دورية أكاديمية
أعرض في EDS

Evaluation of nurse-reported missed care in a post-anesthesia care unit: A mixed-methods study.

التفاصيل البيبلوغرافية
العنوان: Evaluation of nurse-reported missed care in a post-anesthesia care unit: A mixed-methods study.
المؤلفون: Heng LMT; Division of Nursing, Singapore General Hospital, Singapore., Rajasegeran DD; Division of Nursing, Singapore General Hospital, Singapore., Lim SH; Division of Nursing, Singapore General Hospital, Singapore.
المصدر: Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing [J Nurs Scholarsh] 2024 Jul; Vol. 56 (4), pp. 542-553. Date of Electronic Publication: 2024 Apr 16.
نوع المنشور: Journal Article; Review
اللغة: English
بيانات الدورية: Publisher: Wiley Country of Publication: United States NLM ID: 100911591 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1547-5069 (Electronic) Linking ISSN: 15276546 NLM ISO Abbreviation: J Nurs Scholarsh Subsets: MEDLINE
أسماء مطبوعة: Publication: Hoboken, NJ : Wiley
Original Publication: Indianapolis, IN : Sigma Theta Tau International, 2000-
مواضيع طبية MeSH: Workload*/statistics & numerical data , Workload*/psychology, Humans ; Cross-Sectional Studies ; Female ; Male ; Adult ; Middle Aged ; Nursing Staff, Hospital/psychology ; Nursing Staff, Hospital/statistics & numerical data ; Surveys and Questionnaires ; Postanesthesia Nursing
مستخلص: Background: Nurse-reported missed care (NRMC) is considered as any significant delay or omission in provision of nursing care.
Aim: (i) Evaluate the frequency, types, and reasons for NRMC in the Post-anesthesia Care Unit (PACU). (ii) Evaluate associations between nurse demographic and workload factors with NRMC. (iii) Explore nurses' perception of NRMC in the PACU.
Methods: A cross-sectional study was conducted in the PACU in a tertiary acute care hospital over 3 months. Full-time PACU nurses were conveniently sampled to complete an anonymous survey after their daily shift over different shifts. It contained three sections: (i) nurse demographics; (ii) elements of NRMC; and (iii) reasons for NRMC. Qualitative interviews employed a semi-structured guide to explore perceptions and experiences of NRMC. Descriptive, inferential statistics, and thematic analyses were applied.
Results: Sixty-six survey responses were collected. 48.5% of respondents indicated at least one NRMC activity. Activities more clinically sensitive were less missed. Eight nurses were interviewed. Four main themes were identified: (i) communication with patients; (ii) communication and teamwork with colleagues; (iii) dual role of documentation; and (iv) staffing inadequacy. Language barriers made communication challenging. Staff shortage exacerbates workload but effective teamwork and documentation facilitates nursing care.
Conclusion: Communication and staffing concerns aggravate NRMC. Teamwork and personal contentment were satisfactory. Nurses' turnover intention may worsen staffing.
Clinical Relevance: Timeliness and quality of nursing care is impacted by elements such as manpower, allocation of resources, work processes, and workplace environmental or interpersonal factors such as culture and language fit. Re-evaluation of nursing resources and work processes may assist post-anesthesia care unit nurses in fulfilling their role, decreasing the prevalence of nurse-reported missed care.
(© 2024 Sigma Theta Tau International.)
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فهرسة مساهمة: Keywords: acute care; missed care; nurse; post‐anesthesia
تواريخ الأحداث: Date Created: 20240417 Date Completed: 20240630 Latest Revision: 20240630
رمز التحديث: 20240701
DOI: 10.1111/jnu.12975
PMID: 38627908
قاعدة البيانات: MEDLINE
الوصف
تدمد:1547-5069
DOI:10.1111/jnu.12975