Missed nursing care: a concept analysis
Missed nursing care: a concept analysis
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DOI：
10.1111/j.1365-2648.2009.05027.x
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发表时间：
2009-07-01
影响因子：
3.8
通讯作者：
Hinshaw, Ada Sue
中科院分区：
文献类型：
--
作者：
Kalisch, Beatrice J.;Landstrom, Gay L.;Hinshaw, Ada Sue
错过护理：本文是一篇关于护理漏诊概念的分析报告，根据病人安全文献，护理漏诊是一种遗漏的错误。这一概念在质量和病人安全文献中明显缺乏，护理的个别方面只偶尔提到。概念分析的8步方法-选择概念，确定目的，识别用途，定义属性，识别模型案例，描述相关和相反的案例，识别前因和后果，并定义经验的参考-被用来检查错过护理的概念。通过系统检索1970年至2008年4月的万维网、MEDLINE、CINAHL和相关期刊文章的参考列表，确定了分析的来源。在错过护理模式中概念化的错过护理被定义为遗漏（部分或全部）或延迟的所需患者护理的任何方面。在急性护理环境中的护士报告的各种属性类别有助于错过护理：（1）催化需要的决定优先级的前因;（2）护理过程的元素和（3）护士的内部感知和价值观。护理环境中的多种因素和护士内部因素影响是否提供所需的护理服务。错过护理模式中概念化的错过护理是一种普遍现象。这一概念预计将出现在所有文化和国家，因此具有国际范围。
Missed nursing care: a concept analysis.This paper is a report of the analysis of the concept of missed nursing care.According to patient safety literature, missed nursing care is an error of omission. This concept has been conspicuously absent in quality and patient safety literature, with individual aspects of nursing care left undone given only occasional mention.An 8-step method of concept analysis - select concept, determine purpose, identify uses, define attributes, identify model case, describe related and contrary cases, identify antecedents and consequences and define empirical referents - was used to examine the concept of missed nursing care. The sources for the analysis were identified by systematic searches of the World Wide Web, MEDLINE, CINAHL and reference lists of related journal articles with a timeline of 1970 to April 2008.Missed nursing care, conceptualized within the Missed Nursing Care Model, is defined as any aspect of required patient care that is omitted (either in part or in whole) or delayed. Various attribute categories reported by nurses in acute care settings contribute to missed nursing care: (1) antecedents that catalyse the need for a decision about priorities; (2) elements of the nursing process and (3) internal perceptions and values of the nurse. Multiple elements in the nursing environment and internal to nurses influence whether needed nursing care is provided.Missed care as conceptualized within the Missed Care Model is a universal phenomenon. The concept is expected to occur across all cultures and countries, thus being international in scope.