Missed Nursing Care in the New Era after Pandemic COVID-19: A cross-sectional study from nurses' perspective

Abstract

Background: The important role of being a nurse is giving a safe nursing care comprehensively and without missed caring left behind. In recent years, missed nursing care become the most significant causes of morbidity and mortality of the patient in the health services, particularly at the hospital.

Purpose: Identify and analyse the most frequent missed nursing care and its risk factors gave by the nurse at the hospital.

Methods: One hundred fifty (150) nurses who worked at inpatient COVID-19 room, Public Hospital in Jakarta, Indonesia. Participants were selected by random and proportional sampling by determine nurses’ number in each room helped by head nurse. The inclusion criteria of the sample are nurses who have experience working in the COVID-19 room and are willing to be research respondents. Head nurse leadership questionnaire was modified from the Practice Environment Scale of the Nursing Work Index with Cronbach's alpha 0.759 and Missed nursing care questionnaire with Cronbach's alpha 0.828.

Results: As results show that there is relationship between education (p=0,05), leadership (p=0,05), and management function (p=0,005) with missed nursing care. Using SEM analysis, increasing 1 times of leadership factor and its function will decreasing 0,145 times missed nursing care factor. While increasing 1 times of management function factor will decreasing 0,298 times missed nursing care.

Conclusion:  There is a significant relationship between leadership of manager, function management, and the occurrence of missed nursing care. Continuing formal education and maintaining competences of the nurses is one of how to give a comprehensive nursing care without missed. In other hand, as a nurse managers asked to become a role model for their staffs at work. Moreover, a nurse managers should participate and involve in management function such as planning, organizing, structuring, managing equipment, adjusting working environment, manpower assignment, guiding staff and providing feedback.