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Missed Nursing Care in Emergency Departments: A Cross-Sectional Descriptive Study Publisher Pubmed



Rooddehghan Z1 ; Karimi H1 ; Mohammadnejad E2, 3 ; Sayadi L2, 4 ; Haghani S6 ; Karimi R1
Authors
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Authors Affiliations
  1. 1. School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Department of Medical-Surgical Nursing, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Research Center for Antibiotic Stewardship and Antimicrobial Resistance, Tehran University of Medical Sciences, Tehran, Iran
  4. 4. Nursing & amp
  5. 5. Midwifery Care Research Center, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
  6. 6. Nursing Care Research Center, Iran University Of Medical Sciences, Tehran, Iran

Source: BMC Emergency Medicine Published:2024


Abstract

Background: Missed care refers to the omission or delay in performing any aspect of patient’s care (either a part of the care or the entire care). Currently, missed care has become a growing concern at the international level, which threatens the quality and safety of care and cases many unwanted consequences. This study aims to investigate the frequency and types of missed nursing care in the emergency departments of selected hospitals affiliated to Tehran University of Medical Sciences. Methods: This is a cross-sectional and descriptive- observational study that was conducted with the aim of determining the frequency and types of missed nursing care in the emergency departments of selected hospitals affiliated to Tehran University of Medical Sciences from January 2020 to June 2020. The research community included all nursing care offered in the designated areas, as well as all nurses working in the emergency departments of selected hospitals. Finally, 146 nurses were selected by census method. The information was collected by self-reporting method and the researcher’s observation. Demographic information questionnaire, a researcher-made checklist were used to determine the frequency and types of missed nursing care. 384 observations were made for each item. Descriptive statistics methods were used to analyze the data. Results: The area of checking equipment and emergency trolley(mean = 81.80) had the lowest and the area of patient communication(mean = 55.72) had the highest level of missed care. Conclusions: The level of missed nursing care in the emergency departments of selected hospitals affiliated to Tehran University of Medical Sciences was found to be high and the highest amount was related to the field of communication with the patient. Therefore, it is recommended that the details of missed nursing care in each area should be considered by nursing managers. © The Author(s) 2024.