Frequency, reasons, correlates and predictors of missed nursing care in Turkey: A multi-hospital cross-sectional study

Taşkıran Eskici G., Baykal U.

INTERNATIONAL JOURNAL OF NURSING PRACTICE, cilt.28, sa.5, 2022 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 28 Sayı: 5
  • Basım Tarihi: 2022
  • Doi Numarası: 10.1111/ijn.13050
  • Dergi Adı: INTERNATIONAL JOURNAL OF NURSING PRACTICE
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Social Sciences Citation Index (SSCI), Scopus, Academic Search Premier, ASSIA, CINAHL, EMBASE, MEDLINE, Psycinfo
  • Anahtar Kelimeler: hospital, missed care, nursing, patient safety, quality of care, teamwork, Turkey, LEFT UNDONE, STAFFING LEVELS, MEDICAL-CARE, TEAMWORK, QUALITY, SHIFTS, IMPACT, COUNTRIES, UNITS
  • Ondokuz Mayıs Üniversitesi Adresli: Evet

Özet

Aim We aimed to examine the frequency, reasons, correlates and predictors of missed nursing care in Turkey. Methods This descriptive and cross-sectional study sample consisted of 1310 nurses working in inpatient units of 10 public, university and private hospitals in Istanbul. Data were collected using the Nursing Teamwork Survey-Turkish and the MISSCARE Survey-Turkish between February and June 2019. Descriptive analysis, parametric comparative analysis, correlational analysis and regression analysis were used to analyse the data. Results The total occurrence of missed nursing care was 2.93 (on a scale of 1.00-4.00), which differed across 21 nursing care elements. The most frequently missed care was turning patients every 2 hours. Multiple regression analysis determined that nurses' tenure in the profession, patient-nurse ratio, days absent in the last 3 months and nursing teamwork significantly affected missed nursing care. Nursing teamwork alone accounted for 23.6% of the variance in missed nursing care. Conclusions The level of missed nursing care was found to be high, and labour resources issues were the most important reason. Nurse professionals should apply interventions to improve nurses' work environment factors such as patient-nurse ratio and nursing teamwork to reduce the incidence of missed nursing care.