Zeitschriftenartikel: „Misscarige“

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Calikusu Incekar, Mujde, Öznur İspir, Betül Sönmez, Melek Selalmaz und Şerife Kartal Erdost. „Turkish Validation of the MISSCARE Survey – Pediatric Version“. Journal of Pediatric Nursing 53 (Juli 2020): e156-e163. http://dx.doi.org/10.1016/j.pedn.2020.03.012.

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Dabney, Beverly W., Beatrice J. Kalisch und Michael Clark. „A revised MISSCARE survey: Results from pilot testing“. Applied Nursing Research 50 (Dezember 2019): 151202. http://dx.doi.org/10.1016/j.apnr.2019.151202.

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Bagnasco, Annamaria, Milko Zanini, Giuseppe Aleo, Gianluca Catania, Beatrice J. Kalisch und Loredana Sasso. „Development and validation of the MISSCARE survey – Pediatric version“. Journal of Advanced Nursing 74, Nr. 12 (24.09.2018): 2922–34. http://dx.doi.org/10.1111/jan.13837.

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Sultonova, N. A. „Treatment of hypercoagulable conditions in women with misscarriage in early gestation“. Asian Journal of Multidimensional Research (AJMR) 9, Nr. 12 (2020): 13–16. http://dx.doi.org/10.5958/2278-4853.2020.00320.1.

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Simpson, Kathleen Rice, Audrey Lyndon, Joanne Spetz, Caryl L. Gay und Gay L. Landstrom. „Adaptation of the MISSCARE Survey to the Maternity Care Setting“. Journal of Obstetric, Gynecologic & Neonatal Nursing 48, Nr. 4 (Juli 2019): 456–67. http://dx.doi.org/10.1016/j.jogn.2019.05.005.

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Siqueira, Lillian Dias Castilho, Maria Helena Larcher Caliri, Beatrice Kalisch und Rosana Aparecida Spadoti Dantas. „Cultural adaptation and internal consistency analysis of the MISSCARE Survey for use in Brazil“. Revista Latino-Americana de Enfermagem 21, Nr. 2 (April 2013): 610–17. http://dx.doi.org/10.1590/s0104-11692013000200019.

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OBJECTIVE: The aims of this methodological research were to culturally adapt the MISSCARE Survey instrument to Brazil and analyze the internal consistency of the adapted version. METHOD: The instrument consists of 41 items, presented in two parts. Part A contains 24 items listing elements of missed nursing care. Part B is comprised of 17 items, related to the reasons for not delivering care. The research received ethics committee approval and was undertaken in two phases. The first was the cultural adaptation process, in which a committee of five experts verified the face and content validity, in compliance with the steps recommended in the literature. The second was aimed at analyzing the internal consistency of the instrument, involving 60 nursing team professionals at a public teaching hospital. RESULTS: According to the experts, the instrument demonstrated face and content validity. Cronbach's alpha coefficients for parts A and B surpassed 0.70 and were considered appropriate. CONCLUSION: The adapted version of the MISSCARE Survey demonstrated satisfactory face validity and internal consistency for the study sample.

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Castner, Jessica, und Susan Dean-Baar. „Measuring Nursing Error: Psychometrics of MISSCARE and Practice and Professional Issues Items“. Journal of Nursing Measurement 22, Nr. 3 (2014): 421–37. http://dx.doi.org/10.1891/1061-3749.22.3.421.

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Background and Purpose: Health care error causes inpatient morbidity and mortality. This study pooled the items from preexisting nursing error questionnaires and tested the psychometric properties of modified subscales from these item combinations. Methods: Items from MISSCARE Part A, Part B, and the Practice and Professional Issues were collected from 556 registered nurses. Principal component analyses were completed for items measuring (a) nursing error and (b) antecedents to error. Results: Acceptable factor loadings and internal consistency reliability (.70–.89) were found for subscales Acute Care Missed Nursing Care, Errors of Commission, Workload, Supplies Problems, and Communication Problems. Conclusions: The findings support the use of 5 subscales to measure nursing error and antecedents to error in various inpatient unit types with acceptable validity and reliability. The Activities of Daily Living (ADL) Omissions subscale is not appropriate for all inpatient unit types.

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Nymark, Carolin, Katarina E. Göransson, Fredrik Saboonchi, Ann‐Charlotte Falk und Ann‐Christin Vogelsang. „Translation, culture adaption and psychometric testing of the MISSCARE Survey—Swedish version“. Journal of Clinical Nursing 29, Nr. 23-24 (Oktober 2020): 4645–52. http://dx.doi.org/10.1111/jocn.15505.

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Sönmez, Betül, Öznur İspir, Buse Türkmen, Sergül Duygulu und Aytolan Yıldırım. „The reliability and validity of the Turkish version of the MISSCARE Survey‐Patient“. Journal of Nursing Management 28, Nr. 8 (16.10.2019): 2072–80. http://dx.doi.org/10.1111/jonm.12865.

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Petrovic, Bojana, und Milica Komnenic-Radovanovic. „Cytogenetic aspects of miscarriage“. Genetika 53, Nr. 2 (2021): 663–70. http://dx.doi.org/10.2298/gensr2102663p.

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Chromosomal aberrations account for approximately 50% of fetal losses prior to the 15th week of gestation. The aim of this study was to determine the differences in frequencies and distribution of chromosomal aberrations in sporadic and habitual abortions. During a seven year period (2007.-2014.), we have analyzed 380 samples of chorionic villi after missed abortion in the Clinic for gynecology and obstetrics, Clinical center of Serbia. After first misscariage we analyzed 268 samples, and after habitual abortions 112 samples. For statistical analysis, we used ?? test. Karyotype analysis revealed chromosomal aberrations in 22,4% (85/380) of all samples. In the group after first abortion, we found an aberrant karyotype in 15,7% (42/268) of cases. In the group with habitual abortions, chromosomal aberrations were detected in 38,4% (43/112) of cases. Statistical analysis showed significant difference between these two groups, ?2=11,34> ?2(1 I 0,05)=3,841i p<0,05. The distribution of chromosomal aberrations was similar in both groups. Also, in both groups, numerical chromosomal aberrations were the most common. The identification of cytogenetic causes is an important component in miscarriage etiology investigation, and it is recommended in order to improve genetic counseling of an involved couple.

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Zeleníková, Renáta, Elena Gurková und Darja Jarošová. „Missed nursing care measured by MISSCARE Survey - the first pilot study in the Czech Republic and Slovakia“. Central European Journal of Nursing and Midwifery 10, Nr. 1 (30.03.2019): 958–66. http://dx.doi.org/10.15452/cejnm.2019.10.0002.

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Moreno-Monsiváis, María Guadalupe, Catalina Moreno-Rodríguez und María Guadalupe Interial-Guzmán. „Missed Nursing Care in Hospitalized Patients“. Aquichan 15, Nr. 3 (01.09.2015): 318–38. http://dx.doi.org/10.5294/aqui.2015.15.3.2.

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Objective: Determine missed nursing care in hospitalized patients and the factors related to missed care, according to the perception of the nursing staff and the patient. Method: Correlational descriptive study of a sample of 160 nurses and hospitalized patients, using the MISSCARE Nursing Survey. Results: Nursing personnel indicated there were fewer care omissions in continuous evaluation interventions (M=94.56; SD=11.10). The greatest number of omissions pertained to basic care interventions (M=80.2; SD=19.40). Patients mentioned there were fewer omissions in continuous evaluation interventions (M=96.32; SD=7.96), while the greatest number of omissions pertained to patient discharge and education (M=45.00; SD=23.22). The factors that contributed to missed nursing care, according to the nursing staff, were related to human resources (M=80.67; SD=17.06) and material resources (M=69.72; SD=23.45); patients mentioned human resources and communication. Conclusions: Nursing care that is not carried out according to the needs of the patient, or is omitted or delayed, was identified. This aspect is relevant, since nursing care is fundamental to the recovery of hospitalized patients.

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Hübsch, Christine, Marianne Müller, Rebecca Spirig und Michael Kleinknecht‐Dolf. „Performed and missed nursing care in Swiss acute care hospitals: Conceptual considerations and psychometric evaluation of the German MISSCARE questionnaire“. Journal of Nursing Management 28, Nr. 8 (15.05.2020): 2048–60. http://dx.doi.org/10.1111/jonm.13026.

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Zeleníková, Renáta, Darja Jarošová, Ilona Plevová und Eva Janíková. „Nurses’ Perceptions of Professional Practice Environment and Its Relation to Missed Nursing Care and Nurse Satisfaction“. International Journal of Environmental Research and Public Health 17, Nr. 11 (27.05.2020): 3805. http://dx.doi.org/10.3390/ijerph17113805.

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The professional practice environment is a factor that can have a significant impact on missed nursing care. The study aimed to find a relationship between nurses’ perceptions of their professional practice environment and missed nursing care and job satisfaction. An additional aim was to find differences in nurses’ perceived rating of the professional practice environment according to hospital location and job position. A descriptive correlational study was performed. The sample included 513 general and practical nurses providing direct care in nine Czech hospitals. The Revised Professional Practice Environment scale and the Missed Nursing Care (MISSCARE) survey were used to collect data. The professional practice environment was most correlated with satisfaction with the current position (0.4879). The overall score of missed care correlated most strongly with the subscale “staff relationships” (−0.2774). Statistically significant differences in the rating of two subscales, “control over practice” and “cultural sensitivity”, were found between nurses from hospitals in district capitals and those from hospitals in smaller cities. Statistically significant differences in the rating of the “leadership and autonomy in clinical practice” and “teamwork” subscales were found between general nurses and practical nurses. The professional practice environment is related to nurse satisfaction and missed nursing care.

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Kumpović, Danijela, und Slađana Režić. „Što je nedostatna zdravstvena njega?“ Sestrinski glasnik 25, Nr. 2 (2020): 135–38. http://dx.doi.org/10.11608/sgnj.25.2.7.

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Uvod: Nedostatna zdravstvena njega podrazumijeva dio njege ili njegu u cijelosti koja nije izvršena ili je izostavljena. Najčešći je uzrok tomu nedostatak osoblja i/ili vremena. U literaturi se navodi nekoliko pojmova koji su vezani za nedostatnu njegu. Najčešće se upotrebljavaju pojmovi „missed care“, „implicit rationing care“, „unfinished care“. U Hrvatskoj se pojam nedostatne njege tek počinje istraživati i najčešće se upotrebljava pojam nedostatne njege. Metode: Pretraživanjem baze podataka PubMed istraženi su instrumenti kojima se može mjeriti nedostatna njega, a koji su aktualni posljednjih 10 godina. Rezultati: Najčešći instrumenti korišteni u procjeni nedostatne zdravstvene njege su: Misscare survey, BERNCA, PIRNCA i TASK UNDONE. Svaki od instrumenata validiran je i preveden na nekoliko jezika. Navedeni instrumenti upotrebljavaju se u akutnim bolničkim ustanovama, dok je BERNCA modificiran instrument za mjerenje nedostatne njege koja se provodi u kući. Zaključak: Nedostatna zdravstvena njega pojam je koji u posljednje vrijeme u velikoj mjeri zaokuplja istraživače. Razvijeno je nekoliko instrumenata koji istražuju taj fenomen. Nedostatna zdravstvena njega utječe na kvalitetu skrbi koju zdravstveni djelatnici pružaju, kao i na njene ishode. Potrebno je provoditi daljnja istraživanja te bi se na temelju rezultata moglo kreirati povoljno radno okruženje i sigurna skrb za pacijente.

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Kumpović, Danijela, und Slađana Režić. „Što je nedostatna zdravstvena njega?“ Sestrinski glasnik 25, Nr. 2 (2020): 135–38. http://dx.doi.org/10.11608/sgnj.25.2.7.

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Uvod: Nedostatna zdravstvena njega podrazumijeva dio njege ili njegu u cijelosti koja nije izvršena ili je izostavljena. Najčešći je uzrok tomu nedostatak osoblja i/ili vremena. U literaturi se navodi nekoliko pojmova koji su vezani za nedostatnu njegu. Najčešće se upotrebljavaju pojmovi „missed care“, „implicit rationing care“, „unfinished care“. U Hrvatskoj se pojam nedostatne njege tek počinje istraživati i najčešće se upotrebljava pojam nedostatne njege. Metode: Pretraživanjem baze podataka PubMed istraženi su instrumenti kojima se može mjeriti nedostatna njega, a koji su aktualni posljednjih 10 godina. Rezultati: Najčešći instrumenti korišteni u procjeni nedostatne zdravstvene njege su: Misscare survey, BERNCA, PIRNCA i TASK UNDONE. Svaki od instrumenata validiran je i preveden na nekoliko jezika. Navedeni instrumenti upotrebljavaju se u akutnim bolničkim ustanovama, dok je BERNCA modificiran instrument za mjerenje nedostatne njege koja se provodi u kući. Zaključak: Nedostatna zdravstvena njega pojam je koji u posljednje vrijeme u velikoj mjeri zaokuplja istraživače. Razvijeno je nekoliko instrumenata koji istražuju taj fenomen. Nedostatna zdravstvena njega utječe na kvalitetu skrbi koju zdravstveni djelatnici pružaju, kao i na njene ishode. Potrebno je provoditi daljnja istraživanja te bi se na temelju rezultata moglo kreirati povoljno radno okruženje i sigurna skrb za pacijente.

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Dovzhikova, I. V., I. A. Andrievskaya und K. K. Petrova. „Changes in the progesterone synthetic function of the villous chorion in cytomegalovirus infection as one of the factors of the threatened misscarriage in early pregnancy“. Yakut Medical Journal, Nr. 2 (2020): 10–12. http://dx.doi.org/10.25789/ymj.2020.70.02.

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González-Sánchez, Ada Lizette, María Guadalupe Moreno-Monsiváis und Sofía Cheverría - Rivera. „Cuidado de enfermería perdido percibido por madres de pacientes pediátricos hospitalizados“. SANUS, Nr. 15 (30.09.2020): 1–12. http://dx.doi.org/10.36789/sanus.vi15.175.

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Introducción: El cuidado de enfermería perdido se define como el cuidado requerido por el paciente que se omite (parcial o totalmente) o se retrasa significativamente. En la población pediátrica es relevante identificarlo dada la vulnerabilidad de los niños, quienes pueden no ser capaces de expresar o demandar la atención necesaria. Objetivo: Identificar el cuidado de enfermería perdido y su relación con las razones en función de la percepción de madres. Metodología: Estudio descriptivo correlacional. Participaron 162 madres de pacientes pediátricos de un hospital público. Los datos se recolectaron con el instrumento MISSCARE, para el análisis se utilizó estadística descriptiva e inferencial. Resultados: Los cuidados que se pierden principalmente son la planificación del alta y educación al paciente, seguido de cuidado básico como ayudar o realizar el lavado bucal y de manos (82.1%), verificar que la comida esté a una temperatura adecuada (62.1%) y acercar la comida y verificar la dieta antes de que la coman (61.1%). Los cuidados se pierden en primer orden por razones de recursos humanos. Destacó el aumento inesperado en el volumen de pacientes y/o carga de trabajo (47%) y por situaciones de urgencia que demandan mayor atención y generan poco tiempo para atender a otros pacientes (34.5%). Conclusiones: Se identificó cuidado perdido en el paciente pediátrico hospitalizado y se atribuye principalmente a razones de déficit de recursos humanos. Esta información es relevante de considerar por los gestores para fortalecer el cuidado de enfermería en la población pediátrica.

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Harvey, Clare Lynette, Shona Thompson, Eileen Willis, Alannah Meyer und Maria Pearson. „Understanding how nurses ration care“. Journal of Health Organization and Management 32, Nr. 3 (21.05.2018): 494–510. http://dx.doi.org/10.1108/jhom-09-2017-0248.

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Purpose The purpose of this paper is to explore how nurses make decisions to ration care or leave it undone within a clinical environment that is controlled by systems level cost containment. The authors wanted to find out what professional, personal and organisational factors contribute to that decision-making process. This work follows previous international research that explored missed nursing care using Kalisch and Williams’ MISSCARE survey. Design/methodology/approach The authors drew on the care elements used by Kalisch and Williams, asking nurses to tell us how they decided what care to leave out, the conduits for which could include delaying care during a shift, delegating care to another health professional on the same shift, handing care over to staff on the next shift or leaving care undone. Findings The findings suggest that nurses do not readily consider their accountability when deciding what care to leave or delay, instead their priorities focus on the patient and the organisation, the outcomes for which are frequently achieved by completing work after a shift. Originality/value The actions of nurses implicitly rationing care is largely hidden from view, the consequences for which potentially have far reaching effects to the nurses and the patients. This paper raised awareness to hidden issues facing nurses within a cycle of implicitly rationing care, caught between wanting to provide care to their patients, meeting the organisation’s directives and ensuring professional safety. Rethinking how care is measured to reflect its unpredictable nature is essential.

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Bulavenko, O. V., О. А. Muntyan, D. H. Konkov und O. V. Furman. „Ultrasound characteristics of blood circulation in uterine vessels in the I trimester of pregnancy in women with the history of recurrent miscarriage“. Reports of Vinnytsia National Medical University 22, Nr. 1 (08.08.2018): 72–76. http://dx.doi.org/10.31393/reports-vnmedical-2018-22(1)-14.

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Recurrent miscarriage is one of the main problems of obstetrics, gynecology and reproductive medicine. The incidence of recurrent misscarriage is fairly high, with most cases of abortion occurring at I trimester, and the true cause is difficult to establish. The aim of the work is to find out the predictors of early reproductive losses in women with a history of habitual miscarriage. The study included 88 women with a habitual miscarriage (the main group) and 50 women with a physiological course of I trimester of gestation (control group). The study was carried out on the basis of the Vinnitsa maternity hospital No. 2. The following research methods were used: clinical, instrumental, mathematical-statistical. Methods of research: clinical, laboratory, biochemical, instrumental, fluorescence spectroscopy, mathematical and statistical methods. According to the results of the retrospective analysis of women with the usual miscarriage during the period from 2009 to 2016 it was found that their number is approximately the same every year. Although in 2015, the proportion of non-pregnancy cases was the smallest (10.68%) compared with 2013 (18.29%) (p=0.008), the share of women with this pathology continued to increase. During the ultrasound assessment of the blood flow in the uterine vessels, it was found that the index of resistance and pulsation index in women of the main group was lower than that of control group women. It was also found that there was a strong direct correlation between certain blood flow parameters in uterine arteries and spiral arteries. So, conducting an ultrasound study for all women with a history of unexplained pregnancy and detecting changes in the blood flow in the uterine vessels will enable us to predict the pathology of placenta in the early stages, and to timely correct the findings.

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Sohimah, Yogi Andhi Lestari und Arief Hendrawan. „PENGARUH FAKTR USIA DAN GRAVIDA IBU TERHADAP PERDARAHAN ANTEPARTUM DI RSUD CILACAP PERIODE TAHUN 2016-2018“. Jurnal Kesehatan Al-Irsyad 13, Nr. 1 (30.03.2020): 56–63. http://dx.doi.org/10.36746/jka.v13i1.51.

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Berdasarkan Laporan World Bank Tahun 2017, dalam sehari ada empat Ibu di Indonesia yang meninggal akibat melahirkan. Angka ini menempatkan Indonesia sebagai Negara dengan angka kematian tertinggi kedua di Asia Tenggara setelah Laos dengan AKI 357 per 100 ribu (WHO,2017). Penyebab kematian Ibu terdiri dari penyebab langsung dan tidak langsung. Penyebab langsung kematian ibu disebabkan karena perdarahan sampai saat ini masih memegang peranan penting sebagai penyeba utama kematian maternal. Perdarahan dapat terjadi disetiap usia kehamilan, pada kehamilan muda ssering dikaitkan dengan abortus, misscariiage, early pregnancy loss. Perdarahan yang terjadi pada umur kehamilan yang lebih tua terutama setelah melewati trimester III disebut perdarahan antepartum. Survey pendahuluan yang dilakukan pada tanggal 4 Januari 2019 dan didukung data pada Profil Dinas Kesehatan Kabupaten Cilacap, Kematian ibu selama tahun 2016 sebanyak 25 kasus, 2017 sebanyak 20 kasus dan 22 kasus selama Tahun 2018. Penyebab kematian ibu sebagian besar terjadi pada saat persalinan dan segera setelah persalinan yaitu perdarahan (30,37%), eklampsia (32,97%), infeksi (4,34%), Gangguan sistem peredaran darah 8%, Gangguan metabolism 4,34 %, dan lain-lain 0,87 % . Tujuan dari penelitian ini adalah untuk Mengetahui Pengaruh Usia dan Gravida Ibu terhadap kejadian perdarahan antepartum di RSUD Cilacap Tahun 2016 – 2018. Desain penelitian ini adalah deskriptif analitik dengan metode pendekatan case control yang bertujuan mengetahui analisis Pengaruh fektor usia dan Gravida ibus terhadap kejadian perdarahan antepartum di RSUD Cilacap. Tekhnik pengambilan sampel pada penelitian ini adalah dengan total sampling dengan kriteria inklusi rekam medik lengkap. Uji statistik yang digunakan adalah Chi-Square. Hasil Penelitian: Berdasarkan hasil analisis Faktor usia ibu berpengaruh terhadap kejadian perdarahan antepartum dengan p value 0.001. Faktor gravida berpengaruh terhadap kejadian perdarahan antepartum dengan p value 0.000. Faktor usia merupakan faktor yang paling berisiko terhadap kejadian perdarahan antepartum, dengan OR: 2,098. Kesimpulan: Usia ibu yang berisiko berpengaruh 2.098 kali lebih besar terhadap perdarahan antepartum dibanding dengan usia yang tidak berisiko Key Word : Gravida, Perdarahan Antepartum, Usia Ibu

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Vryonides, Stavros, Evridiki Papastavrou, Andreas Charalambous, Panayiota Andreou, Christos Eleftheriou und Anastasios Merkouris. „Ethical climate and missed nursing care in cancer care units“. Nursing Ethics 25, Nr. 6 (27.09.2016): 707–23. http://dx.doi.org/10.1177/0969733016664979.

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Background: Previous research has linked missed nursing care to nurses’ work environment. Ethical climate is a part of work environment, but the relationship of missed care to different types of ethical climate is unknown. Research objectives: To describe the types of ethical climate in adult in-patient cancer care settings, and their relationship to missed nursing care. Research design: A descriptive correlation design was used. Data were collected using the Ethical Climate Questionnaire and the MISSCARE survey tool, and analyzed with descriptive statistics, Pearson’s correlation and analysis of variance. Participants and research context: All nurses from relevant units in the Republic of Cyprus were invited to participate. Ethical considerations: The research protocol has been approved according to national legislation, all licenses have been obtained, and respondents participated voluntarily after they have received all necessary information. Findings: Response rate was 91.8%. Five types identified were as follows: caring (M = 3.18, standard deviation = 1.39); law and code (M = 3.18, standard deviation = 0.96); rules (M = 3.17, standard deviation = 0.73); instrumental (M = 2.88, standard deviation = 1.34); and independence (M = 2.74, standard deviation = 0.94). Reported overall missed care (range: 1–5) was M = 2.51 (standard deviation = 0.90), and this was positively (p < 0.05) related to instrumental (r = 0.612) and independence (r = 0.461) types and negatively (p < 0.05) related to caring (r = −0.695), rules (r = −0.367), and law and code (r = −0.487). Discussion: The reported levels of missed care and the types of ethical climates present similarities and differences with the relevant literature. All types of ethical climate were related to the reported missed care. Conclusion: Efforts to reduce the influence of instrumental and independence types and fostering caring, law and code, and rules types might decrease missed nursing care. However, more robust evidence is needed.

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Kalisch, Beatrice, Margaret McLaughlin, Valerie Marsh, Lan Nguyen und Akkeneel Talsma. „The Development and Testing of the MISSCARE Survey OR“. Journal of Nursing Measurement, 13.09.2021, JNM—D—19–00039. http://dx.doi.org/10.1891/jnm-d-19-00039.

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BackgroundAn acceptable, reliable, and valid survey instrument to measure missed nursing care in perioperative settings has not been developed.PurposeTo develop and conduct psychometric testing of the MISSCARE Survey OR.MethodsData were collected nationwide from 1,693 operating room (OR) nurses who completed the MISSCARE Survey OR. The survey contained two sections: Part A, “Elements of perioperative nursing care” (32 questions) and Part B, “Reasons for missing nursing care” (17 questions).ResultsThe MISSCARE Survey OR demonstrated acceptability, as few respondents missed questions in Part A (0.1%–1.1%) and Part B (0.8%–1.3%). Exploratory factor analysis revealed five subscales in Part A (Legal, Preparation, Safety, Communication, and Closing) and four in Part B (Urgency, Staffing, Materials, and Teamwork). In Part A, the five-factor solution explained 44% of the variance. In Part B, the four-factor solution explained 53% of the variance. Alpha coefficients for subscales in Part A ranged from 0.71 to 0.84 and 0.74 to 0.90 for Part B. Validity was measured using content validity, criterion validity, and construct validity. A panel of OR nurse experts established content validity. Criterion validity compared hospitals with fewer than six ORs to hospitals with hospitals with more than six ORs where it was hypothesized aprior that nurses in hospitals with fewer ORs would have missed less care (X = −.123, standard error [SE] = .041, p = .003). Construct validity was tested through exploratory and confirmatory factor analyses (CFA). Correlation coefficients for Part A ranged from 0.34 to 0.73 and 0.60 to 0.73 for Part B. Overall model fit was acceptable: goodness-of-fit index (GFI) and CFA were greater than 0.90, standardized root mean square residual (SMRM) was less than 0.06, and root mean square error of approximation (RMSEA) less than 0.08.ConclusionThe MISSCARE Survey OR promises to be a reliable, valid indicator of the extent of and reasons for missed nursing care.

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Siqueira, Lillian Dias Castilho, Maria Helena Larcher Caliri, Vanderlei José Haas, Beatrice Kalisch und Rosana Aparecida Spadoti Dantas. „Validation of the MISSCARE-BRASIL survey - A tool to assess missed nursing care“. Revista Latino-Americana de Enfermagem 25 (21.12.2017). http://dx.doi.org/10.1590/1518-8345.2354.2975.

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ABSTRACT Objective: to analyze the metric validity and reliability properties of the MISSCARE-BRASIL survey. Method: methodological research conducted by assessing construct validity and reliability via confirmatory factor analysis, known-groups validation, convergent construct validation, analysis of internal consistency and test-retest reliability. The sample consisted of 330 nursing professionals, of whom 86 participated in the retest phase. Results: of the 330 participants, 39.7% were aides, 33% technicians, 20.9% nurses, and 6.4% nurses with administrative roles. Confirmatory factorial analysis demonstrated that the Brazilian Portuguese version of the instrument is adequately adjusted to the dimensional structure the scale authors originally proposed. The correlation between “satisfaction with position/role” and “satisfaction with teamwork” and the survey’s missed care variables was moderate (Spearman’s coefficient =0.35; p<0.001). The results of the Student’s t-test indicated known-group validity. Professionals from closed units reported lower levels of missed care in comparison with the other units. The reliability showed a strong correlation, with the exception of “institutional management/leadership style” (intraclass correlation coefficient (ICC)=0.15; p=0.04). The internal consistency was adequate (Cronbach’s alpha was greater than 0.70). Conclusion: the MISSCARE-BRASIL was valid and reliable in the group studied. The application of the MISSCARE-BRASIL can contribute to identifying solutions for missed nursing care.

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Rabin, Eliane Goldberg, Camila Neves da Silva, Aline Brenner de Souza, Priscila Schmidt Lora und Karin Viegas. „Application of the MISSCARE scale in an Oncology Service: a contribution to patient safety“. Revista da Escola de Enfermagem da USP 53 (2019). http://dx.doi.org/10.1590/s1980-220x2018025403513.

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ABSTRACT Objective: To investigate the prevalence of and reasons for missed nursing care in oncology units. Method: A cross-sectional study was conducted at inpatient oncology units at a private hospital. Eighty-three professionals from the nursing team took part. The MISSCARE instrument and a sociodemographic questionnaire were administered. Simple descriptive statistics were used for analyses. Pearson's chi-square test was used to detect associations between variables. Results: The care tasks missed most frequently were assisting with toileting needs within 5 minutes of a request (57.8%), ambulation 3 times per day or as ordered (44.6%), and turning patients every 2 hours (36.1%). The main reasons for missed care were related to communication: tension or communication breakdowns within the nursing team, and the caregiver responsible off unit or unavailable (both 66.2%). Conclusions: there is a need to develop nursing interventions that neutralize and/or reduce the negative results of this missed care in order to improve the quality of care provided to cancer patients.

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Hammad, Marwa, Wafaa Guirguis und Rasha Mosallam. „Missed nursing care, non-nursing tasks, staffing adequacy, and job satisfaction among nurses in a teaching hospital in Egypt“. Journal of the Egyptian Public Health Association 96, Nr. 1 (20.07.2021). http://dx.doi.org/10.1186/s42506-021-00083-0.

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Abstract Background Missed nursing care (MNC) has been linked to patient harm in a growing body of literature. However, this issue is still not adequately investigated in developing countries. The aim of the study is to measure the extent of missed nursing care, to identify its types, and to determine factors contributing to missed nursing care. Methods A cross-sectional design was used. The study was conducted among 50 units at 1762-beds teaching Hospital in Alexandria that employs 1211 nurses in inpatient areas. A sample of 553 nurses were interviewed using the MISSCARE and the N4CAST survey. The MISSCARE survey measured the amount of missed nursing care (MNC) that was experienced on the last worked shift by each nurse. The N4CAST survey was used to collect data about level of non-nursing work carried out by nurses and the nurses’ job satisfaction. Results The overall mean score for the missed nursing care was 2.26 ± 0.96 out of 5, with highest mean score attributed to “Planning” and lowest mean score attributed to “Assessment and Vital Signs” (2.64 and 1.96, respectively). Missed nursing care was significantly associated with number of patients admitted and cared for in the last shift and perceived staffing adequacy. Almost all non-nursing care tasks and most of satisfaction elements showed negative weak correlation with overall missed nursing care. Conclusion Missed Nursing Care is common in study hospital which may endanger patient safety. MNC Missed Nursing Care is positively associated with nursing adequacy. There is no association between MNC and neither nurses’ job satisfaction nor non-nursing tasks. Nursing leaders should monitor missed nursing care and the environmental and staffing conditions associated with it in order to design strategies to reduce such phenomena.

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Dutra, Carla Klava dos Reis, Bianca Gomes Salles und Edinêis de Brito Guirardello. „Situações e razões para a omissão do cuidado de enfermagem em unidades de clínica médica e cirúrgica“. Revista da Escola de Enfermagem da USP 53 (2019). http://dx.doi.org/10.1590/s1980-220x2017050203470.

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RESUMO Objetivo Avaliar a frequência e as razões da omissão do cuidado de enfermagem e verificar se as razões de omissão diferem entre categorias profissionais. Método Estudo quantitativo e transversal realizado nas unidades de internação adulto de hospital público de uma instituição de ensino. A coleta de dados foi realizada no período de fevereiro a abril de 2017, por meio de uma ficha de caracterização pessoal e profissional e pelo instrumento MISSCARE-BRASIL. Resultados Participaram do estudo 58 profissionais de enfermagem responsáveis pela assistência direta ao paciente, dos quais 74,1% relataram pelo menos uma atividade de enfermagem omitida no turno de trabalho. As principais razões atribuídas à omissão do cuidado foram o dimensionamento inadequado dos profissionais, as situações de urgência com os pacientes durante o turno de trabalho e a não disponibilidade de medicamentos, materiais ou equipamentos quando necessário. Conclusão A maioria dos cuidados foi “sempre” ou “frequentemente” realizada, e as razões atribuídas para a omissão do cuidado estão relacionadas aos recursos laborais, materiais e estilo de gestão. Os enfermeiros diferem dos técnicos quanto às razões para a não realização dos cuidados.

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Hernández-Cruz, Raúl, María Guadalupe Moreno-Monsiváis, Sofía Cheverría-Rivera und Aracely Díaz-Oviedo. „Factors influencing the missed nursing care in patients from a private hospital“. Revista Latino-Americana de Enfermagem 25 (2017). http://dx.doi.org/10.1590/1518-8345.1227.2877.

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ABSTRACT Objective: to determine the factors that influence the missed nursing care in hospitalized patients. Methods: descriptive correlational study developed at a private hospital in Mexico. To identify the missed nursing care and related factors, the MISSCARE survey was used, which measures the care missed and associated factors. The care missed and the factors were grouped in global and dimension rates. For the analysis, descriptive statistics, Spearman’s correlation and simple linear regression were used. Approval for the study was obtained from the ethics committee. Results: the participants were 71 nurses from emergency, intensive care and inpatient services. The global missed care index corresponded to M=7.45 (SD=10.74); the highest missed care index was found in the dimension basic care interventions (M=13.02, SD=17.60). The main factor contributing to the care missed was human resources (M=56.13, SD=21.38). The factors related to the care missed were human resources (rs=0.408, p<0.001) and communication (rs=0.418, p<0.001). Conclusions: the nursing care missed is mainly due to the human resource factor; these study findings will permit the strengthening of nursing care continuity.

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Valles, Jonathan Hermayn Hernández, María Guadalupe Moreno Monsiváis, Ma Guadalupe Interial Guzmán und Leticia Vázquez Arreola. „Nursing care missed in patients at risk of or having pressure ulcers“. Revista Latino-Americana de Enfermagem 24 (2016). http://dx.doi.org/10.1590/1518-8345.1462.2817.

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ABSTRACT Objective: to determine the nursing care missed as perceived by the nursing staff and its relation with the nursing care missed identified in the assessment of patients at risk of or having pressur ulcers. Method: descriptive correlation study. The participants were 161 nurses and 483 patients from a public hospital. The MISSCARE survey was used in combination with a Nursing Care Assessment Form for Patients at Risk of or having pressure ulcers. For the analysis, descriptive and inferential statistics were used. Results: the nursing staff indicated greater omission in skin care (38.5%), position change (31.1%) and the registration of risk factors for the development of pressure ulcers (33.5%). The nursing care missed identified in the assessment related to the use of pressure relief on bony prominences and drainage tubes interfering in the patient's movements (both with 58.6%) and the use of pneumatic mattresses (57.6%). Conclusion: a high percentage of nursing care missed was found according to the staff's perception. Nevertheless, the assessment of the nursing care missed was much higher. No significant relation was found between both. Therefore, it is a priority to reflect on the importance of objective patient assessments.

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Lima, Juliana Carvalho de, Ana Elisa Bauer de Camargo Silva und Maria Helena Larcher Caliri. „Omission of nursing care in hospitalization units“. Revista Latino-Americana de Enfermagem 28 (2020). http://dx.doi.org/10.1590/1518-8345.3138.3233.

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Objective: to describe the prevalence and reasons for omission of nursing care, according to the perception of nursing professionals working in a teaching hospital. Method: a cross-sectional study was carried out with 267 professionals from ten hospitalization units. Data were collected by the MISSCARE-Brasil instrument. Descriptive statistics and Pearson’s Chi-square or Fisher’s exact tests were used to compare differences in the prevalence of omission among professional categories. Results: among the elements of nursing care, the highest prevalence of omission consisted in: to sit up the patient out of bed (70.3%), ambulation three times a day (69.1%), and participation in the discussion of the interdisciplinary team on patient’s health care (67.2%). The most frequent reasons were: inadequate number of staff (85.4%), inadequate number of staff for providing care or in administrative tasks (81.6%), and unexpected increase in the number and/or greater severity of patients (79.8%). Nurses reported major omission than nursing technicians/auxiliaries in four elements of care (p<0.05). Conclusion: according to our study, there is high prevalence of omission of nursing care elements from the professionals’ perspective. Factors related to human and material resources were more reported as causes for such omission.

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Silva, Silvana Cruz da, Bruna Xavier Morais, Oclaris Lopes Munhoz, Juliana Dal Ongaro, Janete de Souza Urbanetto und Tânia Solange Bosi de Souza Magnago. „Patient safety culture, missed Nursing care and its reasons in Obstetrics“. Revista Latino-Americana de Enfermagem 29 (2021). http://dx.doi.org/10.1590/1518-8345.4855.3461.

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Objective: to assess the correlations between the patient safety culture, the missed Nursing care, and the reasons for the omission in the obstetric area. Method: a cross-sectional study, conducted in 2019, with 62 Nursing professionals working in the obstetric area of a teaching hospital in southern Brazil. The MISSCARE-Brasil and Hospital Survey on Patient Safety Culture instruments were used. The data were analyzed using descriptive statistics, means comparison test and Spearman correlation. Results: the overall mean of positive answers for the safety culture was 34.9 (± 17.4). The care of assessing the vital signs and monitoring capillary blood glucose were the most prioritized, with airway aspiration and oral hygiene being the most overlooked. The main reasons for the omissions refer to labor resources and to inadequate staffing. A significant and inversely proportional correlation was found between the patient safety culture and overlooked nursing care (r=-0.393). Conclusion: the safety culture of the obstetric area was assessed as fragile by the Nursing professionals. The more the safety culture is strengthened and the greater investment in labor and human resources, the less care is overlooked.

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López Cocotle, José Juan, María Fernanda Silva Ramos, María Guadalupe Moreno Monsiváis, Pedro González Angulo und Ma Guadalupe Interial Guzmán. „Cuidado de enfermería perdido y factores contribuyentes en un hospital de Tabasco, México“. Horizonte Sanitario 20, Nr. 2 (05.03.2021). http://dx.doi.org/10.19136/hs.a20n2.4041.

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Objetivo: determinar la relación entre la omisión del cuidado de enfermería y los factores contribuyentes de un hospital de Tabasco, México. Materiales y métodos: estudio cuantitativo, descriptivo y correlacional en 50 enfermeras(os) de diferentes turnos de un hospital público, se utilizó la encuesta MISSCARE que permite identificar la omisión del cuidado de enfermería y los factores relacionados, para el análisis se utilizó estadística descriptiva y el coeficiente de correlación de Spearman, se consideró lo estipulado en el Reglamento de la Ley General de Salud en Materia de Investigación para la salud. Resultados: la dimensión donde se presentó mayor omisión de cuidado fue la de Intervenciones de cuidado básico (M= 22.6, DE= 14.2). Los factores de mayor contribución para que se dé la omisión del cuidado de enfermería fueron los del Recurso humano (M= 75.8, DE= 18.3). Los Recursos materiales mostraron asociación negativa y significativa con las intervenciones con evaluaciones continuas (rs= -.318, p= .025). Conclusiones: la mayor presencia de omisión de cuidados recae en las Intervenciones de cuidado básico, los factores del Recurso humano son calificados en primer orden para que se presente la omisión o retraso de las intervenciones del cuidado de enfermería; sin embargo, solo los factores del Recurso material mostraron relación negativa significativa con las intervenciones de evaluación continua.

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Zárate-Grajales, R. A., und M. Mejías. „Cuidado perdido de enfermería. Estado del arte para la gestión de los servicios de salud“. Enfermería Universitaria 16, Nr. 4 (23.10.2019). http://dx.doi.org/10.22201/eneo.23958421e.2019.4.777.

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El cuidado perdido de enfermería es un fenómeno recientemente explorado que afecta la seguridad de los pacientes, la calidad de la atención y cuestiona la actuación de los profesionales de enfermería. Objetivo: Conocer el Estado del Arte del tema Cuidado perdido en Enfermería a partir de artículos publicados durante el periodo marzo 2012- marzo 2018. Metodología: Se realizó una investigación documental a través del sistema de búsqueda PUBMED, con las siguientes palabras clave: missed nursing care, misscare AND care nurse. Se seleccionaron 47 artículos de investigación en idioma inglés y español. Posterior al análisis de contenido de los artículos, los resultados se agruparon en categorías. Resultados: Se identificaron las siguientes categorías: país donde se realizó la investigación, unidades de atención, tipo de estudio, muestra estudiada, instrumento empleado, marco conceptual, así como los elementos, razones y predictores del cuidado perdido. Conclusiones: El estudio del fenómeno puede ser un insumo para la toma de decisiones en políticas de salud y en el diseño de estrategias e intervenciones que contribuyan a la mejora del cuidado en las instituciones de salud. La revisión del fenómeno y el análisis permitirán a los interesados en el tema, profundizar en el cuidado perdido e identificar la fundamentación teórica, los elementos conceptuales y los resultados encontrados, los cuales serán aportes para la toma de decisiones en los procesos de mejora, la docencia, el cuidado y la investigación.

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