Impact of Nursing Teamwork on Missed Nursing Care in Intensive Care Units at Zagazig University Hospitals

Document Type : Original Article

Authors

1 Demonstrator-Nursing Administration Departement- Faculty of Nursing- Zagazig University

2 Lecturer-Nursing Administration Departement- Faculty of Nursing- Zagazig University

3 Assistant prof. of Nursing Administration- Faculty of Nursing- Zagazig University

10.12816/0029158

Abstract

Background: There is no doubt, that teamwork is a critical element in assuring patient safety
and quality of nursing care and effectiveness of nursing performance, in addition reducing of
missed nursing care. Aim: The aim this study was to examine the effect of nursing teamwork
on missed nursing care. Setting: The present study was conducted in Emergency Sector
affiliated to Zagazig University Hospitals which consists of three hospitals, namely New
Surgical Hospital, which has one a surgical Intensive Care Unit, Internal Medicine Hospital,
which has two medical ICUs, and Emergency hospital, which has an Intensive Care Casualty
Unit. Subjects: Convenience sample of staff nurses (182), with minimum one year experience
and have the responsibility for direct nursing care to patients. Tools: Two tools were used for
data collection in the study; the first one was nursing teamwork questionnaire, this tool aimed
to measure nurses' opinion about teamwork in ICU. The second was missed nursing care
questionnaire, this tool aimed to identify how frequently the elements of missed nursing care
were missed and its reasons from nurses' opinion. Results: Results revealed that the highest
percentage of nurses perception about the total teamwork was low (86.8%),
The majority of nurses perception about missed nursing care was low
(83.3%), the highest percentage of nurses perception about reasons of missed nursing care
was high (70.3%). Conclusion: It can be concluded that there was a negative correlation
between nursing team work and missed nursing care (r=-.298&p=.000). Recommendation:
It is recommended that the need to invest in methods of enhancing teamwork in these settings
such as teamwork training program for nurses to improve their knowledge, skills and attitude
toward teamwork and promote their engagement.

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