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مراقبت های ناتمام پرستاری و علل آن در ایران: مرور سیستماتیک
unfinished nursing care and its causes in Iran: a systematic review
تخصصي
Special
پژوهشي
Research
<span style="font-size:11pt"><span style="line-height:150%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">مقدمه:</span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:"> مراقبت ناتمام پرستاری نتایج درمان، کیفیت کار پرستاران و اهداف سازمان را تحت تاثیر قرار می دهد<b>. </b>لذا هدف از</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">این</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">مطالعه، مروری</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">بر</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">مطالعات</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">انجام</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">شده</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">در</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">زمینه مراقبت های ناتمام پرستاری و علل آن در ایران</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">میباشد.</span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:150%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:"><strong>روش کار: </strong>این مطالعه مروری مقالات منتشر شده بین سالهای 1396 تا1402را از پایگاه های اطلاعاتی </span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:150%">,sid,magiram, </span></span> <span dir="LTR" style="font-size:12.0pt"><span style="line-height:150%">google scholar,pubmed</span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:"> و</span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:150%">scopuse </span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:"> به دو زبان فارسی و انگلیسی مورد بررسی قرار داد. کلمات کلیدی مراقبت ناتمام، مراقبت از دست رفته، مراقبت ناکامل، مراقبت فراموش شده، پرستاران، ایران در منابع فارسی و </span></span></span> <span dir="LTR" style="font-size:12.0pt"><span style="line-height:150%">incomplete care,unfinished care,forgotten care,miss care,nursing,iran</span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">در منابع انگلیسی </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">مورد استفاده قرار گرفت<span style="color:black">. پس از ارزیابی کیفیت مقالات از 28 مطالعه، </span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:"><span style="color:black">13</span></span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:"><span style="color:black">مقاله واجد شرایط و به</span></span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:"><span style="color:black">مطالعه</span></span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:"><span style="color:black">وارد</span></span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:"><span style="color:black">شدند.</span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:150%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:"><span style="color:black"></span></span></span></span></span></span></span></span></span><span style="font-size:11pt"><span style="line-height:150%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">یافته ها:</span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:"><span style="color:black"> نتایج</span></span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:"><span style="color:black">نشان داد</span></span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">مراقبت های ناتمام پرستاری در ایران در سطح بالاتر از حد متوسط با </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:"><span style="color:black">میانگین </span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">بین </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">59/12</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span cambria="" style="font-family:">±</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">66/25 (مقیاس96-24) </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:"> و</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:"> 50/8 </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span cambria="" style="font-family:">±</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:"> 04/ 82 می باشد و </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">به ترتیب در سه حیطه آموزشی، حمایتی و حفاظتی اتفاق می افتد. علل آن به ترتیب مشتمل بر؛ منابع انسانی(ناکافی بودن تعداد پرستاران، افزایش تعداد بیماران، کمبود نیروی کمکی یا منشی، عدم تطابق مراقبت های پرستاری با وظایف پرستاران، تجویز غیر معمول پزشکان)، منابع مادی(در دسترس نبودن دارو ها و لوازم و تجهیزات) و منابع ارتباطی( عدم حمایت از پرستاران، عدم وجود کار تیمی، تحویل دادن ناکامل شیفت قبلی یا واحد ارسالی، تنش و ارتباط ضعیف با سایر مراکز پشتیبانی) می باشد.</span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:150%"><span style="font-family:"Arial",sans-serif"></span></span></span></span></span></span></span></span><br>
<b><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" mitra="" style="font-family:">نتیجه گیری: </span></span></span></b><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" mitra="" style="font-family:">مراقبت های ناتمام پرستاری در ایران در سطح بالاتر از حد متوسط و بیشتر در حیطه آموزشی می باشد. مهمترین علت آن منابع انسانی و ناکافی بودن پرستاران است. </span></span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" mitra="" style="font-family:">کاهش و حذف مراقبت های نادیده گرفته شده موجب ارتقاء کیفیت مراقبت و افزایش رضایتمندی بیماران می گردد، <span style="color:black">لذا مدیران نظام سلامت لازم است با در نظر گرفتن علل مربوطه در راستای کاهش هر چه بیشتر آن تلاش نمایند. </span></span></span></span>
<span style="font-size:11pt"><span style="line-height:150%"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">Introduction</span></span></span></b><span style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">: Incomplete nursing care affects treatment results, the quality of nurses' work, and the goals of the organization. Therefore, the purpose of this study is to review the studies conducted in the field of incomplete nursing care and its causes in Iran</span></span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">.</span></span></span><span style="font-size:12.0pt"><span style="line-height:150%"><span style="font-family:"Times New Roman",serif"></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:150%"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">Method:</span></span></span></b><span style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times=""> This review study examined the articles published between 1396 and 1402 from sid, magiram, google scholar, pubmed and scopuse databases in both Farsi and English languages. Keywords incomplete care, lost care, incomplete care, forgotten care, nurses, Iran were used in Persian sources and incomplete care, unfinished care, forgotten care, miss care, nursing, Iran in English sources. After evaluating the quality of articles from 28 studies, 13 articles were qualified and included in the study</span></span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">.</span></span></span><span style="font-size:12.0pt"><span style="line-height:150%"><span style="font-family:"Times New Roman",serif"></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:150%"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">Findings</span></span></span></b><span style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">: The results showed that incomplete nursing care in Iran is at a higher than average level with an average between 25.66±12.59 (scale 24-96) and 82.04±8.50 in three educational fields respectively. , support and protection happens. Its causes include; Human resources (insufficient number of nurses, increase in the number of patients, lack of auxiliary or secretarial staff, incompatibility of nursing care with the duties of nurses, unusual prescription of doctors), material resources (unavailability of drugs, supplies and equipment) and communication resources. lack of support for nurses, lack of teamwork, incomplete delivery of the previous shift or sent unit, tension and poor communication with other support centers).</span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:150%"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">Conclusion</span></span></span></b><span style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">: Unfinished nursing care in Iran is at a higher than average level and mostly in the educational field. The most important reason is the lack of human resources and nurses. Reducing and eliminating neglected care improves the quality of care and increases patient satisfaction, so health system managers should try to reduce it as much as possible by considering the relevant causes</span></span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">.</span></span></span><span style="font-size:12.0pt"><span style="line-height:150%"><span style="font-family:"Times New Roman",serif"></span></span></span></span></span></span></span><br>
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مراقبت ناتمام پرستاری, پرستاران ایرانی, مرور سیستماتیک
incomplete nursing care, Iranian nurses, systematic review
101
113
http://ijnv.ir/browse.php?a_code=A-10-1631-1&slc_lang=fa&sid=1
khadije
sharifi
خدیجه
شریفی
Sharifi81k@yahoo.com
100319475328460014093
100319475328460014093
Yes
Assistant Professor, Department of Nursing and Midwifery, Kashan University of Medical Science, Kashan,Iran
دانشیار، مرکزتحقیقات ترومای پرستاری ، دانشگاه علوم پزشکی کاشان ، کاشان، ایران
elham
khaloobagheri
الهام
خالوباقری
305az222@gmail.com
100319475328460014094
100319475328460014094
No
PhD Candidate in Nursing, Department of Nursing and Midwifery, Kashan university of Medical Science,Kashan, Iran
دانشجوی دکتری تخصصی آموزش پرستاری، مرکزتحقیقات ترومای پرستاری ، دانشگاه علوم پزشکی کاشان ، کاشان، ایران