Why do nurses miss nursing care? A qualitative meta-synthesis

IF 1.7 4区医学 Q2 NURSING

Japan Journal of Nursing Science Pub Date : 2023-11-21 DOI:10.1111/jjns.12578

Mengyun Peng, Shinya Saito, Wenping Mo, Hong Guan

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引用次数: 0

Abstract

Aim

The aim of this qualitative meta-synthesis was to discover the factors impacting on missed nursing care of nurses through systematic thinking.

Background

Although nurses are responsible for high-quality care, missed nursing care is common, endangering patient safety. Understanding of the causes related to missed nursing care could help nursing managers improve the quality of nursing care.

Design

A qualitative meta-synthesis guided by the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA).

Methods

As a method designed to contribute to knowledge development, meta-synthesis allows for integration of qualitative study findings using thematic synthesis. Six databases were searched up to October 2021; nine studies met the inclusion and quality assessment criteria and meta-synthesis were conducted.

Results

Three themes related to the causes why nurses missed nursing care were found. The themes included intrinsic resources (professional and ethical values, ambiguous nurse role, prioritization, education system, and knowledge), system structure (staff and resources shortage, heavy workload but limited time, and organizational management failure), and social environment (communication, working relationship and skill mix, and inappropriate ward layout).

Conclusion

The phenomenon of missed nursing care is a global tissue, with variations in its elements but also notable similarities. Meta-synthesis provides evidence of intrinsic and extrinsic factors that contribute to missed nursing care.

Relevance to Clinical Practice

Recognizing and understanding the causes of missed nursing care is essential for nursing managers to ensure patient safety and the provision of high-quality care.

查看原文本刊更多论文

为什么护士会错过护理?定性综合。

目的:本定性综合研究旨在通过系统思考，发现影响护士疏漏护理的因素。背景:虽然护士有责任提供高质量的护理，但疏忽护理是常见的，危及患者的安全。了解护理遗漏的原因，有助于护理管理者提高护理质量。设计:由系统评价和荟萃分析首选报告项目(PRISMA)指导的定性综合。方法:作为一种旨在促进知识发展的方法，元综合允许使用主题综合整合定性研究结果。截至2021年10月，检索了6个数据库;9项研究符合纳入标准和质量评价标准，并进行了meta综合。结果:发现与护士错过护理原因相关的三个主题。主题包括内在资源(专业和道德价值观、护士角色模糊、优先顺序、教育体系和知识)、系统结构(人员和资源短缺、工作量大但时间有限、组织管理失败)和社会环境(沟通、工作关系和技能组合、病房布局不当)。结论:护理缺失现象是一个全球性的组织，其构成要素有差异，但也有显著的相似性。综合分析提供了导致护理遗漏的内在和外在因素的证据。与临床实践相关:认识和理解护理遗漏的原因对护理管理人员确保患者安全和提供高质量护理至关重要。

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

Japan Journal of Nursing Science 医学-护理

CiteScore

4.10

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： The Japan Journal of Nursing Science is the official English language journal of the Japan Academy of Nursing Science. The purpose of the Journal is to provide a mechanism to share knowledge related to improving health care and promoting the development of nursing. The Journal seeks original manuscripts reporting scholarly work on the art and science of nursing. Original articles may be empirical and qualitative studies, review articles, methodological articles, brief reports, case studies and letters to the Editor. Please see Instructions for Authors for detailed authorship qualification requirement.