{"title":"用三种工作量评估方法分析护理遗漏率：一项全国特护护士的横断面研究。","authors":"Anaëlle Caillet, Jérôme E Dauvergne, Laurent Poiroux, Pierre-Yves Blanchard, Arnaud Bruyneel","doi":"10.1111/nicc.70055","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Increased workload is associated with a higher prevalence of missed nursing care.</p><p><strong>Aim: </strong>Describe the prevalence of missed care in intensive care units (ICUs) and identify the workload scale most strongly associated with this prevalence.</p><p><strong>Study design: </strong>A cross-sectional survey was combined with a longitudinal study conducted in 2024, between 15 January and 15 April, in France to assess the workload. A total of 1271 nurses working in 61 ICUs completed the questionnaire one time per shift.</p><p><strong>Results: </strong>A total of 72.3% of nurses reported at least one missed care. The Nursing Activities Score provided the strongest association with the prevalence of missed care compared to patient-to-nurse ratio and the Practice Environment Scale of the Nursing Work Index.</p><p><strong>Conclusion: </strong>The prevalence of missed care and nursing workload was high. Nurses tended to focus on direct patient care.</p><p><strong>Relevance to clinical practice: </strong>Continuously assessing the prevalence of missed care can be a valuable tool for managing workload in ICUs.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"30 3","pages":"e70055"},"PeriodicalIF":3.0000,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Analysis of the Prevalence of Missed Nursing Care Using Three Workload Assessment Methods: A Nationwide Cross-Sectional Study Among Intensive Care Nurses.\",\"authors\":\"Anaëlle Caillet, Jérôme E Dauvergne, Laurent Poiroux, Pierre-Yves Blanchard, Arnaud Bruyneel\",\"doi\":\"10.1111/nicc.70055\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Increased workload is associated with a higher prevalence of missed nursing care.</p><p><strong>Aim: </strong>Describe the prevalence of missed care in intensive care units (ICUs) and identify the workload scale most strongly associated with this prevalence.</p><p><strong>Study design: </strong>A cross-sectional survey was combined with a longitudinal study conducted in 2024, between 15 January and 15 April, in France to assess the workload. A total of 1271 nurses working in 61 ICUs completed the questionnaire one time per shift.</p><p><strong>Results: </strong>A total of 72.3% of nurses reported at least one missed care. The Nursing Activities Score provided the strongest association with the prevalence of missed care compared to patient-to-nurse ratio and the Practice Environment Scale of the Nursing Work Index.</p><p><strong>Conclusion: </strong>The prevalence of missed care and nursing workload was high. Nurses tended to focus on direct patient care.</p><p><strong>Relevance to clinical practice: </strong>Continuously assessing the prevalence of missed care can be a valuable tool for managing workload in ICUs.</p>\",\"PeriodicalId\":51264,\"journal\":{\"name\":\"Nursing in Critical Care\",\"volume\":\"30 3\",\"pages\":\"e70055\"},\"PeriodicalIF\":3.0000,\"publicationDate\":\"2025-05-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Nursing in Critical Care\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1111/nicc.70055\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Nursing in Critical Care","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1111/nicc.70055","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"NURSING","Score":null,"Total":0}
Analysis of the Prevalence of Missed Nursing Care Using Three Workload Assessment Methods: A Nationwide Cross-Sectional Study Among Intensive Care Nurses.
Background: Increased workload is associated with a higher prevalence of missed nursing care.
Aim: Describe the prevalence of missed care in intensive care units (ICUs) and identify the workload scale most strongly associated with this prevalence.
Study design: A cross-sectional survey was combined with a longitudinal study conducted in 2024, between 15 January and 15 April, in France to assess the workload. A total of 1271 nurses working in 61 ICUs completed the questionnaire one time per shift.
Results: A total of 72.3% of nurses reported at least one missed care. The Nursing Activities Score provided the strongest association with the prevalence of missed care compared to patient-to-nurse ratio and the Practice Environment Scale of the Nursing Work Index.
Conclusion: The prevalence of missed care and nursing workload was high. Nurses tended to focus on direct patient care.
Relevance to clinical practice: Continuously assessing the prevalence of missed care can be a valuable tool for managing workload in ICUs.
期刊介绍：
Nursing in Critical Care is an international peer-reviewed journal covering any aspect of critical care nursing practice, research, education or management. Critical care nursing is defined as the whole spectrum of skills, knowledge and attitudes utilised by practitioners in any setting where adults or children, and their families, are experiencing acute and critical illness. Such settings encompass general and specialist hospitals, and the community. Nursing in Critical Care covers the diverse specialities of critical care nursing including surgery, medicine, cardiac, renal, neurosciences, haematology, obstetrics, accident and emergency, neonatal nursing and paediatrics.
Papers published in the journal normally fall into one of the following categories:
-research reports
-literature reviews
-developments in practice, education or management
-reflections on practice
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