Missed nursing care in the COVID-19 pandemic in Iran

IF 1.4 4区医学 Q3 NURSING International Journal of Nursing Knowledge Pub Date : 2022-08-27 DOI:10.1111/2047-3095.12390

Zeinab Hosseini MSc, Leila Raisi Phd, Amir Hossein Maghari MSc, Mansoureh Karimollahi Phd

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引用次数: 3

Abstract

Background

Quality of care is one of the most critical issues in nursing care today. Moreover, all health care employees are responsible for providing support and high-quality, safe care. However, nurses caring for COVID-19 patients face problems such as unfamiliar work environments, exposure to the disease, lack of experience in their new positions, and close public and media attention. This study aimed to investigate missed nursing care and the reasons for missed nursing care during the coronavirus disease 2019 (COVID-19) pandemic in Iran.

Methods

This cross-sectional study included 135 nurses working in COVID-19 units. Data were collected using the MISSCARE Survey. The significance level for the statistical tests was set at p < 0.05.

Results

Most of the participants were women and had a bachelor's degree in nursing. There was a lack of supportive and necessary care more than any other form of care. According to nurses, the most common reasons for missed care were urgent patient situations, inadequate staff, and an unexpected rise in patient volume and/or patient acuity on the unit.

Conclusion

Generally, the results showed that being positioned in a new situation and unfamiliarity with the disease had a significant impact—among nurses—on the amount of care provided. Managers can use this information to solve existing missed-nursing-care problems and contribute to improving the quality of care.

These results can be helpful in controlling missed nursing care and finding a more optimal solution for this problem; thus, we can improve the quality of care delivery and increase the satisfaction of nurses and patients. Additionally, an understanding of the kind of missing nursing care during a pandemic can positively enhance the management of similar situations in the future.

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伊朗COVID-19大流行期间的护理缺失

护理质量是当今护理中最关键的问题之一。此外，所有卫生保健工作人员都有责任提供支持和高质量、安全的护理。然而，护理COVID-19患者的护士面临着工作环境不熟悉、接触疾病、缺乏新岗位经验、公众和媒体密切关注等问题。本研究旨在调查伊朗2019冠状病毒病(COVID-19)大流行期间的护理缺失及护理缺失的原因。方法对135名在COVID-19病房工作的护士进行横断面研究。使用MISSCARE调查收集数据。统计学检验的显著性水平设为p <0.05. 结果大多数参与者为女性，具有护理学士学位。缺乏支持性和必要的护理比任何其他形式的护理都要严重。根据护士的说法，错过护理的最常见原因是患者情况紧急，工作人员不足，以及病房患者数量和/或患者视力的意外增加。结论总体而言，处于新环境和不熟悉疾病对护士提供的护理量有显著影响。管理人员可以利用这些信息来解决现有的护理缺失问题，并有助于提高护理质量。这些结果可以帮助控制护理遗漏，并为这一问题找到更优的解决方案;从而提高护理质量，提高护患满意度。此外，了解大流行期间缺失的护理类型可以积极加强对未来类似情况的管理。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Nursing Knowledge NURSING-

CiteScore

2.90

自引率

14.30%

发文量

审稿时长

>12 weeks

期刊介绍： The International Journal of Nursing Knowledge, the official journal of NANDA International, is a peer-reviewed publication for key professionals committed to discovering, understanding and disseminating nursing knowledge. The Journal aims to clarify the knowledge base of nursing and improve patient safety by developing and disseminating nursing diagnoses and standardized nursing languages, and promoting their clinical use. It seeks to encourage education in clinical reasoning, diagnosis, and assessment and ensure global consistency in conceptual languages. The International Journal of Nursing Knowledge is an essential information resource for healthcare professionals concerned with developing nursing knowledge and /or clinical applications of standardized nursing languages in nursing research, education, practice, and policy. The Journal accepts papers which contribute significantly to international nursing knowledge, including concept analyses, original and applied research, review articles and international and historical perspectives, and welcomes articles discussing clinical challenges and guidelines, education initiatives, and policy initiatives.