期刊
JOURNAL OF NURSING SCHOLARSHIP
卷 54, 期 1, 页码 -出版社
WILEY
DOI: 10.1111/jnu.12647
关键词
Depression; help‐ seeking; missed nursing care; nurse performance; nurses; nursing care quality; sleep quality
类别
资金
- National Research Foundation of Korea [2018R1C1B5043592]
- institutional review board of Dankook University [DKU 2020-05-023]
- National Research Foundation of Korea [2018R1C1B5043592] Funding Source: Korea Institute of Science & Technology Information (KISTI), National Science & Technology Information Service (NTIS)
The study found that depression was positively correlated with negative help-seeking attitude and poor sleep quality. Depression and sleep quality were positively associated with missed nursing care. The moderating effects of help-seeking attitude and poor sleep quality on the relationship between depression and missed nursing care were observed.
Purpose This study aimed to determine the moderating effects of help-seeking attitude and sleep quality on the relationship between depression and missed nursing care among nurses in Korean hospitals. Design This secondary analysis used a cross-sectional survey design. The study data were collected from 263 nurses in two Korean hospitals from 2018 to 2019. Methods The survey consisted of the MISSCARE Survey, Beck Depression Inventory-II, Attitudes Toward Seeking Professional Psychological Help-Short Form, and Pittsburgh Sleep Quality Index. Following the guidelines of Hayes, we used the SPSS PROCESS macro for testing the moderating effects of help-seeking attitude and sleep quality on the relationship between depression and missed nursing care. Findings Of the 263 study participants, 37.6% had mild depression. Depression was positively correlated with negative help-seeking attitude and poor sleep quality. Depression and sleep quality were positively associated with missed nursing care. The moderating effects of help-seeking attitude and poor sleep quality on the relationship between depression and missed nursing care were observed. The slope test revealed that depression with negative help-seeking attitude had a positive effect on missed nursing care. Furthermore, depression with good sleep quality had a positive effect on missed nursing care. Conclusions The findings suggest that efforts to enhance sleep quality and reduce depression by improving help-seeking attitude would be helpful to decrease missed nursing care among hospital nurses. Clinical Relevance Nurses' sleep quality, level of depression, and help-seeking behavior is crucial globally in delivering quality nursing care without omission. Healthcare institutions and nursing managers should implement evidence-based strategies to enhance nurses' help-seeking attitude and sleep quality to decrease the risk of depression and missed nursing care.
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