护理缺失属于遗漏行为—比“差错行为”更难识别，却可能是更重大的患者安全问题 | 护理SCI文献解读
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《The Journal of Nursing Management》
“暴力与虐待”主题征稿
■我很爱这个杂志，接收很快的~
今天就继续给大家分享该杂志上的一篇文献：Bragadóttir, H, Burmeister, EA, Terzioglu, F, Kalisch, BJ. The association of missed nursing care and determinants of satisfaction with current position for direct‐care nurses—An international study. J Nurs Manag. 2020; 28: 1851– 1860.
https://doi.org/10.1111/jonm.13051
探讨护理缺失与护士当前工作岗位满意度的关系
护理缺失（missed nursing care）指患者所需要的标准的护理活动部分或全部遗漏，或者延迟执行——它属于遗漏行为。相关研究指出，遗漏行为比差错行为更难识别，却可能是更重大的患者安全问题。
Abstract摘要
Aim To describe the association of missed nursing care and to identify the determinants of satisfaction with current position for direct‐care nurses.
研究目的：探讨护理缺失与护士当前工作岗位满意度的关系，并识别出影响该岗位工作满意度的关键因素。
Background Missed nursing care and job satisfaction are important issues regarding quality patient care and safety in health care, globally.
研究背景：护理缺失和工作满意度是影响患者护理质量的两大关键主题。
Method This was a cross‐sectional quantitative study using MISSCARE Survey data. Participants were 7,079 nursing staff providing direct patient care in hospitals in Australia, Iceland, Turkey and the USA. Multivariable nested models were used to identify the relationship between missed nursing care and nurses’ satisfaction with current position.
研究方法：①采用横断面研究设计；②共调查了来自澳大利亚、土耳其、美国等地区医院的7.79名护理人员。③采用多变量嵌套模型，探讨护理缺失与护士当前工作岗位满意度的关系。
Results More missed nursing care was associated with less satisfaction with current position. Other determinants of job satisfaction included country, nursing experience, overtime worked, adequacy of staffing and the number of shifts missed during the previous 3 months.
研究结果：①护理缺失与护士当前工作岗位满意度呈负性关系；②其他决定工作满意度的因素有：国家（地域）、护理经验、加班、人员配比、轮班人数等。
Conclusion(s) Internationally, more missed nursing care is associated with less nursing job satisfaction and is influenced by work experience, overtime worked, levels of staffing and absenteeism.
研究结论：护士当前工作岗位满意度与护理缺失呈负性关系，并受到工作经验、加班、人员配备水平、缺勤等的影响。
Implications for Nursing Management This study identifies that the association between missed nursing care and satisfaction with nursing position is of global concern. Other factors requiring the attention of nurse managers are staffing levels, absenteeism and work experience.
对护理管理的启示：本研究发现，护理缺失与护士当前工作岗位满意度之间的关系是一全球性问题。其他需要护士管理者注意的因素是：人员配备水平、缺勤情况和工作经验。
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