In recent years, the increasing complexity of hospitalized patients and cuts to material and human resources have eroded the safety and quality of nursing care in hospitals. This study focuses on Missed Nursing Care (MNC) in the operating room, a context where such compromises can have severe consequences for patient safety. The study was conducted in three main phases: (1) a literature review to identify tools for detecting missed nursing care, (2) translation and validation of the "MissCare Survey OR" from English to Italian, and (3) detection of missed care through the administration of the validated questionnaire to nurses working in the operating blocks of the Marche University Hospital (AOU delle Marche). The data were analyzed using SPSS. Cronbach's alpha was calculated for internal consistency and reliability of the questionnaire, the frequency of missed care was determined to identify the most compromised areas and possible reasons, and the Chi-square test was conducted to identify significant correlations with demographic and work-related characteristics. The validation of the "MissCare Survey OR" showed high reliability, with Cronbach's alpha values above 0.80 for most dimensions. The most compromised areas pertain to communication and patient preparation, while safety and end-of-procedure routines scored very positively. The lack of specific skills, staff fatigue, and the availability and functioning of materials were identified as significant causes of MNC. The study provides a detailed view of missed nursing care in the operating room, and the results suggest that improvements in continuous nurse education, optimal management of human resources, the adoption of standardized handover protocols, and supply control can significantly reduce missed nursing care, thereby improving patient safety and quality of care.
Negli ultimi anni, la crescente complessità dei pazienti ricoverati e i tagli alle risorse materiali e umane hanno eroso la sicurezza e la qualità delle cure infermieristiche negli ospedali. Questo studio si concentra sulle Cure Infermieristiche Compromesse (CIC) in sala operatoria, un contesto dove tali compromissioni possono avere gravi conseguenze per la sicurezza del paziente. Lo studio è stato articolato in tre fasi principali: (1) Revisione della letteratura per identificare strumenti di rilevazione delle cure infermieristiche compromesse, (2) Traduzione e validazione del "MissCare Survey OR" dall'inglese all'italiano, e (3) Rilevazione delle cure compromesse attraverso la somministrazione del questionario validato a infermieri operanti nei blocchi operatori dell'AOU delle Marche. I dati sono stati analizzati utilizzando SPSS. Sono stati calcolati l'alfa di Cronbach per la consistenza interna e l'affidabilità del questionario, la frequenza di compromissione per determinare le aree più compromesse e le possibili ragioni, ed effettuato il test del Chi-quadrato per identificare correlazioni significative con le caratteristiche anagrafiche-lavorative. La validazione del "MissCare Survey OR" ha mostrato un'elevata affidabilità, con valori dell'alfa di Cronbach superiori a 0.80 per la maggior parte delle dimensioni. Le aree più compromesse riguardano la comunicazione e la preparazione del paziente, mentre la sicurezza e le routine di fine intervento hanno ottenuto risultati molto positivi. La mancanza di competenze specifiche, la fatica del personale, la disponibilità e il funzionamento dei materiali sono state identificate come principali cause significative delle CIC, Lo studio fornisce una visione dettagliata delle cure infermieristiche compromesse in sala operatoria e i risultati suggeriscono che miglioramenti nella formazione continua degli infermieri, una gestione ottimale delle risorse umane, l'adozione di protocolli standardizzati per il passaggio delle consegne e il controllo delle forniture possono ridurre in maniera importante le cure infermieristiche compromesse, migliorando la sicurezza e la qualità delle cure fornite ai pazienti.
Cure Infermieristiche Compromesse in sala operatoria: uno studio osservazionale.
MORICHELLI, MATTIA
2023/2024
Abstract
In recent years, the increasing complexity of hospitalized patients and cuts to material and human resources have eroded the safety and quality of nursing care in hospitals. This study focuses on Missed Nursing Care (MNC) in the operating room, a context where such compromises can have severe consequences for patient safety. The study was conducted in three main phases: (1) a literature review to identify tools for detecting missed nursing care, (2) translation and validation of the "MissCare Survey OR" from English to Italian, and (3) detection of missed care through the administration of the validated questionnaire to nurses working in the operating blocks of the Marche University Hospital (AOU delle Marche). The data were analyzed using SPSS. Cronbach's alpha was calculated for internal consistency and reliability of the questionnaire, the frequency of missed care was determined to identify the most compromised areas and possible reasons, and the Chi-square test was conducted to identify significant correlations with demographic and work-related characteristics. The validation of the "MissCare Survey OR" showed high reliability, with Cronbach's alpha values above 0.80 for most dimensions. The most compromised areas pertain to communication and patient preparation, while safety and end-of-procedure routines scored very positively. The lack of specific skills, staff fatigue, and the availability and functioning of materials were identified as significant causes of MNC. The study provides a detailed view of missed nursing care in the operating room, and the results suggest that improvements in continuous nurse education, optimal management of human resources, the adoption of standardized handover protocols, and supply control can significantly reduce missed nursing care, thereby improving patient safety and quality of care.| File | Dimensione | Formato | |
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https://hdl.handle.net/20.500.12075/17803