A N E W CONCEPT İN NURSING: MISSED NURSING ÇARE

Öz

İn fact, although it is known the presence o f w ork environments, th a t are n o t adequately addressed omission error is one o f the tw o error w ith medical errors by described p a tie n t safety movement. Agency fo r Healthcare Research and Q uality noted th a t omission errors are num ber excess, recognition difficult, actually larger and a devastating problem . Literatüre on p a tie n t safety, Missed Nursing Çare MNC have been accepted as an omission error. For these omission errors can be used as indicators o f the qu ality o f nursing çare reported. Missed Nursing Çare described by Kalisch 2006 as "To a li or a portion o f the neglect o r postponem ent o f çare" and Kalisch stated am ong nurses th a t "disputed" is a subject, unless investigate as long as remained secret. Missednursing çare can lead w ith negative p a tien t outcomes, quaiity indicators and negative results in terms ofnurses high stress, lo w self-etc. . Missed nursing çare th a t accepted m oderate theory, as a universal phenomenon, and the generaiization o fth e results o fd iffe re n t p a tie n t is conceptualized w ith MNC m odel By Kalicsh. Missed nursing çare is caused adverse effects on p a tien t o u t come as well as the nursesKeyvvords: Nursing çare; missed nursing çare; p a tie n t safety; medical errors

Anahtar Kelimeler

• Nursing çare,missed nursing çare,patient safety,medical errors

HEMŞİRELİKTE YENİ BİR KAVRAM: KARŞILANAMAYAN HEMŞİRELİK BAKIMI Öğr. Gör. Gülbanu ZENCİR, Prof. Dr. İsmet EŞER

Öz

Gerçekte çalışma ortamlarında varlığının bilinmesine rağmen yeterince ele alınmayan ihmal hatası, hasta güvenliği hareketinin tıbbi hatalarla ilişkili olarak tanımladığı iki hatadan biridir. Sağlık Hizmetlerinde Araştırma ve Kalite Ajansı ihmal hatalarının, zor tanındığı, gerçekte daha büyük, sayıca fazla ve yıkıcı bir problem olduğuna dikkat çekmiştir. İhmal hatalarının hemşirelik bakım kalitesinin indikatörü olarak kullanılabileceği bildirilmektedir. Hasta güvenliği literatürünün bir ihmal hatası olarak kabul ettiği Karşılanamayan Hemşirelik Bakımı KHB , Kalisch tarafından "gereken bakımın tüm ünün ya da bir kısmının ihmal edilmesi veya ertelenmesi" şeklinde tanımlanmıştır. Kalisch, KHB 2006 'nin hemşireler arasında "tartışılamaz" bir konu olduğunu, bu tip hataların araştırılmadığı sürece gizli kaldığını ifade etmiştir. KHB; hasta sonuçları, kalite göstergeleri ve hemşireler açısından negatif sonuçlara yoğun stres, düşük benlik vb. yol açabilmektedir. Kalisch, orta düzeyde bir teori olarak kabul gören, evrensel bir fenomen olarak ve değişik hasta sonuçları ile genellenebilir olan karşılanamayan hemşirelik bakımını, KHB modeli ile kavramsallaştırmıştır. Karşılanamayan hemşirelik bakımı hem hasta sonuçları hem de hemşireler üzerinde olumsuz etkilere yol açmaktadır

Anahtar Kelimeler

• Hemşirelik bakımı,karşılanamayan hemşirelik bakımı,hasta güvenliği,tıbbi hatalar

Kaynakça

1. Amidei CS. Routine Editorial. Omissions Of Care. J Neurosci Nurs 2007; 39(1): 4.
2. Atree MJ. Factors Influencing Nurses’ Decisions to Raise Concerns About Care Quality. J Nurs Manag 2007; 15: 392-402.
3. Danebedian A. The Quality of care. JAMA1988; 260:1743-48.
4. Friese CR, Kalisch BJ, Lee KH. Patterns And Correlates Of Missed Nursing Care in Inpatient Oncology Units. Cancer Nurs 2013; 36(6): 51-57.
5. Hansten RI, Jackson M. Delegation in The Clinical Setting. erişim adresi: 2009; Chapter 14: 296.
6. Institute of Medicine Keeping Patients Safe: Transforming The Work Environment of Nurses, National Academy Press, Washington; 2004.
7. Kalisch BJ. Missed Nursing Care: A Qualitative Study. J Nurs Care Qual 2006; 21(4): 306-13.
8. Kalisch BJ, Aebersold M. Overcoming Barriers To Patient Safety. Nurs Econ 2006; 24(3):143-148.

9. Kalisch BJ. Nurse And Nurse Assistant Perceptions Of Missed Nursing Care: What Does It Tell Us About Teamwork? J Nurs Adm 2009; 39(11): 485-93.
10. Kalisch BJ, Williams RA. Development and Psychometric Testing Of Tool To Measure Missed Nursing Care. JONA 2009; 39(5): 211-19.
11. Kalisch BJ, Landstrom L, Hinshaw AS. Theorical Paper, Missed Nursing Care: A Concept Analysis. JAN 2009(a); 65(7): 1509-17.
12. Kalisch BJ, Landstrom G, Williams RA. Missed Nursing Care: Errors of Omission. Nurs Outlook 2009(b); 57(1): 3-9.
13. Kalisch BJ. Missed Care: Editor Note, View From The Hospital Bed (Part Two). RNL 2010; 36: 3.
14. http://www.reflectionsonnursingleadership.org/pages/vol36_3_kalisch_parttwo.aspx Kalisch BJ, Lee KH. The Impact Of Teamwork On Missed Nursing Care. Nurs Outlook 2010; 58(5): 233­ 241.
15. Kalisch BJ, Tschannen D, Lee H & all. Hospital Variation In Missed Care. Am J Med Qual 2011(a); 26(4): 291-99.
16. Kalisch BJ, Tschannen D, Lee KH. Do Staffing Levels Predict Missed Nursing Care? Int J Qual Health Care. 2011b; 23(3): 302-308.
17. Kalisch BJ, Tschanen D, Lee H. Does Missed Nursing Care Predict Job Satisfaction? J Healthc Manag. 2011c: 56(2): 117-131
18. Kalisch, B. J, & Lee KH. Missed Nursing Care: Magnet Versus Non-Magnet Hospitals. Nurs Outlook 2012; 60(5): 32-39.
19. Kalisch BJ, Tschannen D, Lee KH. Missed Nursing Care, Staffing, and Patient Falls. J Nurs Care Qual 2012a; 27 (1): 6-12.
20. Kalisch BJ, McLaughlin M, Dabney BW. Patient Perceptions of Missed Nursing Care. Joint Comission Journal on Quality and Patient Safety. 2012b; 38(4): 161-167.
21. Kalisch BJ, Terzioğlu F, Duygulu S. The MISSCARE Survey-Turkish: Psychometric Properties And Findings. Nurs Econ. 2012c; 30(1): 29-37.
22. Kalisch BJ, Gosselin K, Choi SH. A Comparison of Patient Care Units With High Versus Low Levels of Missed Nursing Care. Health Care Manage Rev 2012d; 37(4): 320-8.
23. Lucero RJ, Lake ET, Aiken LH. Variations in Nursing Care Quality Across Hospitals. JAN 2009; 65(11): 2299-2310.
24. Sochalski JA. Is More Beter? The Relationship Between Nurse Staffing and The Quality of Nursing Care in Hospitals. Med Care 2004; 42(2): 67-73.
25. Sochalski JA. Quality of Care, Nursing Staffing, And Patient Outcomes. Policy, Polit Nurs Pract 2001; 2(1): 9-18.
26. Schubert M, Glass TR, Clarke SP & all. Rationing Of Nursing Care And İts Relationship To Patient Outcomes: The Swiss Extension Of The International Hospital Outcomes Study. Int J for Qual in Health Care 2008; 20(4): 227-237.
27. Tschannen D, Kalisch BJ, Lee KH. Missed Nursing Care: The Impact On Intention to Leave and Turnover. CNJR 2010; 42(4): 22-39.
28. Türk Dil Kurumu, Güncel Türkçe Sözlük, http://www.tdk.gov.tr/index.php, erişim Tarihi: 7.01.2013.
29. Valentin A, Capuzzo M, Guidet B & all. Errors In Administration of Parenteral Drugs In Intensive Care Units: Multinational Prospective Study. BMJ 2009; 338:b814.
30. Wegman DJ. Comparing Two Identification Methods of Missed Nursing Care 2011. The Degree Of Doctor Of Philosophy In The Graduate School Of The Texas Women University College of Nursing, Denton- Texas, ProQuest Dissertations and Theses, 1-210.
31. Winter R, Neville S. Registered Nurse Perspective On Delayed or Missed Nursing Cares in a New Zealand Hospital. Nurs Prax N. Z. 2012; 28(1): 19-28