RESUMO
BACKGROUND: Despite its direct relevance to quality of care, little is known about missed nursing care or its sociodemographic and work environment correlates at highly specialized hospitals in low- and middle-income countries. OBJECTIVE: To analyze the frequency of missed nursing care among Mexican nursing professionals, and to assess its associated sociodemographic and labor-related predictors. DESIGN AND METHODS: A cross-sectional, observational study based on data collected from 315 nursing professionals in 11 highly specialized public hospitals in Mexico. We assessed missed nursing care both as a total figure and according to the four dimensions of the MISSCARE inventory. We estimated its sociodemographic and work-related predictors using fractional logistic analysis. RESULTS: The global score for missed nursing care was 15.21%: 7.94% concerned individual needs, 9.37% discharge planning and patient education, 18.10% basic care, and 1.59% care under continuous assessment. The odds of engaging in missed nursing care increased with age and were higher among women and night-shift workers. In contrast, they decreased among nursing professionals who were satisfied with their jobs, and among those working in suitable environments. CONCLUSIONS: Missed nursing care in highly specialized public hospitals is associated with the sociodemographic characteristics and labor-related conditions -including the work environments- of the nurses. Given its impact on both health-care users and institutions, further research on the subject is urgently needed. It is essential to improve the design, implementation and evaluation of comprehensive strategies aimed at reducing the frequency of missed nursing care and achieving universal health coverage.
Assuntos
Cuidados de Enfermagem , Recursos Humanos de Enfermagem Hospitalar , Estudos Transversais , Feminino , Hospitais Especializados , Humanos , MéxicoRESUMO
The SARS-CoV-2 or COVID-19 outbreak originated in China has reached Mexico. However, the scientific community, including nursing, has generated vertiginous evidence that can help make decisions in the care of the affected population. The purpose of this study is to describe the nursing experience before COVID-19 as a key point for the prevention, control and mitigation of the pandemic. Based on the recommendations issued by the Ministry of Health, the clinical evidence and the resources available in the health institutions, the disease prevention measures have been initiated and maintained both in the community and in the health institutions. The reconversion of hospitals and care protocols adapted to our context are trying to strengthen the control and mitigation of the disease.
El brote de SARS-CoV-2 o COVID-19 originado en China ha alcanzado a México; no obstante, la comunidad científica, entre ellas enfermería ha generado de forma vertiginosa evidencia que puede ayudar a tomar decisiones en la atención de la población afectada. El presente documento tiene la finalidad de describir la experiencia de enfermería ante el COVID-19 como un punto clave para la prevención, control y mitigación de la pandemia. Con base en las recomendaciones emitidas por la Secretaría de Salud, la evidencia clínica y los recursos disponibles en las instituciones de salud se ha iniciado y mantenido las medidas de prevención de la enfermedad tanto en la comunidad como en las instituciones de salud. La reconversión de los hospitales y los protocolos de atención adaptados a nuestro contexto están tratando de fortalecer el control y mitigación de la enfermedad.
Assuntos
Infecções por Coronavirus/enfermagem , Cuidados de Enfermagem/métodos , Pneumonia Viral/enfermagem , COVID-19 , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/prevenção & controle , Tomada de Decisões , Humanos , México/epidemiologia , Recursos Humanos de Enfermagem Hospitalar/organização & administração , Pandemias/prevenção & controle , Pneumonia Viral/epidemiologia , Pneumonia Viral/prevenção & controleRESUMO
Resumen El brote de SARS-CoV-2 o COVID-19 originado en China ha alcanzado a México; no obstante, la comunidad científica, entre ellas enfermería ha generado de forma vertiginosa evidencia que puede ayudar a tomar decisiones en la atención de la población afectada. El presente documento tiene la finalidad de describir la experiencia de enfermería ante el COVID-19 como un punto clave para la prevención, control y mitigación de la pandemia. Con base en las recomendaciones emitidas por la Secretaría de Salud, la evidencia clínica y los recursos disponibles en las instituciones de salud se ha iniciado y mantenido las medidas de prevención de la enfermedad tanto en la comunidad como en las instituciones de salud. La reconversión de los hospitales y los protocolos de atención adaptados a nuestro contexto están tratando de fortalecer el control y mitigación de la enfermedad.
Abstract The SARS-CoV-2 or COVID-19 outbreak originated in China has reached Mexico. However, the scientific community, including nursing, has generated vertiginous evidence that can help make decisions in the care of the affected population. The purpose of this study is to describe the nursing experience before COVID-19 as a key point for the prevention, control and mitigation of the pandemic. Based on the recommendations issued by the Ministry of Health, the clinical evidence and the resources available in the health institutions, the disease prevention measures have been initiated and maintained both in the community and in the health institutions. The reconversion of hospitals and care protocols adapted to our context are trying to strengthen the control and mitigation of the disease.