2023 年沃莱塔区公立医院护士的护理遗漏及相关因素:混合方法研究设计

Q2 Nursing
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引用次数: 0

摘要

背景护理遗漏包括部分或全部遗漏、延迟或未充分实施的任何方面的护理。这一公认的隐蔽问题对患者构成严重风险,可能导致不良后果。因此,确定护理遗漏的程度对于提高护理质量和患者安全非常重要。本研究的重点是评估护理遗漏的程度,并研究造成护理遗漏的因素。方法2023 年 6 月 10 日至 7 月 10 日,在沃莱塔区公立医院的护士中开展了一项混合研究设计。使用计算机生成的随机数从每个工作单位随机抽取参与者,并使用目的性抽样进行深入访谈。结果以频率、平均值和中位数表示。利用二元逻辑回归模型评估了自变量对结果变量的影响,并采用四步主题分析法进行了内容主题分析。结果护理遗漏率为 54.9%,与资源可用性、护理团队合作和工作满意度明显相关。在定性分析中,主题分析得出了与护士相关的因素、与机构相关的因素和与患者相关的因素。结论护理遗漏的发生率明显偏高,鼓励护士与其他护士和医护人员进行有效沟通和密切合作,以减少护理遗漏的发生。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Missed nursing care and associated factors among nurses working in public hospitals of Wolaita Zone, 2023: Mixed-method study design

Background

Missed nursing care encompasses any aspect of care that is either partially or entirely omitted, delayed, or inadequately carried out. This acknowledged concealed issue poses a serious risk to patients, potentially leading to adverse consequences. So, identifying magnitude of missed nursing care is important to enhancement of nursing care quality and patient safety. The main focus of the study was to assess the extent of missed nursing care and examine into the factors that contribute to it.

Method

From June 10 to July 10, 2023, a mixed study design was implemented among nurses working in public hospitals of Wolaita Zone. Participants were randomly selected using computer-generated random numbers from each working unit and purposive sampling was used for in-depth interview. The results are presented in frequencies, means, and medians. A binary logistic regression model was utilized to evaluate the effects of independent variables on the outcome variables and content thematic analysis were done using the four-step approach of thematic analysis.

Result

The level of missed nursing care was 54.9%. It was significantly associated with availability of resource, nursing teamwork, and job satisfaction. In qualitative analysis, Nurse related factor, Institution related factor, and patient related factors were emerged from the thematic analysis.

Conclusion

The prevalence of missed nursing care was notably high, Nurses are encouraged to engage in effective communication and collaborate closely with fellow nurses and healthcare professionals to reduce instances of missed care.

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来源期刊
CiteScore
2.40
自引率
0.00%
发文量
114
审稿时长
21 weeks
期刊介绍: International Journal of Africa Nursing Sciences (IJANS) is an international scientific journal published by Elsevier. The broad-based journal was founded on two key tenets, i.e. to publish the most exciting research with respect to the subjects of Nursing and Midwifery in Africa, and secondly, to advance the international understanding and development of nursing and midwifery in Africa, both as a profession and as an academic discipline. The fully refereed journal provides a forum for all aspects of nursing and midwifery sciences, especially new trends and advances. The journal call for original research papers, systematic and scholarly review articles, and critical papers which will stimulate debate on research, policy, theory or philosophy of nursing as related to nursing and midwifery in Africa, technical reports, and short communications, and which will meet the journal''s high academic and ethical standards. Manuscripts of nursing practice, education, management, and research are encouraged. The journal values critical scholarly debate on issues that have strategic significance for educators, practitioners, leaders and policy-makers of nursing and midwifery in Africa. The journal publishes the highest quality scholarly contributions reflecting the diversity of nursing, and is also inviting international scholars who are engaged with nursing and midwifery in Africa to contribute to the journal. We will only publish work that demonstrates the use of rigorous methodology as well as by publishing papers that highlight the theoretical underpinnings of nursing and midwifery as it relates to the Africa context.
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