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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Gholampour Mohammad Hashem; Hajihosseini Fatemeh; Nazari Roghieh; Sharif Nia Hamid

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Journal Paper

Paper Information

Journal: Journal of Critical Care Nursing Year:2024 | Volume:17 | Issue:3 Page(s): 49-58

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Information Journal Paper

Title

Investigating the Relationship Between Physician and Nurse in Predicting Missed Nursing Care in Intensive Care Unit Nurses: A Cross- Sectional Study

Author(s)

Gholampour Mohammad Hashem | Hajihosseini Fatemeh | Nazari Roghieh | Sharif Nia Hamid | Issue Writer Certificate

Keywords

Missed Nursing Care

Relationship

Physician

Nurse

Intensive Care Unit.

Abstract

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 Unit. (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 Unit. 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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