomly selected nurses.SettingThe study was conducted in primary and secondary-level public hospitals in Bahir Dar City.ParticipantsNurses who had worked in hospitals in Bahir Dar City were included.InterventionNo intervention was needed in this study.Primary and secondary outcome measuresA binary logistic regression model was used for statistical analysis. Statistical significance of the association between outcome variables and independent variables was declared at a p value of <0.05 with a 95% CI.ResultsThe prevalence of missed nursing care in this study was 46.3% (95% CI: 41.7% to 50.9%). The activities most frequently missed were physical examination (56.4%), patient discharge planning and teaching (50.9%), providing emotional support to the patient and family (50.8%), monitoring input and output (50.2%), assisting with patient ambulation (48.5%) and documentation (48%). Factors associated with missed nursing care include: male professionals (adjusted OR (AOR): 2.9, 95% CI: 1.8 to 4.8), those who had not received on-the-job training (AOR: 2.2, 95% CI: 1.4 to 3.6), those who worked full 24-hour shifts (AOR: 3.7, 95% CI: 2.0 to 6.5), those who were dissatisfied with the level of teamwork (AOR: 4.6, 95% CI: 2.8 to 7.6) and those who had an intention to leave the nursing profession (AOR: 1.8, 95% CI: 1.1 to 2.9). These factors were statistically associated with missed nursing care.ConclusionA significant proportion of nurses missed essential nursing care activities. Efforts should be made to enhance training, improve teamwork among nurses, provide stability and adjust work shifts to mitigate this issue.

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“…A qualitative study described that new graduate nurses are often fearful of making mistakes or missing something that could result in the deterioration of patient care [11]. A predictive study among 351 nurses also highlighted that increased patient safety attitudes could reduce missed nursing care and improve healthcare quality [12]. However, current research on patient safety attitudes focused on newly graduated nurses and register nurses, the relationship between interns' patient safety attitudes and transition shock remains unclear.…”

Section: Introductionmentioning

confidence: 99%

Transition Shock among Nursing Interns and its Relationship with Patient Safety Attitudes, Professional Identity and Climate of Caring: A Cross-Sectional Study

Zhang

Liang

Tao

et al. 2023

Preprint

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Background: Nursing interns often experience lots of challenges during their clinical nursing internships, which can adversely affect career decisions and result in a squandering of nursing education resources. Patient safety attitudes, professional identity and climate of caring may affect nursing interns’ clinical experience. However, more evidence is requested to validate these relationships for nursing educators to develop effective education programs and facilitate interns’ successful transition. Methods: This was a cross-sectional study, which used a convenience sampling method to recruit 387 nursing interns during December 2022 to April 2023 in university affiliated hospital in Hunan province, China. Data were collected using standardized scales. Spearman correlation and multiple regression analysis were employed to examine the relationship between transition shock, patient safety attitudes, professional identity, and climate of caring. Results: Nursing interns experienced transition shock at moderate levels and the highest levels of transition shock in response to overwhelming practicum workloads, with the second being related to the conflict between theory and practice. Transition shock was negatively correlated with patient safety attitudes, professional identity and climate of caring among nursing interns. Conclusions:Understanding the current level of transition shock among nursing interns can provide nursing educators and administrators with opportunities for reflection and subsequent personal and professional growth. Findings from this study identified the transition shock experienced by nursing interns at moderate levels, the dimensions of overwhelming practicum workloads and conflict between theory and practice scored high, which complimented previous quantitative research, and the correlation results showed that transition shock were negatively correlated with professional identity, patient safety attitudes, and climate of caring. Nursing manager and educators can use these results to build a more comprehensive educational programme and provide nursing interns with a caring environment in the clinical setting to facilitate their professional growth.

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The relationship between attitude of nurses toward the patient safety and missed nursing care: A predictive study

Cited by 6 publications

References 32 publications

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

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

Missed nursing care and its associated factors in public hospitals of Bahir Dar City, Northwest Ethiopia: a cross-sectional study

Transition Shock among Nursing Interns and its Relationship with Patient Safety Attitudes, Professional Identity and Climate of Caring: A Cross-Sectional Study

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