Commonly missed nursing cares in the obstetrics and gynecologic wards of Tigray general hospitals; Northern Ethiopia
Autoři:
Mebrahtom Haftu aff001; Alem Girmay aff001; Martha Gebremeskel aff002; Gebrekiros Aregawi aff001; Dawit Gebregziabher aff001; Carmen Robles aff003
Působiště autorů:
School of Nursing, College of Health Science, Aksum University, Aksum, Tigray, Ethiopia
aff001; School of Nursing, College of Health Science, Mekelle University, Mekelle, Tigray, Ethiopia
aff002; Midwifery Department, College of Health Science, Mekelle University, Mekelle, Tigray, Ethiopia
aff003
Vyšlo v časopise:
PLoS ONE 14(12)
Kategorie:
Research Article
prolekare.web.journal.doi_sk:
https://doi.org/10.1371/journal.pone.0225814
Souhrn
Background
Missed nursing care is considered an error of omission and is defined as any aspect of required patient care that is omitted (either in part or whole) or significantly delayed. Nursing care missed in the perinatal setting can cause negative outcomes and repercussions for the quality and safety of care. This has been reported in multiple settings and countries and is tied to negative maternal outcomes. Preventing missed nursing care requires in-depth research considering the clinical setting.
Objective
The main aim of the study was to assess commonly missed nursing care elements, reasons, and factors for the omission in the obstetric and gynecologic units of general hospitals in Tigray 2017/18.
Methods and materials
A cross-sectional study was conducted in eight randomly selected general hospitals in Tigray, Ethiopia. A total of 422 nurses and midwives were selected through simple random sampling using the staff list as a sampling frame. To identify the commonly missed nursing care and related factors, the MISSCARE survey tool was used. Descriptive, bivariate, and multivariate logistic regression analysis was performed to assess potential risk factors of nursing cares omission.
Result
The study results showed that 299 (74.6%) participants commonly missed at least one nursing care in the perinatal setting. Labor resources 386(96.3%), teamwork 365(91%), material resources 361 (90%) and communication 342 (85.3%) were the reasons identified for commonly missing care. In the multivariate analyses, sex (p-value <0.001), educational level (p-value 0.034), working shift (p-value <0.001) and having an intention to leave the institution (p-value <0.001) showed a significant association with commonly missing care.
Conclusion
The proportion of commonly missed nursing care was high. After adjusting for demographic variables, labor resources, material resources, and communication were reasons for commonly missed nursing care. Increasing male professional proportion, investing in nurses/midwives training, and harmonizing nursing service administration through appropriate working shift arrangement and timely assessment of professionals’ stability and satisfaction could minimize frequent omission of nursing care.
Klíčová slova:
Obstetrics and gynecology – Nurses – Diagnostic medicine – Jobs – Educational attainment – Nursing science – Midwives – Nursing administration
Zdroje
1. Ball JE, Griffiths P, Rafferty AM, Lindqvist R, Murrells T, Tishelman C A cross-sectional study of ‘care left undone’ on nursing shifts in hospitals. Journal of Advanced Nursing 2016: 72: 2086–2097. doi: 10.1111/jan.12976 27095463
2. Kalisch BJ, Landstrom G, Hinshaw AS. Missed nursing care: A concept analysis. J Adv Nurs.2009;65(7):1509–17. doi: 10.1111/j.1365-2648.2009.05027.x 19456994
3. Kalisch BJ, Tschannen D, Lee KH. Do staffing levels predict missed nursing care?Int J Qual Health Care.2011;23(3):302–308 doi: 10.1093/intqhc/mzr009 21486856
4. Moreno-Monsiváis MG, Moreno-Rodríguez C, Interial Guzmán MGMissed Nursing Care in Hospitalized Patients. Aquichan.2015;15(3):318–28. doi: 10.5294/aqui.2015.15.3.2
5. Jones Terry L., Hamilton Patti, Murry Nicole. Unfinished nursing care, missed care, and implicitly rationed care: State of the science review International Journal of Nursing Studies 2015 52:1121–1137 https://doi.org/10.1016/j.ijnurstu.2015.02.012 25794946
6. Aiken LH, Clarke SP, Sloane DM, Sochalski J, Silber JH. Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction. JAMA.2002;288 (16):1987–1993. doi: 10.1001/jama.288.16.1987 12387650
7. Ball JE, Murrells T, Rafferty AM, Morrow E, Griffiths P. “Care left undone” during nursing shifts: associations with workload and perceived quality of care. BMJ Qual Saf.2013. doi: 10.1136/bmjqs-2012-001767 23898215
8. Hessels AJ, Flynn L, Cimiotti JP, Cadmus E, Gershon RR. The Impact of the Nursing Practice Environment on Missed Nursing Care, J Clin Nurs Stud, 20153(4): 60–65. doi: 10.5430/cns.v3n4p60 27547768
9. Kalisch BJ, Williams RA. Development and psychometric testing of a tool to measure missed nursing care. J Nurs Admin.2009;39(5):211–9. doi: 10.1097/NNA.0b013e3181a23cf5 19423986
10. Kalisch B., Tschannen D., Lee H., & Friese C. R. Hospital variation in missed nursing care. American Journal of Medical Quality,2011 26, 291–299. https://doi.org/10.1177/1062860610395929 21642601
11. Tschannen D, Kalisch BJ, Lee KH. Missed nursing care: the impact on intention to leave and turnover, Can J Nurs Res 201042(4):22–39.
12. Kebede M, Endris Y, Zegeye DT. Nursing care documentation practice: The unfinished task of nursing care in the University of Gondar Hospital 2016 https://doi.org/10.1080/17538157.2016.1252766
13. WenZhang Yi-LanLiu. Demonstration of caring by males in clinical practice: A literature review, International Journal of Nursing Sciences 2016: 3(3), 323–327
14. Evans J.A. Cautious caregivers: gender stereotypes and the sexualization of men nurses' touch J Adv Nurs, 2002 40 (4)441–448 doi: 10.1046/j.1365-2648.2002.02392.x 12421403
15. Patterson B.J, Morin K.H. Perceptions of the maternal-child clinical rotation: the male student nurse experience J Nur Educ, 2002 41 (6)266–272
16. Paterson B.L. Tschikota S Crawford M. Saydak M., Venkatesh P, Aronowitz T. Learning to care: gender issues for male nursing students Can J Nurs Res, 1996 28(1):25–39. 8717794
17. Recio-Saucedo A, Dll’Ora C, Maruotti A, Ball J, Briggs J, Meredith P, et al. What impact does nursing care left undone have on patient outcomes? Review of the literature, JCN, 201827 2248–2259. https://doi.org/10.1111/jocn.14058 28859254
18. Chaka B. Adult patient satisfaction with nursing care in. Addis Ababa hospitals: 2005 16 (4): pp.337–44.
19. Haftom «Improving the implementation of nursing care process»: Mekelle Hospital, Ethiopia. 2013
20. Melesse B: Patient waiting time and its determinants in the general outpatient department»: Debremarkos and Felegehiywot Referral Hospitals; Amhara regional state, North west, Ethiopia.2015.
21. Mulugeta H, Wagnew F, Dessie G, Biresaw H, Habtewold TD. Patient satisfaction with nursing care in Ethiopia: a systematic review and meta-analysis. BMC Nursing.2019;18. doi: 10.1186/s12912-0348-9
22. FMOH. Ethiopian Health and health-related indicators Version 1. Addis Ababa Ethiopia: Federal Ministry of health; 2015September 2016.
23. Kelly L. Vincent D. The dimensions of nursing surveillance: a concept analysis. J Adv Nurs.2011;67(3):652–61. doi: 10.1111/j.1365-2648.2010.05525.x 21129007
24. Watson R. Lea A. The caring dimensions inventory (CDI): content validity, reliability and scaling J Adv Nurs, 1997,25(1): 87–94. doi: 10.1046/j.1365-2648.1997.1997025087.x 9004015
25. Kalisch BJ, Lee KH. Missed nursing care: Magnet versus non-Magnet hospitals. J Nurs Outlook.2012;60(5):32–9. doi: 10.1016/j.outlook.2012.04.006 22824471
26. Carter D. Nursing care left undone in European hospitals. Am J Nurs.2014;114(2)17. doi: 10.1097/01.NAJ.0000443762.89516.81 24481353
27. Cheng M-L, Tseng Ying-Hua, Hodges E, Chou F-H. Lived Experiences of Novice Male Nurses in Taiwan. Journal of Transcultural Nursing.2018;29(1):46–53. doi: 10.1177/1043659616676318 27815552
Článok vyšiel v časopise
PLOS One
2019 Číslo 12
- Metamizol jako analgetikum první volby: kdy, pro koho, jak a proč?
- Nejasný stín na plicích – kazuistika
- Masturbační chování žen v ČR − dotazníková studie
- Úspěšná resuscitativní thorakotomie v přednemocniční neodkladné péči
- Fixní kombinace paracetamol/kodein nabízí synergické analgetické účinky
Najčítanejšie v tomto čísle
- Methylsulfonylmethane increases osteogenesis and regulates the mineralization of the matrix by transglutaminase 2 in SHED cells
- Oregano powder reduces Streptococcus and increases SCFA concentration in a mixed bacterial culture assay
- The characteristic of patulous eustachian tube patients diagnosed by the JOS diagnostic criteria
- Parametric CAD modeling for open source scientific hardware: Comparing OpenSCAD and FreeCAD Python scripts