The Influencing Factors Of Missed Nursing Care In Intensive Care Units In The Northern Hospitals Of West Bank – Palestine رسالة ماجستير

Abstract

Objective: The purpose of the current study was to assess the types, factors of missed nursing care according to the perception of nurses and examine the relationship between nurses' characteristics and missed nursing care. Methods: The study design was quantitative, cross sectional study. Data was collected by utilizing a self-administered questionnaire. Using this design to achieve the purpose of the study which is to examine the Missed Nursing Care in ICUs department in the hospitals setting and to identify the factors that appear to relate to it. Results: The most frequent assessment care procedures missed by the nurses in the intensive care unit Hand washing (26.2%), monitoring fluid intake/output (25.6%), and Patient assessments performed each shift (23.9%). Also, the most frequent interventions related to individual needs that were missed by the nurses were response to call light is provided within five minutes (22.7%), emotional Support to patient and/or family 35(19.8%) and PRN medication requests acted on within five minutes (14.8%). The most frequent missed nursing procedures in the category interventions– basic care were setting up meals for patients who feed themselves (26.7%), Feeding patient when the food is still warm (17.1%), and Skin/Wound care (16.5%). The most frequently missed nursing care items related to planning were: Ensuring discharge planning (29%), Attend interdisciplinary care conferences whenever held (28.4%), and Patient teaching about illness, tests, and diagnostic studies (11.9%). Also, the results revealed that the reasons for missed nursing care were labor resources, material resources, and communication issues. In addition, Job title, general experience, Experience in ICU, work shift and VI VI Overtime had no statistically significant effect on total score of Missed nursing care (P> 0.05) Conclusion: The current study focuses on a variety of factors that are considered vital to missing care and their impact on nursing work-related flow. Based on the current findings, it can be concluded that material and labor resources, as well as communication, have a significant impact in missed care and nurses' working flow. Hand washing, feeding the patient while the food is still hot, discharge planning, and response to call light were the most frequently missed nursing care. However, the study found no association between nurses' individual characteristics, work-related factors, and missing nursing care.