Factors affecting missed nursing care in hospitalized frail older adults in the medical wards: a qualitative study
Abstract Background Frail older adults who are hospitalized, are more likely to experience missed nursing care (MNC) due to high care needs, communication problems, and complexity of nursing care. We conducted a qualitative study to examine the factors affecting MNC among hospitalized frail older ad...
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| Format: | Article |
| Language: | English |
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BMC
2021-10-01
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| Series: | BMC Geriatrics |
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| Online Access: | https://doi.org/10.1186/s12877-021-02524-z |
| _version_ | 1818355313868275712 |
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| author | Zahra Rezaei-Shahsavarloo Foroozan Atashzadeh-Shoorideh Abbas Ebadi Robbert J. J. Gobbens |
| author_facet | Zahra Rezaei-Shahsavarloo Foroozan Atashzadeh-Shoorideh Abbas Ebadi Robbert J. J. Gobbens |
| author_sort | Zahra Rezaei-Shahsavarloo |
| collection | DOAJ |
| description | Abstract Background Frail older adults who are hospitalized, are more likely to experience missed nursing care (MNC) due to high care needs, communication problems, and complexity of nursing care. We conducted a qualitative study to examine the factors affecting MNC among hospitalized frail older adults in the medical units. Methods This qualitative study was carried using the conventional content analysis approach in three teaching hospitals. Semi-structured interviews were conducted with 17 nurses through purposive and snowball sampling. The inclusion criteria for the nurses were: at least two years of clinical work experience on a medical ward, caring for frail older people in hospital and willingness to participate. Data were analyzed in accordance with the process described by Graneheim and Lundman. In addition, trustworthiness of the study was assessed using the criteria proposed by Lincoln and Guba. Results In general, 20 interviews were conducted with nurses. A total of 1320 primary codes were extracted, which were classified into two main categories: MNC aggravating and moderating factors. Factors such as “age-unfriendly structure,” “inefficient care,” and “frailty of older adults” could increase the risk of MNC. In addition, factors such as “support capabilities” and “ethical and legal requirements” will moderate MNC. Conclusions Hospitalized frail older adults are more at risk of MNC due to high care needs, communication problems, and nursing care complexity. Nursing managers can take practical steps to improve the quality of care by addressing the aggravating and moderating factors of MNC. In addition, nurses with a humanistic perspective who understand the multidimensional problems of frail older adults and pay attention to their weakness in expressing needs, can create a better experience for them in the hospital and improve patient safety. |
| first_indexed | 2024-12-13T19:39:20Z |
| format | Article |
| id | doaj.art-2083021c227f4c278f9e3300f3c2609d |
| institution | Directory Open Access Journal |
| issn | 1471-2318 |
| language | English |
| last_indexed | 2024-12-13T19:39:20Z |
| publishDate | 2021-10-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Geriatrics |
| spelling | doaj.art-2083021c227f4c278f9e3300f3c2609d2022-12-21T23:33:44ZengBMCBMC Geriatrics1471-23182021-10-0121111210.1186/s12877-021-02524-zFactors affecting missed nursing care in hospitalized frail older adults in the medical wards: a qualitative studyZahra Rezaei-Shahsavarloo0Foroozan Atashzadeh-Shoorideh1Abbas Ebadi2Robbert J. J. Gobbens3Student Research Committee, School of Nursing and Midwifery, Shahid Beheshti University of Medical SciencesDepartment of Psychiatric Nursing & Management, School of Nursing and Midwifery, Shahid Labbafinezhad Hospital, Shahid Beheshti University of Medical SciencesBehavioral Sciences Research Center, Life Style Institute, Baqiyatallah University of Medical SciencesFaculty of Health, Sports and Social Work, Inholland University of Applied SciencesAbstract Background Frail older adults who are hospitalized, are more likely to experience missed nursing care (MNC) due to high care needs, communication problems, and complexity of nursing care. We conducted a qualitative study to examine the factors affecting MNC among hospitalized frail older adults in the medical units. Methods This qualitative study was carried using the conventional content analysis approach in three teaching hospitals. Semi-structured interviews were conducted with 17 nurses through purposive and snowball sampling. The inclusion criteria for the nurses were: at least two years of clinical work experience on a medical ward, caring for frail older people in hospital and willingness to participate. Data were analyzed in accordance with the process described by Graneheim and Lundman. In addition, trustworthiness of the study was assessed using the criteria proposed by Lincoln and Guba. Results In general, 20 interviews were conducted with nurses. A total of 1320 primary codes were extracted, which were classified into two main categories: MNC aggravating and moderating factors. Factors such as “age-unfriendly structure,” “inefficient care,” and “frailty of older adults” could increase the risk of MNC. In addition, factors such as “support capabilities” and “ethical and legal requirements” will moderate MNC. Conclusions Hospitalized frail older adults are more at risk of MNC due to high care needs, communication problems, and nursing care complexity. Nursing managers can take practical steps to improve the quality of care by addressing the aggravating and moderating factors of MNC. In addition, nurses with a humanistic perspective who understand the multidimensional problems of frail older adults and pay attention to their weakness in expressing needs, can create a better experience for them in the hospital and improve patient safety.https://doi.org/10.1186/s12877-021-02524-zFrailtyFrail Older AdultsHospitalizationMissed Nursing CareQualitative Study |
| spellingShingle | Zahra Rezaei-Shahsavarloo Foroozan Atashzadeh-Shoorideh Abbas Ebadi Robbert J. J. Gobbens Factors affecting missed nursing care in hospitalized frail older adults in the medical wards: a qualitative study BMC Geriatrics Frailty Frail Older Adults Hospitalization Missed Nursing Care Qualitative Study |
| title | Factors affecting missed nursing care in hospitalized frail older adults in the medical wards: a qualitative study |
| title_full | Factors affecting missed nursing care in hospitalized frail older adults in the medical wards: a qualitative study |
| title_fullStr | Factors affecting missed nursing care in hospitalized frail older adults in the medical wards: a qualitative study |
| title_full_unstemmed | Factors affecting missed nursing care in hospitalized frail older adults in the medical wards: a qualitative study |
| title_short | Factors affecting missed nursing care in hospitalized frail older adults in the medical wards: a qualitative study |
| title_sort | factors affecting missed nursing care in hospitalized frail older adults in the medical wards a qualitative study |
| topic | Frailty Frail Older Adults Hospitalization Missed Nursing Care Qualitative Study |
| url | https://doi.org/10.1186/s12877-021-02524-z |
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