Relationship between the implementation of primary nursing model and the reduction of missed nursing care.

Autor: Moura ECC; Department of Nursing, Universidade Federal do Piauí, Teresina, PI, Brazil., Lima MB; Technological Institute, Universidade Federal do Piauí, Bom Jesus, PI, Brazil., Peres AM; Department of Nursing, Universidade Federal do Paraná, Curitiba, PI, Brazil., Lopez V; College of Nursing, Hubei University of Medicine, Shiyan, China.; Alice Lee Centre for Nursing Studies, National University of Singapore, Singapore., Batista MEM; Department of Nursing, Universidade Federal do Piauí, Teresina, PI, Brazil., Braga FDCSAG; University Hospital of the Universidade Federal do Piauí, Teresina, PI, Brazil.
Jazyk: angličtina
Zdroj: Journal of nursing management [J Nurs Manag] 2020 Nov; Vol. 28 (8), pp. 2103-2112. Date of Electronic Publication: 2019 Oct 17.
DOI: 10.1111/jonm.12846
Abstrakt: Aims: To evaluate and predict the relationship between the implementation of the primary nursing model and the reduction of missed nursing care.
Background: Primary nursing can provide hospital leaders and nursing staff with guidance in implementing safe, patient-centred care, with responsibility and accountability during the nursing process. The implementation can be measured in terms of missed nursing care.
Methods: A predictive correlational study was used. The study was conducted in four inpatient units at the University Hospital, Northeast, Brazil. Data were collected from 96 nursing professionals, using the MISSCARE instrument at four and seven months after the implementation of the primary nursing model.
Results: Missed nursing care was reduced by 78.5%. Job title and staff satisfaction showed significant associations with decreased missed care (p < .05).
Conclusion: The predictive effect between efficacy in reducing missed nursing care and reasons and efficiency in the management of nursing care, using the primary nursing model, was verified.
Implications for Nursing Management: Nursing staff and managers should consider adopting a Primary Nursing Model of care to reduce missed nursing care.
(© 2019 John Wiley & Sons Ltd.)
Databáze: MEDLINE