Missing Fundamental Nursing Care: What's the Extent of Missed Oral Care? A Cross-Sectional Study.

IF 2.4 Q1 NURSING Nursing Reports Pub Date : 2024-12-23 DOI:10.3390/nursrep14040305

Chiara Gallione, Erika Bassi, Ines Basso, Chiara Airoldi, Michela Barisone, Antonella Molon, Gerardo Di Nardo, Cristina Torgano, Alberto Dal Molin

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Abstract

Background: The Fundamentals of Care framework emphasizes a patient-centered approach that prioritizes the nurse-patient relationship and care environment to meet patients' basic needs, including oral hygiene. Recognized as crucial for preventing systemic health problems, oral care neglect is a global concern. Studies identify missed oral care as a widespread issue, contributing to significant patient safety risks. This study aimed at measuring missed nursing care occurrence in a Northern Italian university hospital, exploring the association between missed oral care with nursing staff characteristics and oral care policies.

Methods: A single-center cross-sectional study was conducted according to the STROBE guidelines. Data collection was performed in May 2022 using the MISSCARE survey, a self-administered questionnaire sent by email to 473 nurses from all inpatient units. The degree of implementation of oral care policies was obtained by accessing the Facility Score Sheet data at the department level. Descriptive statistics, chi-square tests, and Fisher tests were conducted using SAS 9.4 and R software.

Results: Providing oral care was the third-most missed nursing care after rotating patients every two hours and walking them three times daily. The reasons for missed care included resource shortage and high patient turnover. The Facility Score Sheet data showed a low adoption of oral care policies. No significant associations were found between missed oral care and both nurses' characteristics and oral care policy at the department level.

Conclusions: The study confirms highly missed oral care in acute care settings, emphasizing the urgent need for systemic changes via an evidence-based oral care policy and practice implementation. This study was prospectively registered under protocol 293 CE 050/2022 (8 Aril 2022).

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基础护理缺失：口腔护理缺失程度如何？横断面研究。

背景：护理基础框架强调以患者为中心的方法，优先考虑护患关系和护理环境，以满足患者的基本需求，包括口腔卫生。口腔保健忽视被认为是预防全身性健康问题的关键，是一个全球关注的问题。研究表明，错过口腔护理是一个普遍存在的问题，对患者安全造成了重大风险。本研究旨在测量意大利北部某大学医院的口腔护理遗漏发生率，探讨口腔护理遗漏与护理人员特征和口腔护理政策之间的关系。方法：按照STROBE指南进行单中心横断面研究。数据收集于2022年5月使用MISSCARE调查进行，这是一份通过电子邮件向所有住院病房的473名护士发送的自我管理问卷。口腔护理政策的执行程度通过访问科室一级的设施计分表数据获得。采用SAS 9.4和R软件进行描述性统计、卡方检验和Fisher检验。结果：口腔护理是排在每两小时轮换一次病人和每天散步三次病人之后的第三大错过护理。错过护理的原因包括资源短缺和病人流失率高。设施计分表数据显示，口腔护理政策的采用率较低。未完成的口腔护理与护士特征和科室口腔护理政策之间无显著关联。结论：该研究证实了急性护理环境中高度缺失的口腔护理，强调了通过循证口腔护理政策和实践实施进行系统性改变的迫切需要。该研究按照293 CE 050/2022方案（2022年4月8日）前瞻性注册。

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来源期刊

Nursing Reports NURSING-

CiteScore

2.50

自引率

4.20%

发文量

期刊介绍： Nursing Reports is an open access, peer-reviewed, online-only journal that aims to influence the art and science of nursing by making rigorously conducted research accessible and understood to the full spectrum of practicing nurses, academics, educators and interested members of the public. The journal represents an exhilarating opportunity to make a unique and significant contribution to nursing and the wider community by addressing topics, theories and issues that concern the whole field of Nursing Science, including research, practice, policy and education. The primary intent of the journal is to present scientifically sound and influential empirical and theoretical studies, critical reviews and open debates to the global community of nurses. Short reports, opinions and insight into the plight of nurses the world-over will provide a voice for those of all cultures, governments and perspectives. The emphasis of Nursing Reports will be on ensuring that the highest quality of evidence and contribution is made available to the greatest number of nurses. Nursing Reports aims to make original, evidence-based, peer-reviewed research available to the global community of nurses and to interested members of the public. In addition, reviews of the literature, open debates on professional issues and short reports from around the world are invited to contribute to our vibrant and dynamic journal. All published work will adhere to the most stringent ethical standards and journalistic principles of fairness, worth and credibility. Our journal publishes Editorials, Original Articles, Review articles, Critical Debates, Short Reports from Around the Globe and Letters to the Editor.