Prevalence of missed nursing care and its predictors among nurses in jimma zone public hospitals, jimma zone, Ethiopia, 2017

Abstract

Introduction: Missed nursing care (MNC) is any required patient care omitted in part or in whole, or significantly delayed and is attributed to errors of omission.The Ethiopian Health sector transformation plan (HSTP) I annual report revealed that quality of nursing care in hospitals across the countryis deteriorating. One aspect of quality nursing care is the amount of necessary care that is missed, whereasits prevalence and predictors across Ethiopian hospitals is not well understood. Objective: The aim of the study was to determine the prevalence and predictors of missed nursing care according to perception of nurses in Jimma Zone public hospitals. Methods: Facility based cross-sectional study using quantitative methods was conducted in five Jimma Zone public hospitals from March 01 to 30, 2017 using a modified missed care questioner and Nursing team work survey. A total of 237 (94.4%) nurses were participated in the study by simple random sampling. Descriptive, bivariate andmultivariable linear regression was performed using SPSS version 20 to identify the potential predictors of MNC.P-value less than 0.05 was taken as statisticallysignificant predictor. Result: The prevalence of MNC lies between19.4% and 77% for all item of nursing care. Basic care intervention dimension was the frequentlyreported MNC.The top five items of missed nursing care were patient bathing 77% (183), emotional support for patient and family 175 (73.9%), ambulation of the patient 173 (73%), mouth care 172(72%) and turning patient 163 (68.7%. Human resource related dimension was the most reported reason for MNC, while unexpected rise in patient flow was reported as the leading item reason forMNC by 78%.Older age, higher patient-to-nurse ratio, absenteeism from work and night shift were associated with higher report of MNC.Whereas teamwork and on job training were protective factors of MNC. Conclusion and recommendation:Missed nursing care is prevalent across all study hospitals and it has potentialto compromise quality nursing care. This indicates the need to collaborative effort to reduce occurrence of MNC and improve qualitynursing care.