A Comparison of Nursing Activity Score Means for Missed Care Dimensions in Intensive Care Unit Patients

IF 2.2 Q1 NURSING

NURSING FORUM Pub Date : 2023-10-18 DOI:10.1155/2023/9913092

Fatemeh Mohammadi, Lilia de Souza Nogueira, Nasrin Hanifi, Nasrin Bahraminejad

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引用次数: 0

Abstract

Background. The workload of nurses in the intensive care unit (ICU) can affect the quality of nursing services. Aim. This study aimed to determine the relationship between the nursing activity score and missed care in patients hospitalized in the ICU in Zanjan, Iran. Methods. This observational and prospective study was conducted from April 3 to September 18 in 2021. The study utilized a patient and nurse profile questionnaire, the Nursing Activity Score (NAS), and a checklist for missed care as research tools. Missed care was observed in the 301 patients for whom the NAS was calculated. Analysis of variance (ANOVA) was used to investigate the differences in mean levels of missed care. Logistic regression models were used to assess the association between factors and missed nursing care. Results. Results show that the medical ICU’s mean NAS was 76.31 (95% CI: −13.06–14.89). In 9 dimensions of care, the extent of missed care was 40.7%. In the care dimensions of assessment, hand hygiene, and infection control, the mean NAS had a statistically significant increase at higher levels of missed care (

P

< 0.5). Furthermore, work experience was identified as a protective factor for missed care (OR = 0.59, 95% CI: 0.37–0.94, χ2 = = 4.97,

p

= 0.026). Conclusion. The study revealed a high incidence of missed care. The study revealed that the mean workload was high in certain dimensions of care such as assessment, hand hygiene, and infection control. The increase in workload for nurses results in lost care. Nonetheless, the utilization of experienced nurses can help mitigate this problem. However, utilizing experienced nurses can help reduce this problem.

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重症监护室患者护理活动评分方法缺失护理维度的比较

背景。重症监护病房(ICU)护士的工作量会影响护理服务的质量。的目标。本研究旨在确定伊朗赞詹ICU住院患者护理活动评分与护理遗漏之间的关系。方法。这项观察性和前瞻性研究于2021年4月3日至9月18日进行。该研究使用了患者和护士资料问卷、护理活动评分(NAS)和遗漏护理清单作为研究工具。在计算NAS的301例患者中观察到遗漏护理。方差分析(ANOVA)用于调查平均遗漏护理水平的差异。采用Logistic回归模型评估各因素与护理遗漏的关系。结果。结果内科ICU的平均NAS为76.31 (95% CI:−13.06 ~ 14.89)。在9个护理维度中，疏漏程度为40.7%。在评估、手卫生和感染控制的护理维度上，高水平的错过护理的平均NAS有统计学显著增加(P <0.5)。此外，工作经验被确定为错过护理的保护因素(OR = 0.59, 95% CI: 0.37-0.94， χ2 = = 4.97, p = 0.026)。结论。这项研究揭示了错过护理的高发生率。研究表明，在评估、手部卫生和感染控制等护理的某些方面，平均工作量很高。护士工作量的增加导致失去护理。尽管如此，利用有经验的护士可以帮助缓解这个问题。然而，利用有经验的护士可以帮助减少这个问题。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

NURSING FORUM NURSING-

CiteScore

4.90

自引率

4.20%

发文量

151

期刊介绍： Nursing Forum is a peer-reviewed quarterly journal that invites original manuscripts that explore, explicate or report issues, ideas, trends and innovations that shape the nursing profession. Research manuscripts should emphasize the implications rather than the methods or analysis. Quality improvement manuscripts should emphasize the outcomes and follow the SQUIRE Guidelines in creating the manuscript. Evidence-based manuscripts should emphasize the findings and implications for practice and follow PICOT format. Concept analysis manuscripts should emphasize the evidence for support of the concept and follow an accepted format for such analyses.