疗养院护理缺失及其原因:系统回顾。

IF 1.7 3区 医学 Q3 HEALTH CARE SCIENCES & SERVICES
Simone Cosmai, Valentina Trezzi, Laura Mansi, Cristina Chiari, Maria Colleoni, Alessandra Valsecchi, Alberto Gibellato, Diego Lopane, Stefano Mancin, Beatrice Mazzoleni
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引用次数: 0

摘要

导读:护理缺失是指必要的护理活动,由于各种因素,没有提供,部分提供,或从计划的时间表延迟。错过护理(MNC)是养老院的一个重要问题,破坏护理质量,增加不良事件和可预防住院的风险。本系统综述旨在确定养老院护理人员最常报告的跨国公司及其相关原因。方法:按照《JBI证据合成手册》的指导方针,使用PRISMA ScR检查表进行综述。一次搜索产生了1468篇文章:85篇来自PubMed, 1115篇来自Scopus, 164篇来自Embase, 104篇来自CINAHL。筛选删除了1386个重复条目,确定了82篇可能相关的文章。经标题和摘要审查,72项因不相关被排除,最终纳入本综述的9项研究。研究选择定义了纳入标准,重点是涉及在养老院工作的注册护士的定量研究。结果:疗养院中最常被忽略的护理活动包括病人动员、协助喂养和个人卫生护理。确定的主要原因是人员短缺、患者护理高度复杂和可用资源有限。讨论:研究结果证实,养老院的跨国公司主要受组织和结构因素的影响,需要系统的方法来提高护理质量。有针对性的干预措施,如更好的资源规划、改进的人员管理和提高护士福利的措施,可以显著减少错过护理的发生率。未来的研究,特别是纵向研究,可能会为更有效地预防跨国行为提供进一步的见解,而为养老院开发特定的评估工具可以加强跨国行为的测量和支持有针对性的干预措施。
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 in Nursing Homes and Causes: A Systematic Review.

Introduction: Missed nursing care refers to necessary nursing care activities that, due to various factors, are either not provided, partially provided, or delayed from the planned schedule. Missed nursing care (MNC) is a significant issue in nursing homes, undermining care quality and increasing the risk of adverse events and preventable hospitalizations. This systematic review aims to identify the most frequently reported MNC by nursing staff in nursing homes and the associated causes.

Methods: The review was conducted following the guidelines of the "JBI Manual for Evidence Synthesis" and using the PRISMA ScR checklist. A search yielded 1468 articles: 85 from PubMed, 1115 from Scopus, 164 from Embase, and 104 from CINAHL. Screening removed 1386 duplicates, identifying 82 potentially relevant articles. After title and abstract review, 72 were excluded for irrelevance, resulting in 9 studies included in this review. Study selection defined inclusion criteria, focusing on quantitative studies involving registered nurses working in nursing homes.

Results: The most frequently omitted nursing care activities in nursing homes include patient mobilization, assistance with feeding, and personal hygiene care. Key causes identified were staff shortages, high patient care complexity, and limited resource availability.

Discussion: The findings confirm that MNC in nursing homes is primarily influenced by organizational and structural factors, requiring a systemic approach to improve care quality. Targeted interventions, such as better resource planning, improved staff management, and measures to enhance nurse well-being, could significantly reduce the incidence of missed care. Future research, particularly longitudinal studies, may provide further insights into more effective prevention of MNC, while the development of specific assessment tools for nursing homes could enhance MNC measurement and support targeted interventions.

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来源期刊
Journal of Patient Safety
Journal of Patient Safety HEALTH CARE SCIENCES & SERVICES-
CiteScore
4.60
自引率
13.60%
发文量
302
期刊介绍: Journal of Patient Safety (ISSN 1549-8417; online ISSN 1549-8425) is dedicated to presenting research advances and field applications in every area of patient safety. While Journal of Patient Safety has a research emphasis, it also publishes articles describing near-miss opportunities, system modifications that are barriers to error, and the impact of regulatory changes on healthcare delivery. This mix of research and real-world findings makes Journal of Patient Safety a valuable resource across the breadth of health professions and from bench to bedside.
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