{"title":"错过护理情况及原因：重症监护护士。","authors":"Serap Gungor Unal, Esra Bulmus, Sumeyye Akcoban","doi":"10.1111/scs.70119","DOIUrl":null,"url":null,"abstract":"<p><strong>Aim: </strong>This study aimed to explore the level and reasons for missed nursing care by intensive care nurses.</p><p><strong>Methods: </strong>A descriptive cross-sectional study was conducted between December 2022 and February 2023, involving 300 nurses working in the intensive care units (ICUs) of a training and research hospital in Turkey. Data were collected using the \"Nurse Descriptive Information Form\" and the \"Missed Nursing Care (MISSCARE) Survey\". After data collection, post hoc calculations were performed to assess the theoretical power of the study. With an effect size of 0.50, α error set at 0.05, β error at 0.05, and a sample size of 300, the power of the study was calculated to be 0.95. Data analyses included the Kruskal-Wallis and Mann-Whitney U tests.</p><p><strong>Results: </strong>The mean age of the ICU nurses was 31.65 ± 6.81 years; 65.8% were female, and 86.3% held a bachelor's degree. Missed nursing care was significantly more frequent among nurses who lacked awareness of the concept (U = 9711.50, p = 0.040), perceived insufficient management support (KW = 10.950, p = 0.040), or were considering leaving the ICU (U = 8492.50, p = 0.024). Gender (U = 8350.50, p = 0.014) and education level (KW = 7.84, p = 0.049) were associated with missed care.</p><p><strong>Conclusion: </strong>Missed nursing care negatively impacts the quality and cost of healthcare. Interventions targeting organisational support and staff education may help reduce its prevalence in the future.</p>","PeriodicalId":48171,"journal":{"name":"Scandinavian Journal of Caring Sciences","volume":"39 3","pages":"e70119"},"PeriodicalIF":1.8000,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Missed Nursing Care Situations and Reasons: Intensive Care Nurses.\",\"authors\":\"Serap Gungor Unal, Esra Bulmus, Sumeyye Akcoban\",\"doi\":\"10.1111/scs.70119\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Aim: </strong>This study aimed to explore the level and reasons for missed nursing care by intensive care nurses.</p><p><strong>Methods: </strong>A descriptive cross-sectional study was conducted between December 2022 and February 2023, involving 300 nurses working in the intensive care units (ICUs) of a training and research hospital in Turkey. Data were collected using the \\\"Nurse Descriptive Information Form\\\" and the \\\"Missed Nursing Care (MISSCARE) Survey\\\". After data collection, post hoc calculations were performed to assess the theoretical power of the study. With an effect size of 0.50, α error set at 0.05, β error at 0.05, and a sample size of 300, the power of the study was calculated to be 0.95. Data analyses included the Kruskal-Wallis and Mann-Whitney U tests.</p><p><strong>Results: </strong>The mean age of the ICU nurses was 31.65 ± 6.81 years; 65.8% were female, and 86.3% held a bachelor's degree. Missed nursing care was significantly more frequent among nurses who lacked awareness of the concept (U = 9711.50, p = 0.040), perceived insufficient management support (KW = 10.950, p = 0.040), or were considering leaving the ICU (U = 8492.50, p = 0.024). Gender (U = 8350.50, p = 0.014) and education level (KW = 7.84, p = 0.049) were associated with missed care.</p><p><strong>Conclusion: </strong>Missed nursing care negatively impacts the quality and cost of healthcare. Interventions targeting organisational support and staff education may help reduce its prevalence in the future.</p>\",\"PeriodicalId\":48171,\"journal\":{\"name\":\"Scandinavian Journal of Caring Sciences\",\"volume\":\"39 3\",\"pages\":\"e70119\"},\"PeriodicalIF\":1.8000,\"publicationDate\":\"2025-09-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Scandinavian Journal of Caring Sciences\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1111/scs.70119\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Scandinavian Journal of Caring Sciences","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1111/scs.70119","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0
摘要
目的：探讨重症监护护士护理缺失的程度及原因。方法：在2022年12月至2023年2月期间进行了一项描述性横断面研究，涉及土耳其一家培训和研究医院重症监护病房（icu）的300名护士。数据收集采用“护士描述性信息表”和“错过护理（MISSCARE）调查”。数据收集后，进行事后计算以评估研究的理论效力。假设效应量为0.50，α误差集为0.05，β误差集为0.05，样本量为300，则本研究的权数为0.95。数据分析包括Kruskal-Wallis和Mann-Whitney U测试。结果：ICU护士平均年龄为31.65±6.81岁；65.8%是女性，86.3%拥有学士学位。缺乏护理意识的护士（U = 9711.50, p = 0.040）、认为管理支持不足的护士（KW = 10.950, p = 0.040）和考虑离开ICU的护士（U = 8492.50, p = 0.024）错过护理的发生率明显更高。性别（U = 8350.50, p = 0.014）和教育程度（KW = 7.84, p = 0.049）与遗漏护理相关。结论：护理缺失对医疗保健质量和成本有负面影响。针对组织支持和员工教育的干预措施可能有助于减少其在未来的流行。
Missed Nursing Care Situations and Reasons: Intensive Care Nurses.
Aim: This study aimed to explore the level and reasons for missed nursing care by intensive care nurses.
Methods: A descriptive cross-sectional study was conducted between December 2022 and February 2023, involving 300 nurses working in the intensive care units (ICUs) of a training and research hospital in Turkey. Data were collected using the "Nurse Descriptive Information Form" and the "Missed Nursing Care (MISSCARE) Survey". After data collection, post hoc calculations were performed to assess the theoretical power of the study. With an effect size of 0.50, α error set at 0.05, β error at 0.05, and a sample size of 300, the power of the study was calculated to be 0.95. Data analyses included the Kruskal-Wallis and Mann-Whitney U tests.
Results: The mean age of the ICU nurses was 31.65 ± 6.81 years; 65.8% were female, and 86.3% held a bachelor's degree. Missed nursing care was significantly more frequent among nurses who lacked awareness of the concept (U = 9711.50, p = 0.040), perceived insufficient management support (KW = 10.950, p = 0.040), or were considering leaving the ICU (U = 8492.50, p = 0.024). Gender (U = 8350.50, p = 0.014) and education level (KW = 7.84, p = 0.049) were associated with missed care.
Conclusion: Missed nursing care negatively impacts the quality and cost of healthcare. Interventions targeting organisational support and staff education may help reduce its prevalence in the future.
期刊介绍：
Scandinavian Journal of Caring Sciences is an established quarterly, peer reviewed Journal with an outstanding international reputation. As the official publication of the Nordic College of Caring Science, the Journal shares their mission to contribute to the development and advancement of scientific knowledge on caring related to health, well-being, illness and the alleviation of human suffering. The emphasis is on research that has a patient, family and community focus and which promotes an interdisciplinary team approach. Of special interest are scholarly articles addressing and initiating dialogue on theoretical, empirical and methodological concerns related to critical issues. All articles are expected to demonstrate respect for human dignity and accountability to society. In addition to original research the Journal also publishes reviews, meta-syntheses and meta-analyses.
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