Quali sono le ragioni delle Missed Care? Risultato di uno studio bilaterale. Ragioni delle Missed Care.

Igiene e sanita pubblica Pub Date : 2020-11-01
I Blackman, A Palese, M Danielis, S Vryonides, J Henderson, E Willis, E Papastavrou
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引用次数: 0

Abstract

Background: Evidence of missed nursing care in clinical practice has been well documented; however, fewer studies highlighting why care is missed have been conducted and this prevents effective interventions aimed at minimizing the missed care.

Methods: A secondary analysis of two cross-sectional study designs was performed to capture the direction and strength of 1,114 Italian and Australian nurses' perceptions about why care was missed in their hospitals. The MISSCARE survey was used to collect data and the specific section aimed at estimating the reasons for missed nursing care was used. Data were analysed using structural equation modelling.

Results: Six significant variables emerged as predictors of why care is missed, and these were: workplace miscommunication; increased work intensity; inadequate physical and human resources for care work; nurses' age; and years of clinical experience.

Conclusions: Australian and Italian findings contribute to growing international studies as to why nursing care is missed and provides a framework for understanding precipitating factors, such as incomplete workplace communication, unpredictable workflows, staffing and material resources issues might contribute to why care is missed and must thus be addressed/improved.

错过护理的原因是什么?双边研究的结果。失宠的原因。
背景:临床实践中忽视护理的证据已被充分记录;然而,强调错过护理原因的研究较少,这妨碍了旨在尽量减少错过护理的有效干预措施。方法:对两项横断面研究设计进行二次分析,以捕捉1,114名意大利和澳大利亚护士对医院护理缺失原因的看法的方向和强度。MISSCARE调查用于收集数据,并使用了旨在估计错过护理原因的特定部分。数据分析采用结构方程模型。结果:出现了六个重要的变量,作为错过护理的预测因素,它们是:工作场所的沟通不周;工作强度加大;护理工作的物质和人力资源不足;护士的年龄;还有多年的临床经验。结论:澳大利亚和意大利的研究结果有助于越来越多的国际研究,为什么护理被忽略,并提供了一个框架来理解促成因素,如不完整的工作场所沟通,不可预测的工作流程,人员和物质资源问题可能导致护理被忽略,因此必须解决/改进。
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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