三级甲等综合性医院护理缺失现状及其原因调查

目的了解三级甲等综合性医院护理缺失的现状,探索其原因,提高护理质量,保障患者安全。方法采用修正后的护理缺失问卷对594名三级甲等医院的临床护理人员进行问卷调查。结果在护理缺失的项目中,14.81%~66.16%基础护理缺失,3.20%~23.91%护理干预缺失,14.14%~14.98%护理计划缺失,4.71%~11.95%护理评估缺失。而护理缺失的原因中,63.30%~98.48%为人力资源不足,73.74%~85.35%为物质资源不足,62.96%~83.16%为沟通交流不足。结论护理缺失普遍存在,而导致这些护理缺失的原因也很多,护理管理者要高度重视护理缺失的问题,采取相应措施,避免或减少护理工作的缺失,以保证护理质量和患者安全。

Survey on missed nursing care in tertiary general hospitals and its causes

Objective To examine what and why nursing care is missed in tertiary general hospitals,and to improve quality of nursing care and guarantee patient safety.Methods A sample of 594 nurses in 2 tertiary general hospitals completed the modified Missed Nursing Care Survey.Results Basic care,interventions,planning and assessment were reported to be missed by 14.81%-66.16%,3.20%-23.91%,14.14%-14.98% and 4.71%-11.95% of the survey respondents respectively.Reasons for missed care were lack of labor resources(63.30%-98.48%),lack of material resources(73.74%-85.35%),and lack of communication(62.96%-83.16%).Conclusion Nursing care missed in tertiary general hospitals is common phenomenon and there are many reasons.Nursing managers should pay important attention and take countermeasures to avoid or reduce missed care.