Araştırma Makalesi
BibTex RIS Kaynak Göster

Pediatri Hemşireleri Tarafından Karşılanamayan Bakım ve Nedenleri

Yıl 2022, Cilt: 15 Sayı: 2, 175 - 185, 15.04.2022
https://doi.org/10.46483/deuhfed.971502

Öz

Giriş: Hemşirelikte karşılanamayan bakım son yıllarda dikkat çeken güncel bir konu olarak karşımıza çıkmaktadır. Amaç: Bu araştırmanın amacı pediatri hemşireleri tarafından karşılanamayan bakım ve nedenlerini belirlemektir. Yöntem: Tanımlayıcı kesitsel nitelikte olan araştırma 1-30 Haziran 2021 tarihleri arasında Gaziantep ilinde bir Kadın Doğum ve Çocuk Hastalıkları Hastanesi’nde yürütüldü. Araştırmanın evreni 500 pediatri hemşiresi oluşturdu. Araştırmanın örneklem sayısını belirlemek amacıyla G*Power (v3.1.9.7) programı kullanıldı ve toplam 403 hemşire örneklemi oluşturdu. Araştırmada; pediatri hemşirelerinin sosyo-demografik özellikleri ve mesleki özelliklere ilişkin bir soru formu ile “Pediatri Hemşireliğinde Karşılanamayan Bakım ve Nedenleri-Pediatrik Versiyon Anketi” kullanıldı. Bulgular: Araştırmada pediatri hemşirelerinin çalıştıkları son vardiyada %29 ile %87.3 oranında karşılanamayan hemşirelik bakımı olduğu belirlendi. Karşılanamayan bakımların sırasıyla; en çok hemşirelik bakım planına uyarak çocuğu kaldırma ve yürütme, ebeveynleri çocuğun bakımına dahil etme ve refakatçi tarafından yapılan uygulamaların değerlendirilmesi iken, en az sırayla günlük yatak başı vizite katılma, uygulanan ilaç etkinliklerinin değerlendirilmesi ve farmakolojik veya non-farmakolojik ağrı değerlendirmesi ile tüm hemşirelik verilerinin kayıt altına alınması olduğu saptandı. Hemşirelik mesleğini isteyerek seçmeyen, pediatri alanında çalışma yılı 1-5 olan ve bu alanda çalışmaktan kısmen memnun olan hemşirelerin; materyal, çalışan kaynaklı ve iletişim nedeni ile bakımı karşılayamadıkları ve aradaki farkların istatistiksel olarak anlamlı düzeyde olduğu saptandı (p ˂ .05). Sonuç ve Öneriler: Bu sonuçlara göre; pediatri hemşirelerinin son vardiyalarında en az bir bakımı karşılayamadığı, bakımı karşılayamama nedenlerinin en çok mesleki özellikleri ve deneyimlerden etkilendiği saptandı. Karşılanamayan bakımın nedenleri ve etkileyen faktörlerin belirlenmesi, hemşirelerin hizmet içi eğitimler ile desteklemesi ve kurumlarda bakım uygulamalarını güçlendirici politikaların benimsetilmesi önerilmektedir.

Destekleyen Kurum

YOK

Teşekkür

Pandemi döneminde bu çalışmaya destek veren pediatri hemşirelerine teşekkür ederiz.

Kaynakça

  • 1. Kalisch BJ, Williams RA. Development and psychometric testing of a tool to measure missed nursing care. The Journal of Nursing Administration 2009;39(5), 211-219.
  • 2. Kalisch BJ, Landstrom G, Williams RA. Missed nursing care: errors of omission. Nursing Outlook 2009; 57(1), 3-9.
  • 3. Kalisch BJ. Missed nursing care: a qualitative study. Journal of nursing care quality 2006; 21(4), 306-313.
  • 4. Kalisch BJ, Landstrom GL, Hinshaw AS. Missed nursing care: A concept analysis. Journal of Advanced Nursing 2009; 65(7), 1509–1517.
  • 5. Bagnasco A, Dasso N, Rossi S, Galanti C, Varone G, Catania G, et al. Unmet nursing care needs on medical and surgical wards: A scoping review of patients' perspectives. Journal of Clinical Nursing 2020; 29, 347–369.
  • 6. Willis E, Henderson J, Hamilton P, Toffoli L, Blackman I, Couzner L, et al. Work intensification as missed care. Labour & Industry: a journal of the social and economic relations of work 2015;25(2), 118-133.
  • 7. Kalisch BJ, Tschannen D, Lee KH. Missed nursing care, staffing, and patient falls. Journal of Nursing Care Quality 2012; 27(1), 6-12.
  • 8. Valles JHH, Monsiváis MGM, Guzmán M, Interial G, Arreola LV. Nursing care missed in patients at risk of or having pressure ulcers. Revista latino americana de enfermagem 2016;24, e2817.
  • 9. Simpson KR, Lyndon A. Consequences of delayed, unfinished, or missed nursing care during labor and birth. Journal of Perinatal & Neonatal Nursing 2017;31, 32–40.
  • 10. Sworn K, Booth A. A systematic review of the impact of ‘missed care’ in primary, community and nursing home settings. Journal of Nursing Management 2020; 28(8), 1805–1829.
  • 11. Purdy IB, Craig JW, Zeanah P. NICU discharge planning and beyond: recommendations for parent psychosocial support. Journal of Perinatology 2015;35(1), 24-28.
  • 12. Gathara D, Serem G, Murphy GA, Obengo A, Tallam E, Jackson D, et al. Missed nursing care in newborn units: a cross-sectional direct observational study. BMJ Quality & Safety 2020;29(1), 19-30.
  • 13. Tubbs-Cooley HL, Mara CA, Carle AC, Mark BA, Pickler RH. Association of nurse workload with missed nursing care in the neonatal intensive care unit. JAMA Pediatrics 2019; 173(1), 44–51.
  • 14. Lake ET, Staiger DO, Cramer E, Hatfield LA, Smith JG, Kalisch BJ, et al. Association of patient acuity and missed nursing care in US neonatal intensive care units. Medical Care Research and Review 2020; 7(5):451-460.
  • 15. Lake ET, Cordova PB, Barton S, Singh S, Agosto PD, Ely B, et al. Missed nursing care in pediatrics. Hospital Pediatrics 2017; 7(7), 378-384.
  • 16. Srulovici E, Drach-Zahavy A. Nurses’ personal and ward accountability and missed nursing care: A cross-sectional study. International Journal of Nursing Studies 2017;75, 163-171.
  • 17. Tubbs-Cooley HL, Pickler RH, Mara CA, Othman M, Kovacs A, Mark BA. Hospital Magnet® designation and missed nursing care in neonatal intensive care units. Journal of Pediatric Nursing 2017;34, 5–9.
  • 18. Rochefort CM, Clarke SP. Nurses work environments, care rationing, job outcomes, and quality of care on neonatal units. Journal of Advanced Nursing 2010;66(10), 2213–2224.
  • 19. Rochefort CM, Rathwell BA, Clarke SP. Rationing of nursing care interventions and its association with nurse-reported outcomes in the neonatal intensive care unit: a cross-sectional survey. BMC Nursing 2016;15(1), 1-8.
  • 20. Tubbs-Cooley HL, Pickler RH, Younger JB, Mark BA. A descriptive study of nurse-reported missed care in neonatal intensive care units. Journal of Advanced Nursing 2015; 71(4), 813–824.
  • 21. Jones TL, Hamilton P, Murry N. Unfinished nursing care, missed care, and implicitly rationed care: State of the science review. International Journal of Nursing Studies 2015;52(6), 1121-1137.
  • 22. Kalánková D, Gurková E, Zeleníková R, Žiaková K. Application of measuring tools in the assessment of the phenomenon of rationing/missed/unfinished care. Kontakt 2019;21, 65–73.
  • 23. Faul F, Erdfelder E, Buchner A, Lang AG. Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses. Behavior Research Methods 2009;41, 1149–1160.
  • 24. Calikusu Incekar M, İspir Ö, Sönmez B, Selalmaz M, Kartal Erdost Ş. Turkish validation of the MISSCARE survey–Pediatric version. Journal of Pediatric Nursing 2020;53, 156-163.
  • 25. Bagnasco A, Zanini M, Aleo G, Catania G, Kalisch BJ, Sasso L. Development and validation of the MISSCARE survey - Pediatric version. Journal of Advanced Nursing 2018;74(12), 2922–2934.
  • 26. Sist L, Cortini C, Bandini A, Bandini S, Massa L, Zanin R, et al. (2017). MISSCARE survey – Italian version: Findings from an Italian validation study. Igiene e Sanità Pubblica 2017; 73(1), 29–45.
  • 27. Tubbs-Cooley HL, Pickler RH, Meinzen-Derr JK. Missed oral feeding opportunities and preterm infants’ time to achieve full oral feedings and neonatal intensive care unit discharge. American Journal of Perinatology 2015;32(1), 1–8.
  • 28. Castner J, Wu YW, Dean-Baar S. Multi-level model of missed nursing care in the context of hospital merger. Western Journal of Nursing Research 2015;37(4), 441–461.
  • 29. Blackman I, Lye CY, Darmawan IGN, Henderson J, Giles T, Willis E, et al. Modeling missed care: implications for evidence-based practice. Worldviews on Evidence‐Based Nursing 2018; 15(3), 178-188.
  • 30. Phelan A, McCarthy S, Adams E. Examining missed care in community nursing: across section survey design. Journal of Advanced Nursing 2018;74(3), 626-636.
  • 31. Bragadottir H, Kalisch BJ, Tryggvadottir GB. Correlates and predictors of missed nursing care in hospitals. Journal of Clinical Nursing 2017;26(11-12), 1524-1534.
  • 32. Orique SB, Patty CM, Woods E. Missed nursing care and unit-level nurse workload in the acute and post-acute settings. Journal of Nursing Care Quality 2016;31(1), 84-89.
  • 33. Blackman I, Henderson J, Willis E, Weger K. Causal links associated with missed residential aged care. Journal of Nursing Management 2020;28, 1909–1917.
  • 34. Chapman R, Rahman A, Courtney M, Chalmers C. Impact of teamwork on missed care in four Australian hospitals. Journal of Clinical Nursing 2017; 26(1-2), 170-181.
  • 35. Plevová I, Zeleníková R, Jarošová D, Janíková E. The relationship between nurse’s job satisfaction and missed nursing care. Medycyna Pracy 2021;72(4), 231-237.
  • 36. Blackman I, Henderson J, Willis E, Hamilton P, Toffoli L, Verrall C, et al. Factors influencing why nursing care is missed. Journal of Clinical Nursing 2015;24(1-2), 47-56.
  • 37. Palese A, Ambrosi E, Prosperi L, Guarnier A, Barelli P, Zambiasi P, et al. Missed nursing care and predicting factors in the Italian medical care setting. Internal and Emergency Medicine 2015; 10(6), 693-702.
  • 38. White E M, Aiken LH, McHugh MD. Registered nurse burnout, job dissatisfaction, and missed care in nursing homes. Journal of the American Geriatrics Society 2019;67, 2065–2071.
  • 39. Henderson J, Willis E, Xiao L, Blackman I. Missed care in residential aged care in Australia: An exploratory study. Collegian 2017;24,411–416.
  • 40. Senek M, Ryan T, King R, Wood E, Tod A, Robertson S, Sworn K. Nursing care left undone in community settings: Results from a uk cross-sectional survey. Journal of Nursing Management 2020;28(8), 1968-1974.
  • 41. Blackman I, Papastavrou E, Palese A, Vryonides S, Henderson J, Willis E. Predicting variations to missed nursing care: a three‐nation comparison. Journal of nursing management 2018; 26(1), 33-41.
  • 42. Tou YH, Liu MF, Chen SR, Lee PH, Kuo LM, Lin PC. Investigating missed care by nursing aides in taiwanese long-term care facilities. Journal of Nursing Management 2020; 28, 1918–1928.
  • 43. Henderson J, Blackman I, Willis E, Gibson T, Price K, Toffoli L, et al. The impact of facility ownership on nurses’ and care workers’ perceptions of missed care in. Aust J Soc Issues 2018; 53,355–371.
  • 44. Song Y, Hoben M, Estabrooks CA, Norton P. Association of work environment with missed and rushed care tasks among care aides in nursing homes. JAMA Network Open 2020;3, e1920092.

Missed Care by Pediatric Nurses and Reasons

Yıl 2022, Cilt: 15 Sayı: 2, 175 - 185, 15.04.2022
https://doi.org/10.46483/deuhfed.971502

Öz

Background: Missed care in nursing has emerged a current issue that has attracted attention in recent years. Objective: The purpose of the current study is to determine the missed nursing care and its reasons by pediatric nurses. Methods: This descriptive cross-sectional study conducted at Gaziantep a Maternity and Pediatric Hospital among 1-30 June 2021. The population of the study consisted of 500 pediatric nurses. The sample size was composed of a total 403 nurses, which were determined according to The G*Power (v3.1.9.7) program. In study; a question form including socio-demographic and professional characteristics of ‘Missed Care in Pediatric Nursing and Its Causes-Pediatric Version Questionnaire’. Results: In the study, it was determined that there was missed nursing care between %29 and %87.3 of pediatric nurses in the last shift they worked. Missed care was determined that respectively; the most raising and carrying the child following the nursing care plan, involving the parents in the child’s care, and evaluating the practices by the companion. The least; attending daily bedside visits, evaluating drug efficacy and pharmacological or non-pharmacological pain assessment and recording all nursing data. It was detected that did not willing to choose nursing profession, had 1-5 years of pediatric nurse and were partially satisfied with working in this unit that material resources, communication and labor resources of the reason missed nursing care, and the differences were statistically significant (p ˂ .05). Conclusion and Recommendations: According to results; pediatric nurses had at least one missed nursing care on their previous shift, it was determined that the reason missed nursing care mostly affected by professional characteristics and experiences. It is recommended to determine the reasons of missed care and the factor affecting it, to support nurses with in-service training and to adopt policies that strengthen practices in institutions.

Kaynakça

  • 1. Kalisch BJ, Williams RA. Development and psychometric testing of a tool to measure missed nursing care. The Journal of Nursing Administration 2009;39(5), 211-219.
  • 2. Kalisch BJ, Landstrom G, Williams RA. Missed nursing care: errors of omission. Nursing Outlook 2009; 57(1), 3-9.
  • 3. Kalisch BJ. Missed nursing care: a qualitative study. Journal of nursing care quality 2006; 21(4), 306-313.
  • 4. Kalisch BJ, Landstrom GL, Hinshaw AS. Missed nursing care: A concept analysis. Journal of Advanced Nursing 2009; 65(7), 1509–1517.
  • 5. Bagnasco A, Dasso N, Rossi S, Galanti C, Varone G, Catania G, et al. Unmet nursing care needs on medical and surgical wards: A scoping review of patients' perspectives. Journal of Clinical Nursing 2020; 29, 347–369.
  • 6. Willis E, Henderson J, Hamilton P, Toffoli L, Blackman I, Couzner L, et al. Work intensification as missed care. Labour & Industry: a journal of the social and economic relations of work 2015;25(2), 118-133.
  • 7. Kalisch BJ, Tschannen D, Lee KH. Missed nursing care, staffing, and patient falls. Journal of Nursing Care Quality 2012; 27(1), 6-12.
  • 8. Valles JHH, Monsiváis MGM, Guzmán M, Interial G, Arreola LV. Nursing care missed in patients at risk of or having pressure ulcers. Revista latino americana de enfermagem 2016;24, e2817.
  • 9. Simpson KR, Lyndon A. Consequences of delayed, unfinished, or missed nursing care during labor and birth. Journal of Perinatal & Neonatal Nursing 2017;31, 32–40.
  • 10. Sworn K, Booth A. A systematic review of the impact of ‘missed care’ in primary, community and nursing home settings. Journal of Nursing Management 2020; 28(8), 1805–1829.
  • 11. Purdy IB, Craig JW, Zeanah P. NICU discharge planning and beyond: recommendations for parent psychosocial support. Journal of Perinatology 2015;35(1), 24-28.
  • 12. Gathara D, Serem G, Murphy GA, Obengo A, Tallam E, Jackson D, et al. Missed nursing care in newborn units: a cross-sectional direct observational study. BMJ Quality & Safety 2020;29(1), 19-30.
  • 13. Tubbs-Cooley HL, Mara CA, Carle AC, Mark BA, Pickler RH. Association of nurse workload with missed nursing care in the neonatal intensive care unit. JAMA Pediatrics 2019; 173(1), 44–51.
  • 14. Lake ET, Staiger DO, Cramer E, Hatfield LA, Smith JG, Kalisch BJ, et al. Association of patient acuity and missed nursing care in US neonatal intensive care units. Medical Care Research and Review 2020; 7(5):451-460.
  • 15. Lake ET, Cordova PB, Barton S, Singh S, Agosto PD, Ely B, et al. Missed nursing care in pediatrics. Hospital Pediatrics 2017; 7(7), 378-384.
  • 16. Srulovici E, Drach-Zahavy A. Nurses’ personal and ward accountability and missed nursing care: A cross-sectional study. International Journal of Nursing Studies 2017;75, 163-171.
  • 17. Tubbs-Cooley HL, Pickler RH, Mara CA, Othman M, Kovacs A, Mark BA. Hospital Magnet® designation and missed nursing care in neonatal intensive care units. Journal of Pediatric Nursing 2017;34, 5–9.
  • 18. Rochefort CM, Clarke SP. Nurses work environments, care rationing, job outcomes, and quality of care on neonatal units. Journal of Advanced Nursing 2010;66(10), 2213–2224.
  • 19. Rochefort CM, Rathwell BA, Clarke SP. Rationing of nursing care interventions and its association with nurse-reported outcomes in the neonatal intensive care unit: a cross-sectional survey. BMC Nursing 2016;15(1), 1-8.
  • 20. Tubbs-Cooley HL, Pickler RH, Younger JB, Mark BA. A descriptive study of nurse-reported missed care in neonatal intensive care units. Journal of Advanced Nursing 2015; 71(4), 813–824.
  • 21. Jones TL, Hamilton P, Murry N. Unfinished nursing care, missed care, and implicitly rationed care: State of the science review. International Journal of Nursing Studies 2015;52(6), 1121-1137.
  • 22. Kalánková D, Gurková E, Zeleníková R, Žiaková K. Application of measuring tools in the assessment of the phenomenon of rationing/missed/unfinished care. Kontakt 2019;21, 65–73.
  • 23. Faul F, Erdfelder E, Buchner A, Lang AG. Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses. Behavior Research Methods 2009;41, 1149–1160.
  • 24. Calikusu Incekar M, İspir Ö, Sönmez B, Selalmaz M, Kartal Erdost Ş. Turkish validation of the MISSCARE survey–Pediatric version. Journal of Pediatric Nursing 2020;53, 156-163.
  • 25. Bagnasco A, Zanini M, Aleo G, Catania G, Kalisch BJ, Sasso L. Development and validation of the MISSCARE survey - Pediatric version. Journal of Advanced Nursing 2018;74(12), 2922–2934.
  • 26. Sist L, Cortini C, Bandini A, Bandini S, Massa L, Zanin R, et al. (2017). MISSCARE survey – Italian version: Findings from an Italian validation study. Igiene e Sanità Pubblica 2017; 73(1), 29–45.
  • 27. Tubbs-Cooley HL, Pickler RH, Meinzen-Derr JK. Missed oral feeding opportunities and preterm infants’ time to achieve full oral feedings and neonatal intensive care unit discharge. American Journal of Perinatology 2015;32(1), 1–8.
  • 28. Castner J, Wu YW, Dean-Baar S. Multi-level model of missed nursing care in the context of hospital merger. Western Journal of Nursing Research 2015;37(4), 441–461.
  • 29. Blackman I, Lye CY, Darmawan IGN, Henderson J, Giles T, Willis E, et al. Modeling missed care: implications for evidence-based practice. Worldviews on Evidence‐Based Nursing 2018; 15(3), 178-188.
  • 30. Phelan A, McCarthy S, Adams E. Examining missed care in community nursing: across section survey design. Journal of Advanced Nursing 2018;74(3), 626-636.
  • 31. Bragadottir H, Kalisch BJ, Tryggvadottir GB. Correlates and predictors of missed nursing care in hospitals. Journal of Clinical Nursing 2017;26(11-12), 1524-1534.
  • 32. Orique SB, Patty CM, Woods E. Missed nursing care and unit-level nurse workload in the acute and post-acute settings. Journal of Nursing Care Quality 2016;31(1), 84-89.
  • 33. Blackman I, Henderson J, Willis E, Weger K. Causal links associated with missed residential aged care. Journal of Nursing Management 2020;28, 1909–1917.
  • 34. Chapman R, Rahman A, Courtney M, Chalmers C. Impact of teamwork on missed care in four Australian hospitals. Journal of Clinical Nursing 2017; 26(1-2), 170-181.
  • 35. Plevová I, Zeleníková R, Jarošová D, Janíková E. The relationship between nurse’s job satisfaction and missed nursing care. Medycyna Pracy 2021;72(4), 231-237.
  • 36. Blackman I, Henderson J, Willis E, Hamilton P, Toffoli L, Verrall C, et al. Factors influencing why nursing care is missed. Journal of Clinical Nursing 2015;24(1-2), 47-56.
  • 37. Palese A, Ambrosi E, Prosperi L, Guarnier A, Barelli P, Zambiasi P, et al. Missed nursing care and predicting factors in the Italian medical care setting. Internal and Emergency Medicine 2015; 10(6), 693-702.
  • 38. White E M, Aiken LH, McHugh MD. Registered nurse burnout, job dissatisfaction, and missed care in nursing homes. Journal of the American Geriatrics Society 2019;67, 2065–2071.
  • 39. Henderson J, Willis E, Xiao L, Blackman I. Missed care in residential aged care in Australia: An exploratory study. Collegian 2017;24,411–416.
  • 40. Senek M, Ryan T, King R, Wood E, Tod A, Robertson S, Sworn K. Nursing care left undone in community settings: Results from a uk cross-sectional survey. Journal of Nursing Management 2020;28(8), 1968-1974.
  • 41. Blackman I, Papastavrou E, Palese A, Vryonides S, Henderson J, Willis E. Predicting variations to missed nursing care: a three‐nation comparison. Journal of nursing management 2018; 26(1), 33-41.
  • 42. Tou YH, Liu MF, Chen SR, Lee PH, Kuo LM, Lin PC. Investigating missed care by nursing aides in taiwanese long-term care facilities. Journal of Nursing Management 2020; 28, 1918–1928.
  • 43. Henderson J, Blackman I, Willis E, Gibson T, Price K, Toffoli L, et al. The impact of facility ownership on nurses’ and care workers’ perceptions of missed care in. Aust J Soc Issues 2018; 53,355–371.
  • 44. Song Y, Hoben M, Estabrooks CA, Norton P. Association of work environment with missed and rushed care tasks among care aides in nursing homes. JAMA Network Open 2020;3, e1920092.
Toplam 44 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Hemşirelik
Bölüm Araştırma Makaleleri
Yazarlar

Erhan Elmaoğlu 0000-0002-4830-1625

Serap Özdemir 0000-0003-4589-7264

Yayımlanma Tarihi 15 Nisan 2022
Yayımlandığı Sayı Yıl 2022 Cilt: 15 Sayı: 2

Kaynak Göster

APA Elmaoğlu, E., & Özdemir, S. (2022). Pediatri Hemşireleri Tarafından Karşılanamayan Bakım ve Nedenleri. Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektronik Dergisi, 15(2), 175-185. https://doi.org/10.46483/deuhfed.971502

Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektronik Dergisi ULAKBİM Türk Tıp Dizini, Türk Medline, Türkiye Atıf Dizini, Şubat 2021 tarihinden beri EBSCO Host ve 26 Ekim 2021 tarihinden itibaren DOAJ ve 18 Ocak 2022 tarihinden beri Index Copernicus tarafından indekslenmektedir.

349202.svg        14839           wp-logo.png          ici2.png           Scopus_logo.svg 

       

      

Creative Commons License
Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektronik Dergisi Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License ile lisanslanmıştır.