DETERMINANTS OF MISSED NURSING CARE AMONG NURSES IN CRITICAL CARE UNITS IN SELECTED COUNTIES IN KENYA
Abstract
Introduction: The evolving nature of nursing and its critical nature in improving patient outcomes in critical care units affirms a broader spectrum in evaluating any underlying challenges that could limit the delivery of excellent care. There has been a high prevalence of 55-98% of nursing care missed by providers. Despite its evident impact, there needs to be a more comprehensive understanding about the factors that may contribute to missed care in critical care settings. While studies highlight staffing issues, time constraints, and workload as potential culprits, a more nuanced exploration is needed to unravel the intricate interplay of individual, unit, and systemic factors influencing MNC. Methodology: Descriptive cross-sectional study. The census sampling method recruited 46 nurses in the three facilities as the sample size. Data collection done using a pre-tested, standardized, structured questionnaire. Data analysis was done using descriptive and inferential analysis. The nature of MNC was calculated using a proportion of nurses who participated in the study. Univariate, bivariate, and multivariable analysis was done using binary logistic regression. Data analysis was done using SPSS version 28. The level of significance was investigated at p<0.05. Findings: The overall Missed Care reported for this study was at 37%. The commonly completed components of care included wound care, meal setup, mouth care, patient bathing, and bedside glucose monitoring. On the other hand, the least completed nursing tasks were attending interdisciplinary conferences; patients’ teaching regarding the disease, handwashing, emotional reassurance to both the patient and the family. Conclusion: On nurses’ characteristics influencing MNC, the nurses who were aged over 40 years had a higher likelihood of experiencing missed care. The male nurses were significantly more likely to report high missed care than females, and those who were working more than 40 hours per week were associated with increased missed care.
Keywords: Missed nursing care, Critical care unit, Nursing care, Miss-care tool
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