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Investigating the Relationship Between Physician and Nurse in Predicting Missed Nursing Care in Intensive Care Unit Nurses:
A Cross- Sectional Study
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Mohammad Hashem Gholampour   , Fatemeh Hajihosseini * , Roghieh Nazari , Hamid Sharif-Nia |
| Department of Nursing, Amol Faculty of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran , fatemeh.hajihosseini@gmail.com |
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Abstract: (68 Views) |
Background & aim: Delayed or Missed nursing care can be associated with serious complications, mortality, and dissatisfaction among patients, family members, and managers. The nurse-physician relationship plays an important role in managing missed nursing care. This study aimed to investigate the relationship between the physician and nurse in predicting missed nursing care in intensive care unit nurses.
Methods: This descriptive-cross-sectional study was conducted using census sampling in 2024 on 180 nurses working in the Intensive Care Units (ICUs) of public hospitals in a city in northern Iran. The research tool was a two-part questionnaire including, the MISSCARE survey for missed nursing care, the Practice Environment Scale of the Nursing Work Index (PES-NWI) and demographic characteristics form. The dimensions of the PES-NWI included nurse participation in hospital affairs, nursing foundations for quality of care, nurse manager ability, leadership, and support of nurses, staffing and resource adequacy, and nurse-physician relationships. The validity of the questionnaires has been confirmed in previous studies in Iran, and their reliability was also acceptable. Data were analyzed using multiple and simple linear regression analysis.
Results: A total of 180 nurses working in intensive care units with a mean age of 32.99 ± 7.37 years, most of whom were women and had bachelor's degrees, participated in the study. Adjusted regression analysis showed that, considering the remaining variables in the model, the variables "nursing foundations for quality of care" (B = -0.955, P = 0.019) and "Collegial nurse-physician relations" (B = 3.740, P<0.001) explained 19.3% of the missed nursing care among intensive care unit nurses.
Conclusion: The results of this study showed that a good professional relationship between a doctor and a nurse can increase the incidence of missed nursing care. The findings suggest that healthcare management and policy should focus on the professional relationship between a doctor and a nurse, improving work environments to reduce missed nursing care, and improving patient outcomes. Further study is needed to explore possible causes.
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| Keywords: Missed Nursing Care, Relationship, Physician, Nurse, Intensive Care Unit. |
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Full-Text [PDF 1171 kb]
(34 Downloads)
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Type of Study: Research |
Subject:
Special
Received: 2024/11/10 | Accepted: 2025/04/16 | Published: 2025/08/13
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