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Application of the MISSCARE scale in an Oncology Service: a contribution to patient safety
Eliane Goldberg Rabin1, Camila Neves da Silva2, Aline Brenner de Souza3
1Universidade Federal de Ciências da Saúde, Department of Nursing, Coordinator of Multidisciplinary Residency Program in Oncohematology, Porto Alegre, RS, Brazil.
Objective:
To investigate the prevalence of and reasons for missed nursing care in oncology units.
Method:
A cross-sectional study was conducted at inpatient oncology units at a private hospital. Eighty-three professionals from the nursing team took part. The MISSCARE instrument and a sociodemographic questionnaire were administered. Simple descriptive statistics were used for analyses. Pearson's chi-square test was used to detect associations between variables.
Results:
The care tasks missed most frequently were assisting with toileting needs within 5 minutes of a request (57.8%), ambulation 3 times per day or as ordered (44.6%), and turning patients every 2 hours (36.1%). The main reasons for missed care were related to communication: tension or communication breakdowns within the nursing team, and the caregiver responsible off unit or unavailable (both 66.2%).
Conclusions:
there is a need to develop nursing interventions that neutralize and/or reduce the negative results of this missed care in order to improve the quality of care provided to cancer patients.
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