Factors contributing to nursing task incompletion as perceived by nurses working in Kuwait general hospitals
Factors contributing to nursing task incompletion as perceived by nurses working in Kuwait general hospitals
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DOI：
10.1111/j.1365-2702.2009.02795.x
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发表时间：
2009-12-01
影响因子：
4.2
通讯作者：
Thomas, Deepa
中科院分区：
文献类型：
--
作者：
Al-Kandari, Fatimah;Thomas, Deepa
背景：未完成的护理与护理质量有很强的关系。目的：本研究旨在评估护士的工作量、内科和外科病房护士通常执行的护理活动（任务）、轮班期间护士未完成的护理活动的要素、导致任务未完成的因素以及人员配置、人口统计学变量和任务未完成。设计。探索性调查，使用自填式问卷，从IHOC调查，美国。参与者。在科威特五家政府综合医院的普通内科和外科病房工作的所有全职注册护士。方法。研究助理分发并收回问卷。参与者有四个工作天的时间填写和交回问卷。结果：护理人员最常从事的5项护理活动依次为：药物管理、病情评估、制定/更新护理计划、密切监护和健康教育。护士无法完成的最常见的护理活动是：与患者和家属进行安慰性谈话、充分记录护理、口腔卫生、常规导管护理以及按时开始或更换IV液体。当护患负荷小于5时，任务更完整。护士的年龄和教育背景影响任务完成，而护士的性别没有影响。结论：增加病人的负担，导致护理任务和非护理任务的频率增加，结论：护理工作量与交接班期间护理活动的不完成度呈正相关，与临床实际相关，应重视维持最佳护患工作量，减少非护理工作量减轻护士的护理工作量，提高护理质量。
Background.Unfinished care has a strong relationship with quality of nursing care. Most issues related to tasks incompletion arise from staffing and workload.Objectives.This study was conducted to assess the workload of nurses, the nursing activities (tasks) nurses commonly performed on medical and surgical wards, elements of nursing care activities left incomplete by nurses during a shift, factors contributing to task incompletion and the relationship between staffing, demographic variables and task incompletion.Design.Exploratory survey using a self-administered questionnaire developed from IHOC survey, USA.Participants.All full time registered nurses working on the general medical and surgical wards of five government general hospitals in Kuwait.Methods.Research assistants distributed and collected back the questionnaires. Four working days were given to participants to complete and return the questionnaires. A total of 820 questionnaires were distributed and 95% were returned.Data analysis.Descriptive and inferential analysis using SPSS-11.Results.The five most frequently performed nursing activities were: administration of medications, assessing patient condition, preparing/updating nursing care plans, close patient monitoring and client health teaching. The most common nursing activities nurses were unable to complete were: comfort talk with patient and family, adequate documentation of nursing care, oral hygiene, routine catheter care and starting or changing IV fluid on time. Tasks were more complete when the nurse-patient load was less than 5. Nurses' age and educational background influenced task completion while nurses' gender had no influence on it.Conclusions.Increased patient loads, resulting in increased frequency of nursing tasks and non-nursing tasks, were positively correlated to incompletion of nursing activities during the shift.Relevance to clinical practice.Emphasis should be given to maintaining the optimum nurse-patient load and decreasing the non-nursing workload of nurses to enhance the quality of nursing care.