The impact of work environment conditions on missed nursing care in selected hospitals of Abadan University of Medical Sciences

Abstract

Introduction: Missed nursing care is emerging as a notable index of patient safety and satisfaction. Nurses will forget or omit some care for a variety of reasons. This study investigates the relationship between specific factors of the nursing environment and missed nursing care. Methods: The current research is a descriptive-cross-sectional type, which was carried out with the participation of 373 nurses. The research tool includes 3 parts: Individual information, PEW-NWI(Practice Environment Scale of the Nursing Work Index), and missed nursing care questionnaire. Data analysis was done using SPSS version 22 software. Results: In the examination of the missed nursing care items, the most malpractice was in the re-evaluation item, oral care, and helping the patient toilet, and also the least malpractice was in the meal preparation item, which is significantly related to things such as Finance status, work shift, level of interest, satisfaction with the work environment, income, and gender. Also, all scales of working environment conditions are significantly related to the magnitude of missed nursing care. Conclusion: Missed nursing care is related to various aspects of working environment conditions, such as the ability to manage and lead nurses and their participation in management affairs, the sufficiency of resources and personnel, and the existence of sufficient infrastructure to improve the quality of care and the relationship between doctor and nurse as a therapeutic team. By improving them, cases of malpractice in care can be reduced.