Karşılanamayan Hemşirelik Bakımı ve Advers Olaylar

Abstract

Karşılanamayan hemşirelik bakımı “gereksinim duyulan hasta bakımının (kısmen veya tamamen) gecikmesi/ertelenmesi ya da ihmal edilmesi” olarak tanımlanır. Bakım sürecinin herhangi bir aşamasında karşımıza çıkan karşılanamayan hemşirelik bakımı kasıtlı olarak yapılan eylem veya eylemsizlikten değil, hemşirenin klinik öncelik belirleme biçimi olarak dolaylı yoldan kısıtlamanın bir sonucudur. Karşılanamayan hemşirelik bakımı önlenebilir advers olaylarla ilişkilendirilmiştir ve hasta güvenliğini olumsuz etkilemektedir. İhmal hataları hastalar için daha ciddi sorunlara neden olsa da literatürde daha çok order/görev hataları üzerinde durulmuştur. Bu derleme, Karşılanamayan Hemşirelik Bakımı Modeli çerçevesinde karşılanamayan hemşirelik bakımı kavramı, nedenleri, hasta sonuçları ve hemşirelik üzerine etkileri, karşılanamayan hemşirelik bakımı ve advers olayların önlenmesini gözden geçirmeyi amaçlamaktadır.

Keywords

• Advers Olay
• Hasta
• Hemşire
• İhmal Hatası
• Karşılanamayan Hemşirelik Bakımı

Supporting Institution

Destekleyen kurum bulunmamaktadır.

Ethical Statement

"Karşılanamayan Hemşirelik Bakımı ve Advers Olaylar” adlı bu çalışma bir derleme makalesi olduğu için etik kurula başvurulmamıştır.

Missed Nursing Care and Adverse Events

Abstract

Missed nursing care is defined as “the delay/delay or omission of necessary patient care (partially or completely).” Missed nursing care encountered at any stage of the care continuum is not a result of intentional action or inaction, but rather a result of indirect restriction as a form of clinical priority setting by the nurse. Missed nursing care has been associated with preventable adverse events and negatively impacts patient safety. Although errors of omission lead to more serious problems for patients, the literature has focused more on order/commission errors. This review aims to examine the concept of missed nursing care, its causes, patient outcomes and effects on nursing, and the prevention of adverse events, within the framework of the Missed Nursing Care Model.

Keywords

• Adverse Event
• Patient
• Nurse
• Error of Omission
• Missed Nursing Care

References

1. Kalisch BJ, Landstrom G, Williams RA. Missed Nursing Care: Errors of Omission. Nursing Out-look. 2009b; 57(1): 3-9.
2. Jones T, Hamilton P, Murry N. Unfinished Nurs¬ing Care, Missed Care, and İmplicitly Rationed Care: State of the Science Review. International Journal of Nursing Studies. 2015; 52(6): 1121- 1137.
3. Zencir G, Eşer İ. Hemşirelikte Yeni Bir Kavram: Karşılanamayan Hemşirelik Bakımı. Ege Üniver-sitesi Hemşirelik Fakültesi Dergisi. 2015; 31(1): 83-94.
4. Lake E, Germack H, Viscardi M. Missed Nurs¬ing Care İs Linked to Patient Satisfaction: A Cross-Sectional Study of US Hospitals. BMJ Quality & Safety. 2016; 25(7): 535-543.
5. Alfuqaha O, Alhalaiqa F, Alqurneh M, Ayed A. Missed Nursing Care Before and During the COVID-19 Pandemic: A Comparative Cross-Sectional Study. International Nursing Review. 2023; 70(1): 100-110.
6. Kalisch BJ, Landström G, Hinshaw A. Missed Nursing Care: A Concept Analysis. Journal of Advanced Nursing. 2009a; 65(7): 1509-1517.
7. Kalisch BJ, Williams RA. Development and Psy¬chometric Testing of a Tool to Measure Missed Nursing Care. JONA: The Journal of Nursing Administration. 2009; 39(5): 211-219.
8. Güleşen, G. Hemşirelik bakımında önemli bir kavram: karşılanamayan hemşirelik bakımı ve nedenleri. Türkiye Sağlık Bilimleri ve Araştırma¬ları Dergisi. 2022; 5(1): 42-49.

9. Kalisch BJ, Tschannen D, Lee H, Friese C. Hos¬pital Variation in Missed Nursing Care. Amer¬ican Journal of Medical Quality. 2011b; 26(4): 291-299.
10. Kalisch BJ, Xie B, Dabney B. Patient-Reported Missed Nursing Care Correlated With Adverse Events. American Journal of Medical Quality. 2014; 29(5): 415-422.
11. Kalisch BJ. Missed Nursing Care: A Qualitative Study. Journal of Nursing Care Quality. 2006; 21(4): 306-313.
12. Kartal H, Çamlıca T, Özkan A. Yoğun Bakımlarda Karşılanmayan Hemşirelik Bakımı ve Etkileyen Etmenlerin İncelenmesi. Sağlık ve Hemşirelik Yönetimi Dergisi. 2022; 9(2): 322-333.
13. Bagnasco A, Dasso N, Rossi S, Timmins F, Aleo G, Catania G, Zanini M, Sasso L. Missed care in children’s nursing-An emergent concern. Jour¬nal of Advanced Nursing. 2019; 75(5): 921-923.
14. Mandal L, Seethalakshmi A, Rajendrababu A. Rationing of Nursing Care, A Deviation From Holistic Nursing: A Systematic Review. Nursing Philosophy. 2020; 21(1): e12257.
15. Jackson D. Missed Nursing Care, Low Value Activities and Cultures of Busyness. Journal of Advanced Nursing. 2023; 79(12): 4428-4430.
16. Sochalski J. Is More Better? The Relationship Between Nurse Staffing and the Quality of Nursing Care in Hospitals. Medical Care. 2004; 42(2): 1167-1173.
17. Schubert M, Cam T, Clarke S, Aiken L, Schaf¬fert-Witvliet B, Sloane D, De Geest S. Rationing of Nursing Care and İts Relationship to Patient Outcomes: The Swiss Extension of the Interna-tional Hospital Outcomes Study. International Journal for Quality in Health Care. 2008; 20(4): 227-237.
18. Lucero R, Lake E, Aiken L. Variations in Nursing Care Quality Across Hospitals. Journal of Ad-vanced Nursing. 2009; 65(11): 2299-2310.
19. Kalisch BJ, Tschannen D, Lee K. Do Staffing Levels Predict Missed Nursing Care? Interna¬tional Journal for Quality in Health Care. 2011a; 23(3): 302-308.
20. Blackmann I, Henderson J, Willis E, Hamilton P, Toffoli L, Verrall C, Abery E, Harvey C. Factors İnfluencing Why Nursing Care İs Missed. Jour¬nal of Clinical Nursing. 2015; 24(1-2): 47-56.
21. Arslan G, Özden D, Göktuna G, Ertuğrul B. Missed Nursing Care and İts Relationship with Perceived Ethical Leadership. Nursing Ethics. 2022; 29(1): 35-48.
22. Kalisch BJ, Terzioğlu F, Duygulu S. The MISS¬CARE Survey-Turkish: Psychometric Properties and Findings. Nursing Economics. 2012; 30(1): 29.
23. Cho SH, Mark B, Knafl GC, Yoon HJ. Relation¬ships Between Nurse Staffing and Patients’ Ex-periences, and the Mediating Effects of Missed Nursing Care. Journal of Nursing Scholarship. 2017; 49(3): 347-355.
24. Moreno-Monsiváis M, Moreno-Rodríguez C, In¬terial-Guzmán M. Missed Nursing Care in Hos-pitalized Patirnts. Aquichan. 2015; 15(3): 318- 328.
25. Friese C, Kalisch B, Lee K. Patterns and Cor¬relates of Missed Nursing Care in İnpatient Oncology Units. Canser Nursing. 2013; 36(6): E51-E57.
26. Kim KJ, Yoo A, Seo E. Exploring the İnfluence of Nursing Work Environment and Patient Safety Culture on Missed Nursing Care in Korea. Asian Nursing Research. 2018; 12(2): 121-126.
27. Rabin E, Silva CND, De Souza AB, Lora PS, Vie¬gas K. Application of the MISSCARE Scale in an Oncology Service: A Contribution to Patient Safety. Revista da Escola de Enfermagem da USP. 2019; 53: e03513.
28. Cho SH, Lee JY, You SJ, Song KJ, Hong KJ. Nurse Staffing, Nurses Prioritization, Missed Care, Quality of Nursing Care, and Nurse Out¬comes. International Journal of Nursing Prac¬tice. 2020; 26(1): e12803.
29. Dutra C, Guirardello E. Nurse Work Environment and İts İmpact on Reasons for Missed Care, Safety Climate, and Job Satisfaction: A Cross‐ Sectional Study. Journal of Advanced Nursing. 2021; 77(5): 2398-2406.
30. Moustafa Abdallah Elpasiony N, Gouda Ahmed Abd-Elmoghith N. The Impact of Nursing Work Environment and Patient Safety Culture on Missed Nursing Care at Medical and Surgical Departments. International Egyptian Journal of Nursing Sciences and Research. 2023; 3(2): 582-599.
31. İlaslan N, Şişman N. Bir Üniversite Hastane¬sinde Hemşirelerin Karşılanmayan Hemşire¬lik Bakım Gereksinimi Miktarı ve Nedenlerine Yönelik Değerlendirmeler. Çukurova Medical Journal. 2019; 44(4): 1226-1236.
32. Çimen A, Aslan M. Missed Nursing Care in Pub¬lic Hospitals. International Journal of Caring Sciences. 2021; 14(3): 1890-1899.
33. Bacaksız F, Alan H, Eskici G. A Cross-Sectional Study of the Determinants of Missed Nursing Care in the Private Sector: Hospital/Unit/Staff Characteristics, Professional Quality of Life and Work Alienation. Journal of Nursing Man¬agement. 2020; 28(8): 1975-1985.
34. Özdelikara A, Yaman E. Pandemi Sürecinde Çalışan Hemşirelerin Sağlık Kaygısı ve Karşılan-mayan Hemşirelik Bakım Gereksinimlerinin Belirlenmesi. Samsun Sağlık Bilimleri Dergisi. 2021; 6(2): 383-399.
35. Eskici G, Baysal Ü. Frequency, Reasons, Cor¬relates and Predictors of Missed Nursing Care in Turkey: A Multi-hospital Cross-sectional Study. İnternational Journal of Nursing Prac¬tice. 2022; 28(5): e13050.
36. Ortiz-Barrios M, Herrera-Fontalvo Z, Rúa-Muñoz J, Ojeda-Gutiérrez S, De Felice F, Petrillo A. An Integrated Approach to Evaluate the Risk of Adverse Events in Hospital Sector: From The¬ory to Practice. Management Decision. 2018; 56(10): 2187-2224.
37. Al-Mugheed K, Bayraktar N, Al-Bsheish M, Al¬Syouf A, Jarrar M, AlBaker W, Aldhmadi B. Patient Safety Attitudes among Doctors and Nurses: Associations with Workload, Adverse Events, Experience. Healthcare. 2022; 10(4): 631.
38. Halfon P, Staines A, Burnand B. Adverse Events Related to Hospital Care: A Retrospective Med-ical Records Review in a Swiss Hospital. In¬ternational Journal for Quality in Health Care. 2017; 29(4): 527-533.
39. Adamuz J, Juvé-Udina ME, González-Samar¬tino M, Jiménez-Martínez E, Tapia-Pérez M, López-Jiménez MM, Romero-Garcia M, Delga¬do-Hito P. Care Complexity Individual Factors Associated with Adverse Events and in-Hospi¬tal Mortality. PLoS One. 2020; 15(7): e0236370.
40. Beiboer C, Andela R, Hafsteinsdóttir T, Wel¬dam S, Holtrop T, Van der Cingel M. Teamwork, Clinical Leadership Skills and Environmental Factors That İnfluence Missed Nursing Care-A Qualitative Study on Hospital Wards. Nurse Ed¬ucation in Practice. 2023; 68: 1-7.
41. Kalánková D, Kirwan M, Bartoníčková D, Cubelo F, Žiaková K, Kurucová R. Missed, Rationed or Unfinished Nursing Care: A Scoping Review of Patient Outcomes. Journal of Nursing Man-agement. 2020; 28(8): 1783-1797.
42. Schwendimann R, Blatter C, Dhaini S, Simon M, Ausserhofer D. The Occurrence, Types, Conse-quences and Preventability of in-Hospital Ad¬verse Events – A Scoping Review. BMC Health Services Research. 2018; 18(1): 1-13.
43. Sauro K, Machan M, Whalen-Browne L, Owen V, Wu G, Stelfox H. Evolving Factors in Hospital Safety: A Systematic Review and Meta-Analy¬sis of Hospital Adverse Events. Journal of Pa¬tient Safety. 2021; 17(8): e1284-e1295.
44. Sönmez B, İspir Ö, Türkmen B, Duygulu S, Yıldırım A. The Reliability and Validity of the Turkish Version of the MISSCARE Survey-Pa¬tient. Journal of Nursing Management. 2020; 28(8): 2072-2080.
45. Kakemam E, Gharaee H, Rajabi M, Nadernejad M, Khakdel Z, Raeissi P, Kalhor R. Nurses’ Per-ception of Patient Safety Culture and Its Rela¬tionship With Adverse Events: A National Ques-tionnaire Survey in Iran. BMC Nursing. 2021; 20(1): 60.
46. Lisby M, Tei R, Mainz H, Gregersen M, Andersen K. A Danish Version of the MISSCARE Survey: Translation and Validation. Scandinavian Jour¬nal of Caring Sciences. 2023; 37(1): 301-312.
47. Asif M, Jameel A, Hussain A, Hwang J, Sahito N. Linking Transformational Leadership with Nurse-Assessed Adverse Patient Outcomes and the Quality of Care: Assessing the Role of Job Satisfaction and Structural Empowerment. International Journal of Environmental Re¬search and Public Health. 2019; 16(13): 2381.
48. Labrague LJ, De Los Santos JAA, Tsaras K, Gal¬abay JR, Falguera CC, Rosales RA, Firmo CN. The Association of Nurse Caring Behaviours on Missed Nursing Care, Adverse Patient Events and Perceived Quality of Care: A Cross-Sec¬tional Study. Journal of Nursing Management. 2020; 28(8): 2257-2265.
49. Nymark C, Falk AC, Von Vogelsang AC, Görans¬son K. Differences Between Registered Nurses and Nurse Assistants Around Missed Nursing Care—An Observational, Comparative Study. Scandinavian Journal of Caring Sciences. 2023; (37)4: 1-10.