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Missed Nursing Care in Patients With Dementia: A Qualitative Study
1Fundamentals of Nursing Department, Faculty of Health Sciences, Karadeniz Technical University, Trabzon, Türkiye.
International Nursing Review
|July 24, 2025
Summary
Nurses caring for dementia patients experience missed nursing care (MNC) due to challenges in building trust and systemic barriers. Addressing these issues through policy changes and improved training is crucial for enhancing dementia care quality.
Area of Science:
- Gerontology
- Nursing Science
- Qualitative Research
Background:
- Patients with dementia face significant challenges in care participation, decision-making, and expressing needs.
- These challenges increase the risk of missed nursing care (MNC) in dementia patient populations.
Purpose of the Study:
- To explore the experiences of nurses providing care to patients with dementia regarding missed nursing care.
- To identify the factors contributing to and the nature of missed nursing care in dementia patient settings.
Main Methods:
- A phenomenological study was conducted with 13 experienced clinic nurses in neurology clinics.
- Data were gathered through semi-structured interviews and analyzed using reflexive thematic analysis with an inductive approach.
Main Results:
- Nurses established trust through authentic relationships, patience, and adequate time, but faced challenges like inadequacy and communication gaps.
- Missed nursing care occurred through delegation, delayed care, and compromised communication, impacting patient autonomy.
Conclusions:
- Systemic barriers, including teamwork and communication issues, contribute to missed nursing care in dementia settings.
- Addressing these barriers requires nursing policy reform, enhanced training, and improved institutional support to improve care quality and nurse empowerment.
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