Magnitude of missed nursing care and associated factors in case of North Shewa Zone public Hospitals, Amhara regional state, Ethiopia

Abstract

Missed nursing care (MNC) is a global problem that could endanger patient safety in all nations and cultures and have a detrimental effect on patient outcomes. To assess the magnitude, reason and associated factors of missed nursing care in case of North Shewa Zone public Hospitals, 2021. Institution based cross-sectional study was conducted among randomly selected 315 nurses working in selected Hospitals from April 1-20/2021. Data was collected through self- administered MISSCARE survey tools. Model fitness was checked by Hosmer and Lemshow goodness of fit. Variables that have p <0.05 with 95% CI in the multi variable logistic regression model were considered as statically significant. Descriptive statistics were done and presented with tables and graphs. The prevalence of missed nursing care in study area was 33%. Labor resource (85.4%) and material resource (84.55%) were main reasons. Nurses who were diploma holder (AOR = 4.5; 95% CI: 2.29,8.84), work experience 6m-2yrs (AOR = 1.5; 95% CI: 1.1,2.2), worked with day and night shift (AOR = 4.1; 95% CI: 1.9,8.5), worked over time greater than 400hrs in the past 3months (AOR = 3.8; 95% CI: 1.4, 9.9) and dissatisfaction in nursing profession(AOR = 2.2; 95% CI: 1.1, 4.5) were associated with missed nursing care. In the research area, the incidence of MNC was relatively low; however crucial nursing care tasks like initial evaluation and physical examination were neglected.