Missed nursing care and its contributing factors in different domains at tertiary care hospitals, Karachi.

IF 0.8 4区医学 Q3 MEDICINE, GENERAL & INTERNAL Journal of the Pakistan Medical Association Pub Date : 2025-02-01 DOI:10.47391/JPMA.20048

Tariq Aziz, Amjad Ali, Arshad Nawaz

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Abstract

Objective: To assess the frequency, types and contributing factors of missed nursing care among registered nurses in a tertiary care setting.

Methods: The analytical cross-sectional study was conducted from May to November 2022 at the Dow University Hospital, Karachi, and Dr Ruth Katherina Martha Pfau Civil Hospital, Karachi, and comprised nurses registered with the Pakistan Nursing and Midwifery Council. Data was collected using a validated tool. Data was analysed using SPSS 23.

Results: Of the 232 nurses, 127(54.7%) were males, 105(45.3%) were females, 123(53%) were aged 30-39 years, and 73(31.5%) had work experience of 1-5 years. Nursing care components neglected by the nurses were patient bathing 127(54.7%), attending care conference 108(46.6%) and focussed reassessment 100(43.1%). Factors responsible for missed care were manpower resources identified by 152(65.5%) nurses, material resources by 141(60.8%), and communication factors identified by 84(36.2%).

Conclusions: Various nursing care components were found missing during patient hospitalisation. Major reason for missed care was identified by the nurses as lack of manpower resources.

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卡拉奇三级护理医院不同领域的护理缺失及其影响因素。

目的：了解三级医疗机构注册护士护理缺失的频率、类型及影响因素。方法：分析性横断面研究于2022年5月至11月在卡拉奇陶氏大学医院和卡拉奇Ruth katherine Martha Pfau民用医院进行，研究人员包括在巴基斯坦护理和助产委员会注册的护士。使用经过验证的工具收集数据。数据采用SPSS 23进行分析。结果：232名护士中，男性127人（54.7%），女性105人（45.3%），年龄30 ~ 39岁123人（53%），工作年限1 ~ 5年73人（31.5%）。护士忽视的护理内容为患者洗澡127项（54.7%）、参加护理会议108项（46.6%）和集中再评估100项（43.1%）。造成错过护理的因素为人力资源152人（65.5%），物质资源141人（60.8%），沟通因素84人（36.2%）。结论：患者住院过程中存在多种护理要素缺失。护士认为遗漏护理的主要原因是人力资源不足。

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来源期刊

Journal of the Pakistan Medical Association Medicine-General Medicine

CiteScore

1.10

自引率

11.10%

发文量

983

审稿时长

3-6 weeks

期刊介绍： Primarily being a medical journal, JPMA publishes scholarly research focusing on the various fields in the areas of health and medical education. It publishes original research describing recent advances in health particularly clinical studies, clinical trials, assessments of pathogens of diagnostic importance, medical genetics and epidemiological studies. Review articles highlighting importance of various issues in the domain of public health, drug research and medical education are also accepted. As a leading journal of South Asia, JPMA remains cognizant of the recent advances in the rapidly growing fields of biomedical sciences, it invites and encourages scholars to write short reviews and invited editorials on the emerging issues. We particularly aim to promote health standards of developing countries by encouraging manuscript submissions on issues affecting the public health and health delivery services.