Examining Forgotten Nursing Care and Its Related Elements from the Standpoint of Nurses Working in 4 Teaching Hospitals of Kurdistan University of Medical Sciences Since the Coronavirus Epidemic

Document Type : Original Article

Author

Student Research Committee, Kurdistan University of Medical Sciences, Sanandaj, Iran

Abstract

Introduction:
Due to the effect of COVID-19 on nursing care, the methods of communication with patients have changed and ultimately caused nursing care to be postponed or even removed. According to the decrease in COVID-19 patients, the effect of the pandemic has remained in the hospitals, which expressed the necessity of doing this study.
 
Materials and Methods:
350 nurses from four teaching hospitals of the Medical Sciences University of Kurdistan participated in this cross-sectional (descriptive) study using random sampling. Two questionnaires were used: one for missed nursing care and the other for factors associated with missed nursing care. The independent t-test, one-way analysis, and chi-square test were employed in the data analysis using SPSS software version 16.
 Results:
For missed nursing care in general, the study's score was 40.60. The patient's cooperation and supervision when using the restroom within the first 15 minutes of the request received a score of 2.39, whereas the patient's blood sugar management using a glucometer received a score of 1.24. Additionally, "lack of nursing staff" (score of 3.84) is the most significant instance in examining factors connected with missing nursing care from the perspective of the nurses.
Conclusion:
Given that the primary cause linked to nursing service gaps is a shortage of nurses, addressing this issue by providing human resources can help.

Keywords

Main Subjects


  1. rooddehghann z. Causes of Missed Nursing Care in emergency departments in selected hospitals of Tehran University of Medical Sciences: A Descriptive Study in Iran. Iranian Journal of Nursing Research. 2021;16(4):50-60. (In Persian)
  2. Khajooee R, Bagherian B, Dehghan M, AZIZZADEH FM. Missed nursing care and its related factors from the points of view of nurses affiliated to Kerman University of Medical Sciences in 2017. 2019. (In Persian)
  3. Sharma AE, Yang J, Del Rosario JB, Hoskote M, Rivadeneira NA, Council SRA, et al. What safety events are reported for ambulatory care? Analysis of incident reports from a Patient Safety Organization. The Joint Commission Journal on Quality and Patient Safety. 2021;47(1):5-14.
  4. Kalisch BJ. Missed nursing care: a qualitative study. Journal of nursing care quality. 2006; 21(4): 306-13.
  5. Nymark C, von Vogelsang AC, Falk AC, Göransson KE. Patient safety, quality of care and missed nursing care at a cardiology department during the COVID‐19 outbreak. Nursing Open. 2022;9(1):385-93.
  6. Kalisch BJ, Landstrom GL, Hinshaw AS. Missed nursing care: a concept analysis. Journal of advanced nursing. 2009;65(7):1509-17.
  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 quality & safety. 2014;23(2):116-25.
  8. Hagshenas Mojaveri M, Sohrabi F, Aziznejad Roshan P, Hajiahmadi M. Audit nursing reports in intubated neonates admitted in neonatal intensive care unit of Ayatollah Rouhani Hospital, Babol, Caspian Journal of Pediatrics. 2017;3(1):183-8. (In Persian)
  9. Griffiths P, Recio‐Saucedo A, Dall'Ora C, Briggs J, Maruotti A, Meredith P, et al. The association between nurse staffing and omissions in nursing care: a systematic review. Journal of advanced nursing. 2018;74(7):1474-87.
  10. Chaboyer W, Harbeck E, Lee BO, Grealish L. Missed nursing care: An overview of reviews. The Kaohsiung Journal of Medical Sciences. 2021;37(2):82-91.
  11. Kalisch BJ, Tschannen D, Lee H, Friese CR. Hospital variation in missed nursing care. American Journal of Medical Quality. 2011; 26(4): 291-9.
  12. Schubert M, Ausserhofer D, Bragadóttir H, Rochefort CM, Bruyneel L, Stemmer R, et al. Interventions to prevent or reduce rationing or missed nursing care: A scoping review. Journal of advanced nursing. 2021;77(2):550-64.
  13. Catton H. Nursing and health policy perspectives 2020–a year to remember or one to forget? International nursing review. 2020; 67(4): 450-2.
  14. Cucinotta D, Vanelli M. WHO declares COVID-19 a pandemic. Acta Bio Medica: Atenei Parmensis. 2020; 91(1):157.
  15. Pessoa-Amorim G, Camm CF, Gajendragadkar P, De Maria GL, Arsac C, Laroche C, et al. Admission of patients with STEMI since the outbreak of the COVID-19 pandemic: a survey by the European Society of Cardiology. European Heart Journal - Quality of Care and Clinical Outcomes. 2020; 6(3): 210-6.
  16. Ahlsson A. Why change? Lessons in leadership from the COVID-19 pandemic. Oxford University Press; 2020.
  17. Nymark C, von Vogelsang AC, Falk AC, Göransson KE. Patient safety, quality of care and missed nursing care at a cardiology department during the COVID‐19 outbreak. Nursing Open. 2021.
  18. Danielis M, Mattiussi E. The care of patients through the lens of the fundamentals into times of the COVID-19 outbreak. Intensive & Critical Care Nursing. 2020;60:102883.
  19. Labrague LJ, de Los Santos JAA. Fear of Covid‐19, psychological distress, work satisfaction and turnover intention among frontline nurses. Journal of nursing management. 2021;29(3):395-403.
  20. Labrague LJ, de Los Santos JAA, Fronda DC. Factors associated with missed nursing care and nurse‐assessed quality of care during the COVID‐19 pandemic. Journal of Nursing Management. 2021.
  21. Blackman, I., Henderson, J., Willis, E., Hamilton, P., Toffoli, L., Verrall, C., ... & Harvey, C. (2015). Factors influencing why nursing care is missed. Journal of clinical nursing24(1-2), 47-56.
  22. Negarandeh R. Facing nursing shortage: a complex challenge. Hayat. 2015 Feb 10; 20(4):1-4. (In Persian)

 

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