Evaluation of missed nursing care needs and reasons in a hospital of Turkey: A comparative cross-sectional study

Yıl 2024, Cilt: 11 Sayı: 4, 456 - 464, 31.12.2024

Diğdem Lafçı , Fatma Canlı

Öz

Aim: The research was descriptive in order to examination of missed nursing care requirements and reasons.
Method: A descriptive, cross-sectional, and comparative research design was used in this study. The research was conducted with 400 nurses working in the emergency, intensive care and clinics of a hospital in Turkey. Research data were collected the Introductory Information Form and the Missed Nursing Care Scale. The descriptive number of the study was represented by the percentage mean ± standard deviation.
Results: According to the results of our study, most frequently the nurses found that missed nursing care requirements were ambulation three times daily, turning the patient every 2 h, patient bathing/skin care, mouth care, feeding patients while food is still warm, and to provide emotional support to the patient and / or patient relatives. The most highly ranked reasons for missed nursing care were the inadequate number of staff members, unexpected increase in patient volume and/or acuity on the unit, inadequate number of assistive and/or clerical personnel, urgent patient situations.
Conclusion: According to the results of our study, it was determined that the nurses missed the care needs of the patients. Labor resources are among the most important reasons for unmet nursing care needs.

Anahtar Kelimeler

Hospital, missed nursing care, nursing care, unmet patient needs, patient safety, quality health care.

Türkiye'deki bir hastanede kaçırılan hemşirelik bakımı gereksinimlerinin ve nedenlerinin değerlendirilmesi: Karşılaştırmalı kesitsel bir çalışma

Öz

Amaç: Araştırma, kaçırılan hemşirelik bakım gereksinimleri ve nedenlerini incelemek amacıyla tanımlayıcı olarak yapılmıştır.
Yöntem: Bu çalışmada tanımlayıcı, kesitsel ve karşılaştırmalı bir araştırma tasarımı kullanılmıştır. Araştırma Türkiye'de bir hastanenin acil, yoğun bakım ve kliniklerinde çalışan 400 hemşire ile gerçekleştirilmiştir. Araştırma verileri “Tanıtıcı Bilgi Formu” ve “Kaçırılan Hemşirelik Bakımı Ölçeği” ile toplanmıştır. Araştırmanın tanımlayıcı sayısı yüzde ortalama ± standart sapma ile temsil edildi.
Bulgular: Araştırmamızın sonuçlarına göre, hemşirelerin en sık karşılamadığı bakım gereksinimleri; günde üç kez yürüme, 2 saatte bir hastayı döndürme, hasta banyo/cilt bakımı, ağız bakımı, hastayı yemek sıcakken besleme ve hastaya ve/veya hasta yakınlarına duygusal destek sağlamaktır Hemşirelik bakımının kaçırılmasının en üst sıradaki nedenleri yetersiz personel sayısı, ünitedeki hasta hacminde ve/veya keskinliğinde beklenmedik artış, yardımcı ve/veya büro personeli sayısının yetersiz olması, acil hasta durumlarıdır.
Sonuç: Çalışmamızın sonuçlarına göre hemşirelerin hastaların bakım ihtiyaçlarını gözden kaçırdıkları belirlendi. Hemşirelik bakım ihtiyaçlarının karşılanamamasının en önemli nedenleri arasında iş gücü kaynakları yer almaktadır.

Anahtar Kelimeler

Hastane, kaçırılan hemşirelik bakımı, hemşirelik bakımı, karşılanmayan hasta gereksinimleri, hasta güvenliği, kaliteli sağlık bakımı.

Etik Beyan

The name of the ethics committee: Clinical Research Ethics Committee of Mersin University. The approval number: 110 The date of approval: 05.02.2020

Destekleyen Kurum

None

Teşekkür

Acknowledgments The authors would like to thank all those who participated in this study.

Kaynakça

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