Volume 19, Issue 1 (3-2025)
Qom Univ Med Sci J 2025, 19(1): 11-23 |
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Research code: IR.MUQ.REC.1402.044
Ethics code: IR.MUQ.REC.1402.044
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Jafari S, Abedini Z, Babaii A, Khoramirad A. Missed Nursing Care and the Related Factors Among the Emergency Department Nurses of Hospitals in Qom, Iran. Qom Univ Med Sci J 2025; 19 (1) : 278.3
URL: http://journal.muq.ac.ir/article-1-4093-en.html
URL: http://journal.muq.ac.ir/article-1-4093-en.html
1- Student Research Committee, Qom University of Medical Sciences, Qom, Iran.
2- Department of Nursing, School of Nursing, Qom University of Medical Sciences, Qom, Iran.
3- Department of Nursing, School of Nursing, Qom University of Medical Sciences, Qom, Iran. ,parsian_ins_kh@yahoo.com
2- Department of Nursing, School of Nursing, Qom University of Medical Sciences, Qom, Iran.
3- Department of Nursing, School of Nursing, Qom University of Medical Sciences, Qom, Iran. ,
Abstract: (1085 Views)
Background and Objectives: Missed nursing care is a common threat to patient safety and quality of care. This study aimed to investigate missed nursing care and its related factors among nurses in the emergency departments (EDs) of hospitals in Qom, Iran.
Methods: This is a descriptive-analytical study with a cross-sectional design that was conducted on 200 nurses working in the EDs of hospitals in Qom City in 2024, who were selected using a census sampling method. Data were collected using a demographic/work-related form and the MISSCARE survey. Statistical analysis was performed in SPSS software, version 26.
Results: The majority of participants were female (53.5%) and married (61.5%), with a mean age of 31.65±5.95 years, and a bachelor’s degree (96%). The variables of gender (P=0.002, β=0.204), work experience (P=0.005, β=-0.185), number of patients checked in the last shift (P=0.010, β=0.164), and job satisfaction (P<0.001, β=-0.303) were identified as predictors of missed nursing care. They together explained 24.1% of the variance in the MISSCARE survey score.
Conclusion: Missed nursing care by the ED nurses of hospitals in Qom City occurs at a moderate level. Nursing managers of these hospitals need to pay more attention to the factors affecting the missed nursing care of ED nurses (Male gender, lower work experience, higher number of patients under care, and reduced job satisfaction) to improve the quality of healthcare services.
Methods: This is a descriptive-analytical study with a cross-sectional design that was conducted on 200 nurses working in the EDs of hospitals in Qom City in 2024, who were selected using a census sampling method. Data were collected using a demographic/work-related form and the MISSCARE survey. Statistical analysis was performed in SPSS software, version 26.
Results: The majority of participants were female (53.5%) and married (61.5%), with a mean age of 31.65±5.95 years, and a bachelor’s degree (96%). The variables of gender (P=0.002, β=0.204), work experience (P=0.005, β=-0.185), number of patients checked in the last shift (P=0.010, β=0.164), and job satisfaction (P<0.001, β=-0.303) were identified as predictors of missed nursing care. They together explained 24.1% of the variance in the MISSCARE survey score.
Conclusion: Missed nursing care by the ED nurses of hospitals in Qom City occurs at a moderate level. Nursing managers of these hospitals need to pay more attention to the factors affecting the missed nursing care of ED nurses (Male gender, lower work experience, higher number of patients under care, and reduced job satisfaction) to improve the quality of healthcare services.
Article number: 278.3
Type of Study: Original Article |
Subject:
پرستاری-روانپرستاری
Received: 2025/03/12 | Accepted: 2025/05/20 | Published: 2025/03/30
Received: 2025/03/12 | Accepted: 2025/05/20 | Published: 2025/03/30
References
1. Holguin Alvarez JA, Villena Guerrero M, Soto Hidalgo C, Panduro Ramírez J. Digital skills, distributed leadership, and teacher resilience in pandemic contexts. Rev Venez Gerencia. 2020; 25(4):38-53. [Link]
2. Mahdavi Fashtami S, Mohammadeh zadeh Zarankesh S, Esmaeilpour Bandboni M. [Moral distress among emergency department nurses: Frequency, intensity, effect (Persian)]. Med Sci J Islamic Azad Univ Tehran Med Branch. 2016; 26(4):248-55. [Link]
3. Zavotsky KE. Exploring the relationship between moral distress and coping in emergency nursing. New Jersey: Seton Hall University; 2015. [Link]
4. Ghezeljeh T, Gharasoflo S, Haghani S. The relationship between missed nursing care and teamwork in emergency nurses: A predictive correlational study. Nurs Pract Today. 2021; 8(2):103-12. [Link]
5. Lin TC, Lin HS, Cheng SF, Wu LM, Ou‐Yang MC. Work stress, occupational burnout and depression levels: a clinical study of paediatric intensive care unit nurses in Taiwan. J Clin Nurs. 2016; 25(7-8):1120-30. [DOI:10.1111/jocn.13119] [PMID] [DOI:10.1111/jocn.13119]
6. Karimi H, Rooddehghan Z, Mohammadnejad E, Sayadi L, Haghani S. [Causes of missed nursing care in emergency departments in selected hospitals of Tehran University of Medical Sciences: A descriptive study In Iran (Persian)]. Iran J Nurs Res. 2021; 16(4):50-60. [Link]
7. Papastavrou E, Charalambous A, Vryonides S, Eleftheriou C, Merkouris A. To what extent are patients' needs met on oncology units? The phenomenon of care rationing. Eur J Oncol Nurs. 2016; 21:48-56. [DOI:10.1016/j.ejon.2016.01.002] [PMID] [DOI:10.1016/j.ejon.2016.01.002]
8. Cho E, Lee NJ, Kim EY, Kim S, Lee K, Park KO, et al. Nurse staffing level and overtime associated with patient safety, quality of care, and care left undone in hospitals: A cross-sectional study. Int J Nurs Stud. 2016; 60:263-71. [DOI:10.1016/j.ijnurstu.2016.05.009] [PMID] [DOI:10.1016/j.ijnurstu.2016.05.009]
9. Wakabayashi G, Cherqui D, Geller DA, Buell JF, Kaneko H, Han HS, et al. Recommendations for laparoscopic liver resection: A report from the second international consensus conference held in Morioka. Ann Surg. 2015; 261(4):619-29. [Link]
10. Weigl M, Müller A, Holland S, Wedel S, Woloshynowych M. Work conditions, mental workload and patient care quality: a multisource study in the emergency department. BMJ Qual Saf. 2016; 25(7):499-508. [DOI:10.1136/bmjqs-2014-003744] [PMID] [DOI:10.1136/bmjqs-2014-003744]
11. Tubbs-Cooley HL, Mara CA, Carle AC, Mark BA, Pickler RH. Association of Nurse Workload With Missed Nursing Care in the Neonatal Intensive Care Unit. JAMA Pediatr. 2019; 173(1):44-51. [DOI:10.1001/jamapediatrics.2018.3619] [PMID] [DOI:10.1001/jamapediatrics.2018.3619]
12. Khajooee R, Bagherian B, Dehghan M, Azizzadeh Forouzi M. Missed nursing care and its related factors from the points of view of nurses affiliated to Kerman University of Medical Sciences in 2017. J Hayat. 2019; 25(1):11-24. [Link]
13. Najafi Ghezeljeh T, Gharasoflo S, Haghani S. The relationship between missed nursing care and teamwork in emergency nurses: A predictive correlational study. Nurs Pract Today. 2021; 8. [DOI:10.18502/npt.v8i2.5121] [DOI:10.18502/npt.v8i2.5121]
14. Rooddehghann Z. [Causes of missed nursing care in emergency departments in selected hospitals of Tehran University of Medical Sciences: A descriptive study in Iran (Persian)]. Iran J Nurs Res. 2021; 16(4):50-60. [Link]
15. Ameri M, Fadaee Aghdam N, Khajeh M, Goli S, Baha R. [Factors related to job stress in different work shifts of nurses working in hospitals affiliated to Shahroud University of Medical Sciences (Persian)]. Nurs Midwifery J. 2021; 19(2):149-57. [Link]
16. Hammad M, Guirguis W, Mosallam R. Missed nursing care, non-nursing tasks, staffing adequacy, and job satisfaction among nurses in a teaching hospital in Egypt. J Egypt Public Health Assoc. 2021; 96(1):22. [DOI:10.1186/s42506-021-00083-0] [PMID] [DOI:10.1186/s42506-021-00083-0]
17. Al‐Faouri I, Obaidat DM, AbuAlRub RF. Missed nursing care, staffing levels, job satisfaction, and intent to leave among Jordanian nurses. Nurs Forum. 2021; 56( 2):273-83. [DOI:10.1111/nuf.12537] [DOI:10.1111/nuf.12537]
18. Chegini Z, Jafari-Koshki T, Kheiri M, Behforoz A, Aliyari S, Mitra U, et al. Missed nursing care and related factors in Iranian hospitals: A cross-sectional survey. J Nurs Manag. 2020; 28(8):2205-15. [DOI:10.1111/jonm.13055] [PMID] [DOI:10.1111/jonm.13055]
19. John ME, Mgbekem M, Nsemo A, Maxwell G. Missed nursing care, patient outcomes and care outcomes in selected hospitals in Southern Nigeria. J Nurs Healthcare. 2016; 1(2):1-5. [Link] [DOI:10.33140/JNH/01/02/00011]
20. Bender M, Connelly CD, Brown C. Interdisciplinary collaboration: The role of the clinical nurse leader. J Nurs Manag. 2013; 21(1):165-74. [DOI:10.1111/j.1365-2834.2012.01385.x] [PMID] [DOI:10.1111/j.1365-2834.2012.01385.x]
21. Badeleh Shamooshaki MT, Salehi Yansari Z, Bagherzade S. [The relationship between Mindfulness and job stress in nurses (Persian)]. Occup Med Q J. 2021; 13(1):53-61. [Link]
22. Saputri E, Pasinringi S, Ake J. The relationship between career ladder and nurses job satisfaction at a hospital. Indonesian J Health Adm. 2021; 9:55. [DOI:10.20473/jaki.v9i1.2021.55-66] [DOI:10.20473/jaki.v9i1.2021.55-66]
23. Plevová I, Zeleníková R, Jarošová D, Janíková E. The relationship between nurse's job satisfaction and missed nursing care. Med Pr. 2021; 72(3):231-7. [Link] [DOI:10.13075/mp.5893.01035]
24. Spiva L, Hart PL, Wesley ML, Gallagher E, McVay F, Waggoner J, et al. Psychometric testing of the clinical nurse leader staff satisfaction instrument. J Nurs Meas. 2014; 22(2):302-11. [DOI:10.1891/1061-3749.22.2.302] [PMID] [DOI:10.1891/1061-3749.22.2.302]
25. Wager K. Assessing physician and nurse satisfaction with an ambulatory care EMR: One facility's approach. Int J Healthcare Inf Syst Inform. 2008; 3:63-74. [DOI:10.4018/jhisi.2008010104] [DOI:10.4018/jhisi.2008010104]
26. Holland P, Tham TL, Sheehan C, Cooper B. The impact of perceived workload on nurse satisfaction with work-life balance and intention to leave the occupation. Appl Nurs Res. 2019; 49:70-6. [DOI:10.1016/j.apnr.2019.06.001] [PMID] [DOI:10.1016/j.apnr.2019.06.001]
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