Explanation of factors forming missed nursing care during the COVID-19 pandemic: A qualitative study
BackgroundProviding nursing care to patients with COVID-19 has put additional pressure on nurses, making it challenging to meet several care requirements. This situation has caused parts of nursing care to be missed, potentially reducing the quality of nursing care and threatening patient safety. Th...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-01-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2023.989458/full |
| _version_ | 1797942882588426240 |
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| author | Ali Safdari Ali Safdari Maryam Rassouli Maryam Elahikhah Hadis Ashrafizadeh Salman Barasteh Salman Barasteh Raana Jafarizadeh Fatemeh Khademi |
| author_facet | Ali Safdari Ali Safdari Maryam Rassouli Maryam Elahikhah Hadis Ashrafizadeh Salman Barasteh Salman Barasteh Raana Jafarizadeh Fatemeh Khademi |
| author_sort | Ali Safdari |
| collection | DOAJ |
| description | BackgroundProviding nursing care to patients with COVID-19 has put additional pressure on nurses, making it challenging to meet several care requirements. This situation has caused parts of nursing care to be missed, potentially reducing the quality of nursing care and threatening patient safety. Therefore, the present study aimed at explaining the factors forming missed nursing care during the COVID-19 pandemic from the perspective of nurses.MethodsThis qualitative study was conducted using a conventional content analysis approach in Iran, 2020–2021. Data were collected from in-depth, semi-structured interviews with 14 nurses based on purposive sampling. Data analysis was performed simultaneously with data collection. Graneheim and Lundman's approach was used for data analysis, and MAXQDA software was used for data management. After transcribing the recorded interviews, to achieve the accuracy and validity of the study, the criteria proposed by Lincoln and Guba were considered and used.ResultsA total of 14 nurses with a mean age and standard deviation of 31.85 ± 4.95 and working in the COVID-19 wards participated in the study. The acquired data were categorized into four main categories: care-related factors, disease-related factors, patient-related factors, and organization-related factors. The category “care-related factors” comprised uncertainty in care, PPE-related limitations, attrition from care, and futile care. The category “disease-related factors” consisted of the extension of symptoms, unpredictable peaks of the disease, and restriction on the presence of patients' companions. The category “patient-related factors” included comorbidities, elderly patients, and deterioration of infected patients. Ultimately, the category “organization-related factors” consisted of restrictions on equipment supply, lack of human resources, weaknesses in teamwork, and an unsupportive work environment.ConclusionThe results of this study showed that several reasons including factors related to care, patient, disease, and organization cause missed nursing care. By modifying the related affecting factors and considering the effective mechanisms to minimize missed nursing care, it is possible to provide better services. |
| first_indexed | 2024-04-10T20:14:34Z |
| format | Article |
| id | doaj.art-79854c1187544a68b2e728eff9d7ab93 |
| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-04-10T20:14:34Z |
| publishDate | 2023-01-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj.art-79854c1187544a68b2e728eff9d7ab932023-01-26T06:32:03ZengFrontiers Media S.A.Frontiers in Public Health2296-25652023-01-011110.3389/fpubh.2023.989458989458Explanation of factors forming missed nursing care during the COVID-19 pandemic: A qualitative studyAli Safdari0Ali Safdari1Maryam Rassouli2Maryam Elahikhah3Hadis Ashrafizadeh4Salman Barasteh5Salman Barasteh6Raana Jafarizadeh7Fatemeh Khademi8Student Research Committee, Baqiyatallah University of Medical Sciences, Tehran, IranStudent Research Committee, Hamadan University of Medical Sciences, Hamadan, IranCancer Research Center, Shahid Beheshti University of Medical Sciences, Tehran, IranStudent Research Committee, Baqiyatallah University of Medical Sciences, Tehran, IranStudent Research Committee, Faculty of Nursing, Dezful University of Medical Sciences, Dezful, IranHealth Management Research Center, Baqiyatallah University of Medical Sciences, Tehran, IranNursing Faculty, Baqiyatallah University of Medical Sciences, Tehran, IranDepartment of Medicine, Ardabil Branch, Islamic Azad University, Ardabil, IranDepartment of Nursing, School of Nursing, Arak University of Medical Sciences, Arak, IranBackgroundProviding nursing care to patients with COVID-19 has put additional pressure on nurses, making it challenging to meet several care requirements. This situation has caused parts of nursing care to be missed, potentially reducing the quality of nursing care and threatening patient safety. Therefore, the present study aimed at explaining the factors forming missed nursing care during the COVID-19 pandemic from the perspective of nurses.MethodsThis qualitative study was conducted using a conventional content analysis approach in Iran, 2020–2021. Data were collected from in-depth, semi-structured interviews with 14 nurses based on purposive sampling. Data analysis was performed simultaneously with data collection. Graneheim and Lundman's approach was used for data analysis, and MAXQDA software was used for data management. After transcribing the recorded interviews, to achieve the accuracy and validity of the study, the criteria proposed by Lincoln and Guba were considered and used.ResultsA total of 14 nurses with a mean age and standard deviation of 31.85 ± 4.95 and working in the COVID-19 wards participated in the study. The acquired data were categorized into four main categories: care-related factors, disease-related factors, patient-related factors, and organization-related factors. The category “care-related factors” comprised uncertainty in care, PPE-related limitations, attrition from care, and futile care. The category “disease-related factors” consisted of the extension of symptoms, unpredictable peaks of the disease, and restriction on the presence of patients' companions. The category “patient-related factors” included comorbidities, elderly patients, and deterioration of infected patients. Ultimately, the category “organization-related factors” consisted of restrictions on equipment supply, lack of human resources, weaknesses in teamwork, and an unsupportive work environment.ConclusionThe results of this study showed that several reasons including factors related to care, patient, disease, and organization cause missed nursing care. By modifying the related affecting factors and considering the effective mechanisms to minimize missed nursing care, it is possible to provide better services.https://www.frontiersin.org/articles/10.3389/fpubh.2023.989458/fullmissed nursing carequalitative studyCOVID-19pandemicnursingIran |
| spellingShingle | Ali Safdari Ali Safdari Maryam Rassouli Maryam Elahikhah Hadis Ashrafizadeh Salman Barasteh Salman Barasteh Raana Jafarizadeh Fatemeh Khademi Explanation of factors forming missed nursing care during the COVID-19 pandemic: A qualitative study Frontiers in Public Health missed nursing care qualitative study COVID-19 pandemic nursing Iran |
| title | Explanation of factors forming missed nursing care during the COVID-19 pandemic: A qualitative study |
| title_full | Explanation of factors forming missed nursing care during the COVID-19 pandemic: A qualitative study |
| title_fullStr | Explanation of factors forming missed nursing care during the COVID-19 pandemic: A qualitative study |
| title_full_unstemmed | Explanation of factors forming missed nursing care during the COVID-19 pandemic: A qualitative study |
| title_short | Explanation of factors forming missed nursing care during the COVID-19 pandemic: A qualitative study |
| title_sort | explanation of factors forming missed nursing care during the covid 19 pandemic a qualitative study |
| topic | missed nursing care qualitative study COVID-19 pandemic nursing Iran |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2023.989458/full |
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