Missed nursing care and its influencing factors among neonatal intensive care unit nurses: a descriptive study.

Purpose: Preventing missed care is important in neonatal intensive care units (NICUs) due to neonates' vulnerabilities. This study examined missed care and its influencing factors among NICU nurses. Methods: Missed care among 120 Korean NICU nurses was measured using a cross-culturally adapted onlin...

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Published in:Child Health Nursing Research Vol. 28; no. 2; pp. 142 - 154
Main Authors: Soohyun Kim, Sun-Mi Chae
Format: research tables/charts Journal Article
Published: Child Health Nursing Research Apr2022
Online Access:View this record in EBSCOhost
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      dt: Apr2022
      vid: 28
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      pub: Child Health Nursing Research
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        10.4094/chnr.2022.28.2.142
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        atl: Missed nursing care and its influencing factors among neonatal intensive care unit nurses: a descriptive study.
      aug:
        au:
          Soohyun Kim
          Sun-Mi Chae
        affil: Registered Nurse, Seoul National University Hospital, Seoul, Korea
      sug:
        subj:
          Neonatal Intensive Care Nursing
          Nursing Care
          Health Care Errors
          Descriptive Research
          Instrument Adaptation
          Questionnaires
          Regression
          Workload
          Time Management
          Cross Sectional Studies
          Intensive Care Units, Neonatal
          South Korea
          Multiple Linear Regression
          Power Analysis
          Sample Size Determination
          Surveys
          Snowball Sample
          Convenience Sample
          Data Analysis Software
          Descriptive Statistics
          T-Tests
          One-Way Analysis of Variance
          Adult
          Male
          Female
          Human
          Adult: 19-44 years
          Male
          Female
      ab: Purpose: Preventing missed care is important in neonatal intensive care units (NICUs) due to neonates' vulnerabilities. This study examined missed care and its influencing factors among NICU nurses. Methods: Missed care among 120 Korean NICU nurses was measured using a cross-culturally adapted online questionnaire. The frequency of missed care for 32 nursing activities and the significance of 23 reasons for missed care were collected. Results: All participants had missed at least 1 activity, missing on average 19.35 activities during a typical work-day. The most common missed item was "provide developmental care for the baby". The most common reason for missed care was "emergency within the unit or deterioration of one of the assigned patients". The final regression model explained 9.6% of variance in missed care. The average daily number of assigned patients receiving inotropes or sedation over the last month influenced the total number of missed care items. Conclusion: Missed care was affected by nurses' workload related to the number of patients taking medication. Frequently missed activities, especially those related to developmental care, require patience and time, conflicting with safety prioritization and inadequate working conditions. NICU nurses' working conditions should be improved to ensure adequate time for nursing activities.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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