Background Quality of care is one of the most critical issues in nursing care today. Moreover, all health care employees are responsible for providing support and high‐quality, safe care. However, nurses caring for COVID‐19 patients face problems such as unfamiliar work environments, exposure to the disease, lack of experience in their new positions, and close public and media attention. This study aimed to investigate missed nursing care and the reasons for missed nursing care during the coronavirus disease 2019 (COVID‐19) pandemic in Iran. Methods This cross‐sectional study included 135 nurses working in COVID‐19 units. Data were collected using the MISSCARE Survey. The significance level for the statistical tests was set at p < 0.05. Results Most of the participants were women and had a bachelor's degree in nursing. There was a lack of supportive and necessary care more than any other form of care. According to nurses, the most common reasons for missed care were urgent patient situations, inadequate staff, and an unexpected rise in patient volume and/or patient acuity on the unit. Conclusion Generally, the results showed that being positioned in a new situation and unfamiliarity with the disease had a significant impact—among nurses—on the amount of care provided. Managers can use this information to solve existing missed‐nursing‐care problems and contribute to improving the quality of care. These results can be helpful in controlling missed nursing care and finding a more optimal solution for this problem; thus, we can improve the quality of care delivery and increase the satisfaction of nurses and patients. Additionally, an understanding of the kind of missing nursing care during a pandemic can positively enhance the management of similar situations in the future.
ObjectivesNursing care is one of the most important tasks of nursing. Providing safe and high-quality nursing care will improve the patient as soon as possible and reduces the complications of the disease. Due to the corona epidemic in the last year, nurses cannot provide all the necessary care for patients; a series of care is eliminated or delayed or reduced, which is called missed nursing care. So, this study aimed to investigate the missed nursing care and the reasons affecting it in the corona wards in Ardabil.Study designThe research is conducted in a cross-sectional manner. The research included 135 nurses who worked in Ardabil's corona wards.Data collection/extraction methodsThe Missed Nursing Care Questionnaire, was used to collect data. The significance level of statistical tests set at 0.05.Principal findingsMost of whom were women, 135 nurses participated in the study and had a bachelor's degree in nursing. Supportive and necessary care is missed more than other care; According to nurses, the most common reasons for the missed care were emergencies, low staffing, and an increase in the number of patients.ConclusionsAs a result of the findings, being in a fresh and uncertain situation, as well as an increase in the number of patients, has resulted in a loss of nursing care. By controlling these factors, the missed care in the ward can be controlled, and increase the satisfaction of patients and nurses.
Background Providing safe and high-quality nursing care is an essential task of nursing. Nurses may be unable to provide patients with all of the necessary care for numerous reasons, such as an increase in the number of patients and a low number of nursing staff. Moreover, they may have to omit, postpone, or incompletely perform a series of care, referred to as missed nursing care. The purpose of this study was to translate and conduct psychometric testing of the MISSCARE Survey. Method In this study, we accurately translated the MISSCARE Survey. Its acceptability, construct validity, and internal consistency were analyzed. This cross-sectional study was conducted in the summer of 2020 in educational hospitals in Ardabil, Iran. The participants were 300 nurses who worked in educational hospitals and were randomly selected. Results Participants in this study included 300 nurses from five units, including general medicine (13.3%), COVID-19 (45.0%), surgery (18.7%), critical care unit (6.3%), and intensive care unit (16.7%), who worked various shifts, of whom 84.7% were female. The total content validity in Part A was 0.944, and that in Part B was 0.969. Part A was divided into three domains (necessary care, secondary care, and supportive care), and Part B was divided into five domains (communication, labor resources, material resources, responsibility, and unpredictable situations). In both parts, the chi-square index was < 3, and the RMSEA index was < 0.08. The internal consistency measured by Cronbach’s alpha was 0.933 for Part A and 0.910 for Part B for the Persian version of the MISSCARE Survey. Conclusion Based on the outcomes of this research, it can be concluded that the Persian version of the MISSCARE Survey is valid for use in Iranian hospitals and can be used to identify missed care and the reasons behind it. Nursing managers can also use it to improve the situation and provide the highest-quality care.
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