ارتباط مراقبت‌های پرستاری از دست رفته و حمایت سرپرستی درک شده پرستاران

زمینه و هدف: مراقبت‌های پرستاری از دست رفته به عنوان تهدید شایعی برای ایمنی و کیفیت خدمات مراقبتی شناخته می‌شود و بررسی آن می‌تواند از این پدیده پیشگیری نموده و یا خدمات از دست رفته پرستاری را به حداقل برساند. حمایت سرپرست در تحت تاثیر قرار دادن تعهد افراد به سازمان، نقش نهایی را بر عهده دارد. این مطالعه با هدف تعیین ارتباط بین مراقبت‌های پرستاری از دست رفته و حمایت سرپرستی درک شده پرستاران انجام گرفت.روش بررسی: این مطالعه توصیفی همبستگی در سال 1398 در بیمارستان تامین اجتماعی ارومیه انجام شد. نمونه‌ها شامل 139پرستار شاغل در بخش‌های بستری با نمونه‌گیری سرشماری بودند. ابزار گردآوری داده‌ها پرسشنامه سه قسمتی شامل اطلاعات جمعیت شناختی، مراقبت‌های پرستاری از دست رفته کالیش و حمایت سرپرستی درک شده هامر بود. روایی و پایایی هردو پرسشنامه قبلاّ در مطالعات داخل کشور تایید شده است. داده‌ها با استفاده از آزمون های توصیفی و استنباطی و نرم افزار spss نسخه 16 مورد تجزیه و تحلیل قرار گرفتند. یافته‌ها: بیشترین مراقبت‌های پرستاری از دست رفته، کمک به توالت بیمار، آماده کردن وعده‌های غذایی، تغییر پوزیشن هر دو ساعت، مراقبت از دهان و پوست و استحمام بیمار بودند. آزمون همبستگی بین امتیازات کلی حمایت درک شده و مراقبت‌های پرستاری از دست رفته ارتباط معکوس معنی‌داری نشان داد (05/0p<). بین حمایت درک شده و زیرمقیاس بررسی و مراقبت‌های اولیه در مراقبت‌های از دست رفته ارتباط معنی‌دار معکوس وجود داشت. ولی بین حمایت درک شده و زیرمقیاس مراقبت شخصی و برنامه ریزی ارتباط معنی‌داری یافت نشد.نتیجه‌گیری کلی: نتایج این مطالعه نشان داد حمایت درک شده با برخی زیرمقیاس‌های مراقبت‌های پرستاری از دست رفته ارتباط دارد. مدیران پرستاری می‌توانند حمایت از پرستاران بالینی را به عنوان خط مشی‌های بیمارستانی پی‌گیری و اجرا نمایند تا به این شکل از بروز مراقبت‌های از دست رفته جلوگیری و ایمنی بیماران را ارتقاء دهند.

The Correlation of Missed Nursing Care and Perceived Supervisory Support in Nurses

Background Aims: Missed nursing care is a common threat to the safety and quality of patient care, and investigating the influential factors in this regard could prevent or minimize this issue. Missed nursing care could lead to patient readmission and extra costs imposed on patients and healthcare organizations. Supervisor support plays a pivotal role in the commitment of nurses to the organization. The behaviors and activities of health supervisors could promote the positive attitude of the subordinates, thereby leading to their moral commitment. Although missed nursing care is considered to be a highly challenging issue for nursing managers, few studies have evaluated perceived care support and the associated challenges. The present study aimed to investigate the correlation between missing nursing care and perceived supervisory support.Materials Methods: This descriptivecorrelatinal study was conducted on 139 nurses employed in the inpatient wards of Imam Reza Hospital in Urmia, Iran during MayMarch 2019. The participants were selected via census sampling. Data were collected using a questionnaire, the first section of which consisted of demographic data, the second section was the missed care nursing questionnaire, and the third section included the standard tools for the assessment of perceived supervisory support. The missed care questionnaire was designed and psychoanalyzed by Kalish in 2006, and the items are scored based on a fivepoint Likert scale (Never=0, Always=4). The scale has four domains of review, interventions and personal care, interventions and primary care, and planning. The family supportive supervisor behaviors (FSSB) perceived support questionnaire consists of 14 items and was designed and psychoanalyzed by Hammer in 2009. The questionnaire items are scored based on a fivepoint Likert scale, with the higher scores indicating higher parental support. The main dimensions of the FSSB are emotional support, instrumental support, and role models. After obtaining the required permit for sampling, the questionnaire was distributed among the nurses working in different shifts and on different days. With their consent, the contact number of the participants was obtained. The questionnaires were collected from the respondents in the same or the next work shift and with proper coordination. The inclusion criteria were having a bachelor #39;s degree (or higher), informed consent to participate in the research, employment in the hospital as a nurse, and minimum work experience of six months. Data analysis was performed in SPSS version 16 using descriptive statistics (mean and standard deviation), Pearson #39;s correlationcoefficient, independent ttest, and the analysis of variance (ANOVA) at the significance level of P˂0.05.Results: The highest mean scores of perceived supervisory support achieved by the nurses were in the items regarding time allocation to listening to the problems of nurses, listening to the problems of nurses about work difficulties and unemployment, creativity in task assignment to improve teamwork in the ward, ward management to meet the needs of each nurse separately, and welcoming suggestions to facilitate the balance of the professional and routine needs of nurses. The most significant aspects of missed nursing care were helping patients in the toilet within less than five minutes after the patient #39;s request, meal preparation for the patients who are able to eat without help, changing patients #39; position every two hours, and the oral care (mouthwash use), skin care, and bathing of patients. Pearson #39;s correlationcoefficient indicated a significant, weak, inverse correlation between the total scores of perceived support and missed nursing care (r=0.19; P<0.05). Furthermore, significant, inverse correlations were denoted between perceived support and the subscales of missing nursing care (r=0.167; P<0.05), as well as perceived support and the primary care subscale (r=134; P<0.05). However, no significant associations were observed between perceived support, the personal care subscale, and planning (P>0.05).Conclusion: According to the results, perceived supervisory support was correlated with the dimensions of assessment and interventions and primary care regarding missed nursing care. Nursing managers are advised to pursue and implement the support of clinical nurses as a major hospital policy to prevent the loss of care and improve patient safety. As the firstline managers of the clinical environment, nurses may further contribute to nursing care by adopting supportive strategies, thereby increasing patient satisfaction and reducing the treatment costs imposed on patients and the healthcare organization. Our findings could lay the groundwork for monitoring the supportive role of nursing managers, as well as designing and developing effective support models for nursing managers and nurses to improve the primary indicators of nursing care quality.