Healthcare Hygiene magazine April 2023 April 2023 | Seite 19

Ambrosi , et al . ( 2016 ) conducted a secondary analysis of data collected in 12 Italian hospitals with the aim of identifying factors associated with in-hospital mortality of patients > 65 years old . The analysis showed a statistically significant difference between the groups of patients who died or survived ( average missed care score was 51.5 percent in deceased patients and 52.6 percent in surviving patients ); however , when stepwise logistic regression analysis was performed , no associations were observed between missed nursing care and inpatient mortality .”
Bagnasco , et al . ( 2020 ) conducted a scoping review to identify surgical and medical inpatients ’ perceptions of unmet nursing care needs . The researchers say their study was intended to raise awareness among nurses and policymakers about the importance of addressing missed nursing care and unmet patients ’ needs in adult medical or surgical inpatient settings to ensure high-quality care and patient satisfaction .
The researchers emphasize that most evidence of missed care comes from research that measures perceptions on missed care in surgical and medical settings from nurses , but not from patients . They found 44 papers that documented five themes , including “ communication ,” “ self-management , autonomy and education ,” “ personal sphere ,” “ essential physical care ” and “ emotional and psychological care .” The researchers note that , “ The majority of the unmet needs were related to the
‘ personal sphere ’ and ‘ emotional and psychological care .’ These unmet needs were not identified in previous literature on nurses ’ perspectives of missed care . Also , physical care deficits like oral hygiene were identified .”
Studies indicate that communication was a key aspect of unmet needs identified by many patients , who were looking to connect with their caregivers . Patients expressed the desire for improved communication between themselves and nurses , particularly related to gaining more information about their care plans and the procedures they were going to undergo . They also desired more dialogue with nurses about their medication and also the organization and internal rules of the ward .
As Bagnasco , et al . ( 2020 ) note , “ Furthermore , merely ‘ passing information ’ was not sufficient for many patients . They felt the use of technical terms and jargon affected their ability to

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