scholarly journals Missed nursing care, non-nursing tasks, staffing adequacy, and job satisfaction among nurses in a teaching hospital in Egypt

Author(s):  
Marwa Hammad ◽  
Wafaa Guirguis ◽  
Rasha Mosallam

Abstract Background Missed nursing care (MNC) has been linked to patient harm in a growing body of literature. However, this issue is still not adequately investigated in developing countries. The aim of the study is to measure the extent of missed nursing care, to identify its types, and to determine factors contributing to missed nursing care. Methods A cross-sectional design was used. The study was conducted among 50 units at 1762-beds teaching Hospital in Alexandria that employs 1211 nurses in inpatient areas. A sample of 553 nurses were interviewed using the MISSCARE and the N4CAST survey. The MISSCARE survey measured the amount of missed nursing care (MNC) that was experienced on the last worked shift by each nurse. The N4CAST survey was used to collect data about level of non-nursing work carried out by nurses and the nurses’ job satisfaction. Results The overall mean score for the missed nursing care was 2.26 ± 0.96 out of 5, with highest mean score attributed to “Planning” and lowest mean score attributed to “Assessment and Vital Signs” (2.64 and 1.96, respectively). Missed nursing care was significantly associated with number of patients admitted and cared for in the last shift and perceived staffing adequacy. Almost all non-nursing care tasks and most of satisfaction elements showed negative weak correlation with overall missed nursing care. Conclusion Missed Nursing Care is common in study hospital which may endanger patient safety. MNC Missed Nursing Care is positively associated with nursing adequacy. There is no association between MNC and neither nurses’ job satisfaction nor non-nursing tasks. Nursing leaders should monitor missed nursing care and the environmental and staffing conditions associated with it in order to design strategies to reduce such phenomena.

2020 ◽  
Vol 28 (8) ◽  
pp. 2136-2145
Author(s):  
Annamaria Bagnasco ◽  
Gianluca Catania ◽  
Milko Zanini ◽  
Nicoletta Dasso ◽  
Silvia Rossi ◽  
...  

Author(s):  
Silvana Cruz da Silva ◽  
Bruna Xavier Morais ◽  
Oclaris Lopes Munhoz ◽  
Juliana Dal Ongaro ◽  
Janete de Souza Urbanetto ◽  
...  

Objective: to assess the correlations between the patient safety culture, the missed Nursing care, and the reasons for the omission in the obstetric area. Method: a cross-sectional study, conducted in 2019, with 62 Nursing professionals working in the obstetric area of a teaching hospital in southern Brazil. The MISSCARE-Brasil and Hospital Survey on Patient Safety Culture instruments were used. The data were analyzed using descriptive statistics, means comparison test and Spearman correlation. Results: the overall mean of positive answers for the safety culture was 34.9 (± 17.4). The care of assessing the vital signs and monitoring capillary blood glucose were the most prioritized, with airway aspiration and oral hygiene being the most overlooked. The main reasons for the omissions refer to labor resources and to inadequate staffing. A significant and inversely proportional correlation was found between the patient safety culture and overlooked nursing care (r=-0.393). Conclusion: the safety culture of the obstetric area was assessed as fragile by the Nursing professionals. The more the safety culture is strengthened and the greater investment in labor and human resources, the less care is overlooked.


Author(s):  
Darja Jarošová ◽  
Elena Gurková ◽  
Renáta Zeleníková ◽  
Ilona Plevová ◽  
Eva Janíková

Author(s):  
Panagiotis Kiekkas ◽  
Vasiliki Tsekoura ◽  
Fotini Fligou ◽  
Anastasios Tzenalis ◽  
Eleni Michalopoulos ◽  
...  

2021 ◽  
Author(s):  
Ilona Plevová ◽  
Renáta Zeleníková ◽  
Darja Jarošová ◽  
Eva Janíková

2012 ◽  
Vol 19 (06) ◽  
pp. 808-811
Author(s):  
SAEMA TEHSEEN ◽  
AFIFA WAHEED ◽  
NABEELA SHAMI

Induced Miscarriage is defined as the elective termination of pregnancy before 24 weeks of gestation. Objectives: To determinethe frequency of sepsis associated with induced Miscarriage. Study Design: Cross-sectional survey. Setting: Department of Obstetrics andGynaecology, Unit-II, Ghurki Trust Teaching Hospital, Lahore. Duration of Study: Six months from 25-12-08 to 24-06-09. Materials andMethods: Total 110 cases were taken. Complete history including parity and mode of admission was taken. All information was recorded onspecially designed proforma. Results: A large number of patients turned out to be para 3-4 i.e. 87 (79%), 15 cases (13.7%) had the paritybetween 5-7 and only 8 cases (7.3%) were para 1-2 (Table-I).On analyzing the mode of admission it was found that 50 (45.4%) patients wereadmitted through out-patient department. 60 cases (54.6%) were admitted through emergency (Table-II). Finally the frequency of sepsisamongst women presenting with Miscarriage was calculated and it was found to be 25 (22.7%). 85 (77.3%) cases did not show any evidence ofsepsis (Table-III). Conclusions: Illegal Miscarriages are a major contribution to septic morbidity leading to a large number of maternal deathswhich is a dilemma in under developed countries like ours. Better public awareness and access to contraceptive measures has a definite role toplay in improving the outcome.


2013 ◽  
Vol 43 (5) ◽  
pp. 274-279 ◽  
Author(s):  
Beatrice J. Kalisch ◽  
Myrna Doumit ◽  
Kyung Hee Lee ◽  
Joanna El Zein

2022 ◽  
pp. 1-32
Author(s):  
Matteo Danielis ◽  
Michela Fantini ◽  
Sonia Sbrugnera ◽  
Tiziana Colaetta ◽  
Maria Rosa Maestra ◽  
...  

2019 ◽  
Vol 9 (3) ◽  
pp. 62-68
Author(s):  
Sashi Poudel ◽  
Kalpana Sharma

Background: Job satisfaction is a major factor in nurse retention and the de­livery of high quality care. Hence, aim of this study was to find out the factors affecting job satisfaction among nurses working in the teaching hospital, Chit­wan. Methods: A descriptive, cross-sectional research design was used and a total 135 nurses who were working for at least 3 months in the Chitwan Medical Teaching Hospital were taken as study sample. Simple random sampling tech­nique was used to select the desired sample. Pre-tested structured self-admi­nistered questionniare with job satisfaction scale consisting eight domains was used to collect the data. Obtained data were entered into SPSS version 20.0 for window and analyzed using descriptive statistics and inferential statistics (chi-square test). Results: The findings of the study revealed that more than half (57.85%) of the nurses were satisfied with their job. Nurses’ job satisfaction was higher on organization and administration policies (4.18±0.04) and least on salary and benefits (3.01±0.19) they were receiving from the institution. The significance influencing factors of job satisfaction were professional qualification (p=0.04), total work experience in nursing (p=0.004), working ward/unit (p=0.014), des­ignation (p=0.007), number of patient assigned in general ward (p=<0.001) and leadership style in the ward (p=<0.001). Conclusions: Considerable percentage of nurses are not satisfied with their job. Hence hospital management and professional associations need to ad­dress the identified factors to enhance the job satisfaction among nurses work­ing in a teaching hospital.


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