期刊
INTERNATIONAL JOURNAL OF MENTAL HEALTH NURSING
卷 31, 期 3, 页码 697-707出版社
WILEY
DOI: 10.1111/inm.12990
关键词
mental health; mental health nurses; missed care; nurses; unfinished nursing care
资金
- Federation University Academic Seed Grant
Nurses play crucial roles in caring for hospitalized patients, with missed nursing care potentially leading to adverse outcomes. Mental health nurses are particularly prone to overlooking care planning and safety audits. Urgent exploration of factors contributing to missed care is necessary to enhance patient safety and quality care.
Nurses have key roles in caring for hospitalized patients. Missed nursing care can lead to adverse outcomes, from minor discomfort to patient death. Mental health nurses have a significant role in advancing knowledge and practice due to missed, delayed, or unfinished nursing care. They are identifying, escalating, and managing warning signs of mental and physical health deterioration where the risk to patients is high in terms of compromised care quality and neglect and the evidence is scant. This study aimed to examine mental health nurses' perceptions of missed nursing care in acute mental health inpatient units in an Australian regional health service. A cross-sectional survey was undertaken using a modified Kalisch Phelan MISSCARE questionnaire and a qualitative content analysis was undertaken for narrative responses. Of 70 participants, the majority were aged 30-44 years, with >5 years of experience. The results indicated that care planning, safety audits, communication, and assessment of oral intake were perceived as care most frequently missed. Factors contributing to missed care need urgent exploration to ensure timely reduction of patient risk and enhancements to safe quality care.
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