Missed Nursing Care and Relationship to Burnout and Leave the Profession
Azar Jafari-Koulaee1, Tahereh Heidari, Majid Khorram
1Author Affiliations: Student in Nursing, Faculty of Medical Sciences, Tarbiat Modares University, Tehran (Ms Jafari-Koulaee); Geriatric Nursing, Mazandaran University of Medical Sciences, Sari, Iran (Ms Jafari-Koulaee); Psychiatric Nursing, Mazandaran University of Medical Sciences, Sari, Iran (Ms Heidari); Student of Nursing, Golestan University of Medical Sciences, Gorgan, Iran (Ms Heidari); Psychiatric Nursing, Mazandaran University of Medical Sciences, Sari, Iran (Mr Khorram); Emergency Nursing, Mazandaran University of Medical Sciences, Sari, Iran (Ms Rezaei); Department of Biostatistics and Epidemiology, School of Health, Mazandaran University of Medical Sciences, Sari, Iran (Dr Nikbakht); and Department of Medical Surgical Nursing, School of Nursing and Midwifery, Traditional and Complementary Medicine Research Center, Addiction Institute, Mazandaran University of Medical Sciences, Sari, Iran (Dr Jafari).
Abstract:
Nurses are at high risk of burnout, desire to leave the profession, and possibly missed nursing care due to the exhausting nature of caring. Missed nursing care may also affect nurses' burnout and desire to leave the profession. Therefore, the objective of this study was to determine the missed nursing care and its relationship with burnout and desire to leave the profession among intensive care unit nurses. The participants of this descriptive analytical study were 249 Iranian nurses working in intensive care units in 2022. The data were collected using a Demographic Information Questionnaire, Kalish's Missed Nursing Care Questionnaire, Maslach Burnout Inventory, and desire to leave the profession questionnaire. The majority of nurses (71%) were females. The generalized linear regression model showed that there was a significant relationship between missed care with gender (B = 5.55, P < .001), marital status (B = -7.37, P = .04), working shift (B = 7.80, P < .001), and employment status (B = -2.87, P = .02). Using structural equation modeling, it was found that the effect of missed care on burnout was significant. Considering the effect of missed care on burnout among nurses working in intensive care units, it seems that creating better working conditions, providing sufficient resources for nurses, supporting them, and changing the factors affecting missed care in order to improve the conditions can reduce the possibility of missing nursing care and, finally, burnout.
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