Exploring Iranian nurses’ experiences of missed nursing care: a qualitative study: a threat to patient and nurses’ health

Authors

  • Fatemeh Ghaffari Ramsar Nursing Care Research Center, Babol University of Medical Sciences, Mazandaran, Iran.
  • Mahboubeh Shali School of Nursing and Midwifery, Zanjan University of Medical Sciences, Zanjan, Iran.
  • Nahid Dehghan-Nayeri Nursing and Midwifery Care Research Centre,School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
Abstract:

Background: The main objective of nursing is to provide comprehensive nursing care that is appropriate to patients’ needs. However, the incidence of missed nursing care compromises the provision of comprehensive and safe care and threatens patients’ lives. Thus, this in-depth qualitative study aimed to explore nurses’ experiences of missed care and factors affecting it. The aim of this study was to describe nurses’ experiences of missed care in clinical practice. Methods: In this study, qualitative research methodology, with a content analysis approach was used. The sample included 23 nurses in referral teaching hospitals. Data were collected through focus group discussions, face-to-face and telephonic interviews, using semi-structured questions. Results: Three themes, comprising several sub-themes, emerged, and included contextual conditions, coercion, and deprivation. Conclusion: The results indicated that organizational and personal factors facilitate the incidence of coerced, missed nursing care. High quality of care, the prevention of missed care incidences and patient safety depend on the provision of adequate staff, appropriate equipment and a sense of responsibility for patients’ care needs among nurses.

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Journal title

volume 29  issue 1

pages  1030- 1038

publication date 2015-01

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