Volume 10, Issue 4 (2022)                   Health Educ Health Promot 2022, 10(4): 763-769 | Back to browse issues page

XML Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Purabdollah M, Mokhtari M, Moghadam Tabrizi F, Khorami Markani A, Emami S. Correlation of Nurses' Social Responsibility with the Missed Nursing Care. Health Educ Health Promot 2022; 10 (4) :763-769
URL: http://hehp.modares.ac.ir/article-5-58461-en.html
1- Department of Nursing, Faculty of Nursing, Khoy University of Medical Sciences, Khoy, Iran
2- Department of Midwifery, Faculty of Nursing and Midwifery, Urmia University of Medical Sciences, Urmia, Iran
Abstract:   (746 Views)
Aims: Missed care affects the quality of care and endangers patient safety. The purpose of the present study is to assess the missed nursing care and its relationship with nursing social responsibility.
Instrument & Methods: In this descriptive-correlational study, 342 nurses practicing in hospitals affiliated to Khoy University of Medical Sciences were studied as a sample. Data collection tools included a demographic profile, missed nursing care questionnaire, and Carroll's social responsibility questionnaire. The results were analyzed using SPSS 20 software and statistical tests.
Findings: The blood glucose control (1.74±0.96) and intravenous line care (1.90±0.85) were the lowest neglected nursing cares, and emotional support of patients and companions (3.12±1.28) and hand washing (3.80±1.27) were the highest neglected nursing care. Missed nursing care had a reverse and significant correlation with social responsibility (r=-0.56). Also, the variables of social responsibility (β=-0.401; p=0.0001), workload (β=7.365; p=0.0001), and exotic expectations (β=4.064; p=0.003) were good predictors for missed nursing care.
Conclusions: Nursing care is neglected among nurses; these errors have an inverse relationship with the social responsibility of nurses. First, the supervision system of supervisors is more effective than that of nurses. Secondly, nursing managers have special ethical standards in the selection of staff.
Full-Text [PDF 797 kb]   (844 Downloads) |   |   Full-Text (HTML)  (261 Views)  
Article Type: Descriptive & Survey | Subject: Health Promotion Approaches
Received: 2022/02/9 | Accepted: 2022/05/1 | Published: 2022/09/1
* Corresponding Author Address: Education Vice Chancellor, Valiasr Boulevard, Khoy, West Azerbaijan. Postal Code: 5816753464 (khorami.abdolah@gmail.com)

1. Chiozza ML, Ponzetti C. FMEA: a model for reducing medical errors. Clin Chim Acta. 2009;404(1):75-8. [Link] [DOI:10.1016/j.cca.2009.03.015]
2. Zirak M, Moghadasian S, Abdollahzadeh F, Rahmani A. The study of level of ethical development in nurses working in training-treatment hospitals affiliated in Tabriz university of medical sciences, Tabriz, Iran. Qom Univ Med Sci J. 2012;6(3):32-9. [Persian] [Link]
3. World Health Organization & WHO Patient Safety. Conceptual framework for the international classification for patient safety version 1.1: final technical report January 2009 [Internet].Geneva: World Health Organization; [cited 2010 Feb 2]. Available from: https://apps.who.int/iris/handle/10665/70882. [Link]
4. Kalisch BJ, Landstrom GL, Hinshaw AS. Missed nursing care: a concept analysis. J Adv Nurs. 2009;65(7):1509-17. [Link] [DOI:10.1111/j.1365-2648.2009.05027.x]
5. Taylor C, Lynn P, Bartlett J. Fundamentals of nursing: The art and science of person-centered care. 9th Edition. Lippincott Williams & Wilkins; 2018. [Link]
6. AbdiI Z, Maleki MR, Khisravi A. Perceptions of patient safety culture among staff of selected hospitals affiliated to Tehran University of Medical Sciences. Payesh. 2011;10(4):411-9. [Persian] [Link]
7. Blackman IR, Henderson JA, Willis EM, Toffoli LP. After hours nurse staffing, work intensity and quality of care-missed care study: New South Wales public and private sectors. Final report to the New South Wales Nurses and Midwives' Association. Flinders University; 2015. [Link]
8. Jones TL, Hamilton P, Murry N. Unfinished nursing care, missed care, and implicitly rationed care: State of the science review. Int J Nurs Stud. 2015;52(6):1121-37. [Link] [DOI:10.1016/j.ijnurstu.2015.02.012]
9. Halbesleben JR, Rathert C. Linking physician burnout and patient outcomes: exploring the dyadic relationship between physicians and patients. Health Care Manage Rev. 2008;33(1):29-39. [Link] [DOI:10.1097/01.HMR.0000304493.87898.72]
10. Helfrich CD, Simonetti JA, Clinton WL, Wood GB, Taylor L, Schectman G, et al. The association of team-specific workload and staffing with odds of burnout among VA primary care team members. J Gen Intern Med. 2017;32(7):760-6. [Link] [DOI:10.1007/s11606-017-4011-4]
11. Landon BE, Reschovsky JD, Pham HH, Blumenthal D. Leaving medicine: the consequences of physician dissatisfaction. Med Care. 2006;44(3):234-42. [Link] [DOI:10.1097/01.mlr.0000199848.17133.9b]
12. Schubert M, Glass TR, Clarke SP, Aiken LH, Schaffert-Witvliet B, Sloane DM, et al. Rationing of nursing care and its relationship to patient outcomes: the Swiss extension of the International Hospital Outcomes Study. Int J Qual Health Care. 2008;20(4):227-37. [Link] [DOI:10.1093/intqhc/mzn017]
13. Schubert M, Clarke SP, Aiken LH, De Geest S. Associations between rationing of nursing care and inpatient mortality in Swiss hospitals. Int J Qual Health Care. 2012;24(3):230-8. [Link] [DOI:10.1093/intqhc/mzs009]
14. Ball JE, Bruyneel L, Aiken LH, Sermeus W, Sloane DM, Rafferty AM, et al. Post-operative mortality, missed care and nurse staffing in nine countries: a cross-sectional study. Int J Nurs Stud. 2018;78:10-5. [Link] [DOI:10.1016/j.ijnurstu.2017.08.004]
15. Kalisch BJ, Lee KH. Missed nursing care: Magnet versus non-Magnet hospitals. Nurs Outlook. 2012;60(5):e32-9. [Link] [DOI:10.1016/j.outlook.2012.04.006]
16. Srulovici E, Drach-Zahavy A. Nurses' personal and ward accountability and missed nursing care: A cross-sectional study. Int J Nurs Stud. 2017;75:163-71. [Link] [DOI:10.1016/j.ijnurstu.2017.08.003]
17. Valizadeh L, Zamanzadeh V, Ghahramanian A, Aghajari P. The exploration of culturally sensitive nursing care in pediatric setting: A qualitative study. Int J Pediatr. 2017;5(2):4329-41. [Link]
18. Clark DK. Professional values: a study of education and experience in nursing students and nurses [Dissertation]. Minneapolis, Minnesota; Capella University; 2009. [Link]
19. Dehghani A, Mohammad Khan Kermanshah S. Evaluating of compliance with professional ethical standards in nursing practice from nursing staff's viewpoints in Tehran University of Medical Sciences. Mod Care. 2012;9(3):208-16. [Persian] [Link]
20. Shahriari M, Baloochestani E. Applying professional values: the perspective of nurses of Isfahan hospitals. J Med Ethics Hist Med. 2014;7:1. [Link]
21. Zarezadeh Kheibari S, Asgharinekah M, Horoofghanad M, Ebrahimhokmabadi M. Expressive arts group therapy with middleschool aged children in family-like community centers. Int J Psychol Behavior Res. 2014;1(4):32-8. [Link]
22. Gorbani A, Etemadi R, Jafari N. Study the responsibility of nurses (professional ethics and human), the recovery rate of patients. J Milit Caring Sci. 2014;1(1):57-62. [Persian] [Link] [DOI:10.18869/acadpub.mcs.1.1.57]
23. Weld KK, Garmon Bibb SC. Concept analysis: malpractice and modern‐day nursing practice. Nurs Forum. 2009;44(1):2-10. [Link] [DOI:10.1111/j.1744-6198.2009.00121.x]
24. Beikzad J, Hoseinpour A, Hejazi Bavil M. A survey on the relationship between responsibility and job satisfaction of nurses working in teaching hospitals affiliated with Tabriz University of Medical Sciences. J Hosp. 2014;13(1):53-60. [Persian] [Link]
25. Papastavrou E, Efstathiou G, Andreou C. Nursing students' perceptions of patient dignity. Nurs Ethics. 2016;23(1):92-103. [Link] [DOI:10.1177/0969733014557136]
26. Krautscheid LC. Defining professional nursing accountability: a literature review. J Prof Nurs. 2014;30(1):43-7. [Link] [DOI:10.1016/j.profnurs.2013.06.008]
27. Day L. Error, blame, and professional responsibility. Am J Crit Care. 2010;19(3):296-8. [Link] [DOI:10.4037/ajcc2010839]
28. Carroll AB. A three-dimensional conceptual model of corporate performance. Acad Manag Rev. 1979;4(4):497-505. [Link] [DOI:10.2307/257850]
29. Siu NY-M, Zhang TJ-F, Kwan H-Y. Effect of corporate social responsibility, customer attribution and prior expectation on post-recovery satisfaction. Int J Hosp Manag. 2014;43:87-97. [Link] [DOI:10.1016/j.ijhm.2014.08.007]
30. Kalisch BJ, Williams RA. Development and psychometric testing of a tool to measure missed nursing care. J Nurs Adm. 2009;39(5):211-9. [Link] [DOI:10.1097/NNA.0b013e3181a23cf5]
31. Needleman J. Nursing skill mix and patient outcomes. BMJ Qual Saf. 2017;26:525-8. [Link] [DOI:10.1136/bmjqs-2016-006197]
32. Saqer TJ, AbuAlRub RF. Missed nursing care and its relationship with confidence in delegation among hospital nurses. J Clin Nurs. 2018;27(13-14):2887-95. [Link] [DOI:10.1111/jocn.14380]
33. Kalisch BJ, Lee KH. The impact of teamwork on missed nursing care. Nurs outlook. 2010;58(5):233-41. [Link] [DOI:10.1016/j.outlook.2010.06.004]
34. Vryonides S, Papastavrou E, Charalambous A, Andreou P, Eleftheriou C, Merkouris A. Ethical climate and missed nursing care in cancer care units. Nurs Ethics. 2018 ;25(6):707-23. [Link] [DOI:10.1177/0969733016664979]
35. Moreno-Monsiváis MG, Moreno-Rodríguez C, Interial-Guzmán MG. Missed nursing care in hospitalized patients. Aquichan. 2015;15(3):318-28. [Link] [DOI:10.5294/aqui.2015.15.3.2]
36. Steege LM, Drake DA, Olivas M, Mazza G. Evaluation of physically and mentally fatiguing tasks and sources of fatigue as reported by registered nurses. J Nurs Manag. 2015;23(2):179-89. [Link] [DOI:10.1111/jonm.12112]
37. Sinn C-LJ, Tran J, Pauley T, Hirdes J. Predicting adverse outcomes after discharge from complex continuing care hospital settings to the community. Prof Case Manag. 2016;21(3):127-36. [Link] [DOI:10.1097/NCM.0000000000000148]
38. Bond S, Thomas LH. Measuring patients' satisfaction with nursing care. J Adv Nurs. 1992;17(1):52-63. [Link] [DOI:10.1111/j.1365-2648.1992.tb01818.x]
39. Bazi A, Sharafi S. Evaluation time nurses for non-nursing tasks and text services in nursing shifts: A cross-sectional study. Navid No. 2016;19(62):24-32. [Persian] [Link]
40. Zander B, Dobler L, Bäumler M, Busse R. Nursing tasks left undone in German acute care hospitals-results from the international study RN4Cast. Gesundheitswesen. 2014;76(11):727-34. [Germany]. [Link] [DOI:10.1055/s-0033-1364016]
41. Griffiths P, Ball J, Drennan J, James L, Jones J, Recio A, et al. The association between patient safety outcomes and nurse/healthcare assistant skill mix and staffing levels and factors that may influence staffing requirements. Southampton, GB: University of Southampton; 2014. [Link]
42. Kalisch BJ, Tschannen D, Lee H, Friese CR. Hospital variation in missed nursing care. Am J Med Qual. 2011;26(4):291-9. [Link] [DOI:10.1177/1062860610395929]
43. Aiken LH, Sloane D, Griffiths P, Rafferty AM, Bruyneel L, McHugh M, et al. Nursing skill mix in European hospitals: cross-sectional study of the association with mortality, patient ratings, and quality of care. BMJ Qual Saf. 2017;26(7):559-68. [Link] [DOI:10.1136/bmjqs-2016-005567]
44. Hasanian ZM, Bagheri A, Sadeghi A, Moghim BA. Nurses'status social responsibility and its relationship with some demographics profile. 2017;25(2):45-53. [Persian] [Link] [DOI:10.21859/nmj-25026]
45. Mahmoodi A, Khani L, Ghaffari M. The relationship of cultural competence and responsibility with nurses attitude toward patient's right: The mediating Role of Ethical Beliefs. Iran J Med Ethics Hist Medi. 2017;9(5):39-51. [Persian] [Link]
46. Kalfoss M. Student's perception of missed care: Focus group results. Open J Nurs. 2017;7(7):850. [Link] [DOI:10.4236/ojn.2017.77064]
47. Mumford V, Greenfield D, Hogden A, Debono D, Gospodarevskaya E, Forde K, et al. Disentangling quality and safety indicator data: a longitudinal, comparative study of hand hygiene compliance and accreditation outcomes in 96 Australian hospitals. BMJ Open. 2014;4(9):e005284. [Link] [DOI:10.1136/bmjopen-2014-005284]
48. Westbrook JI, Li L, Lehnbom EC, Baysari MT, Braithwaite J, Burke R, et al. What are incident reports telling us? A comparative study at two Australian hospitals of medication errors identified at audit, detected by staff and reported to an incident system. Int J Qual Health Care. 2015;27(1):1-9. [Link] [DOI:10.1093/intqhc/mzu098]

Add your comments about this article : Your username or Email:

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.