Mahsa Pourshaban, Hadi Hasankhani, Atefeh Allahbakhshian, Sarieh Poortaghi
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引用次数: 0
Abstract
Background and objective: High-quality nursing care ensures patient safety. However, missed nursing care (MNC) poses a significant risk. During the COVID-19 pandemic, the dynamic clinical environment negatively impacted nurses and patient care quality. This review examined the most frequently reported elements and contributing factors of MNCs in studies conducted during the pandemic.
Methods: This was a systematic review (PROSPERO CRD42023460938). A systematic search was conducted across databases including ProQuest, CINAHL, Web of Science, Google Scholar, Scopus, PubMed, PROSPERO, and Cochrane CENTRAL, using Boolean operators based on PICOT-SD criteria from December 2019 to July 2024. Keywords were selected based on Medical Subject Headings (MeSH) and previous studies. After reviewing the inclusion and exclusion criteria, 31 quantitative studies from 17 countries were included in the final evaluation. Findings were reported following PRISMA guidelines.
Results: During the pandemic, MNC elements were categorized into 5 domains based on the Nursing Intervention Classification (NIC). At the same time, contributing factors were organized into 6 levels based on the MNC model. The most frequently observed MNC elements were identified in the basic physiological domain. The primary contributing factor for MNCs was the demand for patient care, with inadequate staffing being the most reported issue during the pandemic.
Conclusion: The SARS-CoV-2 pandemic revealed that nurses' reluctance to engage in close contact with patients for various reasons led to significant losses in care. High care demands and staffing shortages remain prevalent factors contributing to MNCs, highlighting the need for effective management strategies in future health crises.
背景与目的：高质量的护理确保患者安全。然而，错过的护理（MNC）带来了重大的风险。在2019冠状病毒病大流行期间，动态的临床环境对护士和患者的护理质量产生了负面影响。本次审查审查了在大流行期间进行的研究中最常报告的跨国公司因素和促成因素。方法：这是一项系统评价（PROSPERO CRD42023460938）。采用基于PICOT-SD标准的布尔运算符，于2019年12月至2024年7月对ProQuest、CINAHL、Web of Science、b谷歌Scholar、Scopus、PubMed、PROSPERO和Cochrane CENTRAL等数据库进行系统检索。根据医学主题词（MeSH）和已有研究选择关键词。在审查纳入和排除标准后，来自17个国家的31项定量研究被纳入最终评价。研究结果是按照PRISMA指南报告的。结果：大流行期间，根据护理干预分类（NIC）将MNC要素划分为5个领域。同时，基于跨国公司模型，将影响因素分为6个层次。最常观察到的MNC元素被鉴定为基本生理领域。跨国公司的主要促成因素是对病人护理的需求，在大流行病期间，人员配备不足是报告最多的问题。结论：SARS-CoV-2大流行揭示了护士因各种原因不愿与患者密切接触导致的重大护理损失。高护理需求和人员短缺仍然是造成跨国公司的普遍因素，突出表明需要在未来的健康危机中制定有效的管理战略。
期刊介绍：
Quality Management in Health Care (QMHC) is a peer-reviewed journal that provides a forum for our readers to explore the theoretical, technical, and strategic elements of health care quality management. The journal''s primary focus is on organizational structure and processes as these affect the quality of care and patient outcomes. In particular, it:
-Builds knowledge about the application of statistical tools, control charts, benchmarking, and other devices used in the ongoing monitoring and evaluation of care and of patient outcomes;
-Encourages research in and evaluation of the results of various organizational strategies designed to bring about quantifiable improvements in patient outcomes;
-Fosters the application of quality management science to patient care processes and clinical decision-making;
-Fosters cooperation and communication among health care providers, payers and regulators in their efforts to improve the quality of patient outcomes;
-Explores links among the various clinical, technical, administrative, and managerial disciplines involved in patient care, as well as the role and responsibilities of organizational governance in ongoing quality management.
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