MISSED NURSING CARE AND ASSOCIATED FACTORS IN OBSTETRICS AND GYNECOLOGIC WARDS AT SELECTED PUBLIC HOSPITALS OF SIDAMA REGION, ETHIOPIA, 2022

Abstract

Introduction: Missed nursing care refers to any aspect of required care performed by nursing staff that is omitted or significantly delayed. Even though most nurses and midwives routinely missed nursing care and this potentially causes several maternal and fetal outcomes there is limited evidences on the level of missed nursing care. Objective: To assess missed nursing care and its associated factor in obstetrics and gynecologic wards at selected public hospitals of Sidama region, Ethiopia, 2022. Methods: A hospital-based cross-sectional study design was conducted among 361 nurses and midwives in the obstetrics and gynecologic ward of eleven selected public hospitals in Sidama region from March 28 to April 26, 2022. Simple random sampling was used to select participants. The data was collected using a self-administered questionnaire and entered in EpiData version 3.1and was analyzed using SPSS version 26.Simple linear regression and multiple linear regression analysis were used to identify the factors associated with missed nursing care. The strength of association between independent variables and the dependent variable was reported using unstandardized β with 95% CI and p-value ≤ 0.05 was considered statically significant. Result: The overall mean missed nursing care score was 67 out of 130(95%CI: 65.92, 68.02) and the average emerged for each nursing intervention was 2.58 out of 5(95%CI: 2.54, 2.62). Intention to leave the institution (β=3.812, 95%CI: 2.285, 5.340) and increasing weekly work hours (β=0.203, 95%CI: 0.134, 0.272) were factors positively associated with missed nursing care. Whereas increasing work experience (β= -0.963, 95%CI: -1.475, -0.452) and job satisfaction (β= -4.976, 95%CI: -6.431, -3.522) found to be protective factors. Conclusion and Recommendations: This study showed there was a high level of missed nursing care. Creating a better work environment, enhancing staffs stability and satisfaction could minimize missed nursing care.