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Missed Nursing Care From the Perspectives of Patients: A Cross‐Sectional Study in Denmark

医学 丹麦语 护理部 护理 社会心理的 家庭医学 梅德林 背景(考古学) 心理干预 初级护理 护理干预分类 护理结果分类 人口统计学的 护理研究 清晰 外科护理学 产科护理 描述性统计 不利影响 医疗保健 门诊护理 护理诊断 技能组合 护士教育 横断面研究 危重护理 护理评估 定性研究 急症护理 护理计划 病人护理 团队护理 患者满意度
作者
Maja Thomsen Albrechtsen,Lone Jørgensen,Ingrid Poulsen,Niels Henrik Bruun,Hanne Mainz,Britt Laugesen
出处
期刊:Journal of Advanced Nursing [Wiley]
标识
DOI:10.1111/jan.70389
摘要

ABSTRACT Aim To identify the prevalence and types of missed nursing care in a Danish hospital context from patients' perspectives and to examine associations between missed nursing care, patient demographics, and patient‐reported adverse events. Design Cross‐sectional study. Methods A total of 284 medical and surgical patients from 21 wards at a Danish university hospital completed the Danish version of the MISSCARE Survey–Patient. Descriptive statistics and analyses of associations between missed nursing care and patient demographics and adverse events were conducted. Results Patients reported an overall prevalence of missed nursing care of 15%, with most omissions occurring in the physical care domain (22%), followed by psychosocial care (13%) and timeliness (6%). The most frequently missed activities included oral care, clarity about which nurse was responsible for their care, repositioning in bed, and help with eating. Medication errors were significantly associated with higher missed nursing care scores across all domains, while associations with other adverse events and demographics were inconsistent. Conclusion Patients generally perceived a low prevalence of missed nursing care, although notable variations were observed across care domains and specific activities. Incorporating patient perspectives alongside nurse perspectives offers a more complete understanding of missed nursing care. Implication Continuous assessment of missed nursing care from patients' perspectives could serve as a valuable complement to nurse‐reported assessments, helping to identify specific areas for improvement. Targeted interventions addressing activities with higher patient‐reported missed nursing care may enhance both care quality and patient outcomes. Reporting Method STROBE guidelines were followed. Patient Contribution Patients were not involved in the study's design, conduct, or reporting. Impact This study highlights missed nursing care from patients' perspectives, revealing key care gaps. The findings can inform hospital administrators, nursing leaders, nursing educators, and policymakers in developing strategies to improve care quality and patient satisfaction.
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