Missed nursing care and its influencing factors among neonatal intensive care unit nurses in South Korea: a descriptive study

Q3 Medicine
S. Kim, S. Chae
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引用次数: 3

Abstract

Purpose Preventing missed care is important in neonatal intensive care units (NICUs) due to neonates’ vulnerabilities. This study examined missed care and its influencing factors among NICU nurses. Methods Missed care among 120 Korean NICU nurses was measured using a cross-culturally adapted online questionnaire. The frequency of missed care for 32 nursing activities and the significance of 23 reasons for missed care were collected. Results All participants had missed at least 1 activity, missing on average 19.35 activities during a typical work-day. The most common missed item was “provide developmental care for the baby”. The most common reason for missed care was “emergency within the unit or deterioration of one of the assigned patients”. The final regression model explained 9.6% of variance in missed care. The average daily number of assigned patients receiving inotropes or sedation over the last month influenced the total number of missed care items. Conclusion Missed care was affected by nurses’ workload related to the number of patients taking medication. Frequently missed activities, especially those related to developmental care, require patience and time, conflicting with safety prioritization and inadequate working conditions. NICU nurses’ working conditions should be improved to ensure adequate time for nursing activities.
韩国新生儿重症监护病房护士护理失误及其影响因素的描述性研究
目的由于新生儿的脆弱性,预防新生儿重症监护病房(NICUs)的遗漏护理很重要。本研究旨在调查新生儿重症监护病房护士的疏漏护理及其影响因素。方法采用跨文化在线问卷对120名韩国新生儿重症监护病房护士的护理遗漏情况进行调查。收集32项护理活动的漏护频次及23项漏护原因的意义。结果所有参与者至少缺席1项活动,在一个典型工作日平均缺席19.35项活动。最常见的遗漏项目是“为婴儿提供发育照顾”。错过护理的最常见原因是“单位内的紧急情况或指定患者之一的病情恶化”。最终的回归模型解释了遗漏护理的9.6%的方差。在过去的一个月里,平均每天接受肌力药物或镇静的指定患者数量影响了错过护理项目的总数。结论护士工作量与服药人数相关,影响护理遗漏。经常错过的活动,特别是那些与发育护理有关的活动,需要耐心和时间,与安全优先事项和不适当的工作条件相冲突。应改善新生儿重症监护病房护士的工作条件,确保有足够的时间进行护理活动。
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
Child Health Nursing Research
Child Health Nursing Research Medicine-Pediatrics, Perinatology and Child Health
CiteScore
1.70
自引率
0.00%
发文量
30
审稿时长
7 weeks
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