Effect of Missed Nursing Care of Critically Ill Patients’ Outcomes in Intensive Care Units

Document Type : Original Article

Authors

1 Nursing Specialist at Al-Mabarrah Hospital for Health Insurance, Assiut, Egypt.

2 Assistant Professor of Critical Care Emergency Nursing and Emergency, Faculty of Nursing, Assuit University, Egypt.

3 Professor of Anesthesia and Intensive Care, Faculty of Medicine, Assiut University, Egypt.

Abstract

Background: According to an international survey, the majority of nurses report leaving at least one task unfinished throughout a shift, making missed care a global issue. Aim of the study:  Is to evaluate theEffect of missed nursing care of  critically ill patients’ outcomes inintensive care units. Research design: This study employed a descriptive correlational research strategy. Setting: This research was carried out at intensive care units in Al-Mabarrah Hospital for Health Insurance and Assiut University Hospital. Sample: The study subjects were included a convenience sampling of available critical care nurses who work in the previous mentioned setting and who give direct care to critically ill patients. Tools: Tool one:Nurse characteristics assessment tool; tool two:The missed nursing care questionnaire; tool three: Clinical outcome assessment sheet. Results: It was found that the most of nurses had moderate level of missed care and the most of patient`s hospital stay > 10 days.  Also, the most of nurses were satisfactory reasons of missed care. There was relation between total score levels of missed nursing care and total score of clinical outcomes. Conclusion: the study concluded that the most of nurses had moderate level of missed care such as ambulation of patients three times per day and the most of patients’ adverse events as unplanned extubating, phlebitis, transfusion reaction, pressure ulcers. Recommendations: Improving the quality care of the nurses through increase number of nurse staff.

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