Abstract CN33
Background
Missed nursing care is affected by the work environment and nurses’ personal characteristics. Aim: to explore the relationship between missed care and compassion fatigue in the nursing staff of an Oncology Hospital of Athens.
Methods
The convenience sample consisted of 116 nursing staff members (response rate 77.33%) (during July-August 2018), that they consented to participate. The data collection tools included: MISSCARE Survey Greek Version (a 41 4-point Likert scale items divided into part A and B) and ProQOL-5th Ed. The statistical significance level was set at 0.05.
Results
The mean Total MISSCARE A score was moderate (1.7±.60) (Activities of Daily Living Omissions: 1.8±.68, Acute Care-Missed Nursing Care: 1.6±.58). The frequently omitted activities were the change in patient position (mean 2.9), ambulation (mean 2.3) and bathing/skin care (mean 2.3). The mean Total MISSCARE B score was 3.0±.74 (Material: 3.3±.89 and Labor: 3.2±.89 resources and Communication/team work: 2.9±.80). Inadequate number of staff (3.5±1.0) and supplies/equipment not available (3.4±.96) were the most significant reasons for missed care. The MISSCARE A and B scores were not correlated with the ProQOL scores. Multivariate analysis found that an administrative role, more overtime work, missed days or shifts and dissatisfaction with nursing was related with a higher MISSCARE A score (R2=0.188, N=113, F=6,24, p<.0001). Additionally diploma and PhD level was related with a low MISSCARE B score, but nurse assistants, age 35-44 years old, more overtime work and dissatisfaction with both current position and nursing was related with a higher score (R2=0.261, N=113, F=5.29, p<.0001).
Conclusions
Results revealed low rates of missed care. Mostly nursing staff characteristics than compassion fatigue was related with missed care. Relevance for nursing science in Europe: A small part of the phenomenon of missed care was explored. It is a piece of a total puzzle connected to the quality of nursing care.
Clinical trial identification
Editorial acknowledgement
Legal entity responsible for the study
A. Hamou.
Funding
Has not received any funding.
Disclosure
All authors have declared no conflicts of interest.