Determination of missed nursing care needs in psychiatric clinics

Determination of missed nursing care needs in psychiatric clinicsM issed nursing care is defined as "failure to complete, partial completion of, or postponement of all or part of planned care practices". [1]This relatively new concept was first introduced to the field of study by Kalisch and colleagues in 2006, and it has been the subject of ongoing research ever since.Missed nursing care needs encompass initiatives within nine core areas.These areas, which play a significant role in the lives of individuals with care needs, are described as 'delayed or forgotten': nutrition, emotional support, positioning, hygiene, patient education, intake and output records, discharge planning, and surveillance. [2,3]Nurses play a critical role in coordinating, planning, implementing, and evaluating patient care.Failure to fulfil these responsibilities can lead to adverse patient outcomes ranging from minor discomfort to death. [1]In this context, when reviewing recent national and international literature, missed nursing care needs have led to problems such as an increase in heart failure, acute myocardial infarction, phlebitis, pressure ulcers, urinary tract infections, physical disability, and mortality rates, as well as decreased patient satisfaction, increased patient falls, prolonged hospital stays, and delayed discharge. [4][5][6] It is also emphasized that missed nursing care needs negatively affect not only patients but also their relatives, healthcare workers, and healthcare institutions. [7,8]jectives: This study aimed to determine the missed nursing care needs in psychiatric clinics.Methods: This descriptive and cross-sectional study was conducted with 155 nurses working in psychiatric clinics between March and May 2023.Data were collected using the "Personal Information Form" and "The MISSCARE Survey-Turkish."Results: The mean score of missed nursing care needs (Part A) was 21.349.91.The primary reasons for missed nursing care were identified as insufficient labor, material deficiencies, and lack of communication.Gender and the mean number of patients cared for during day and night shifts were found to be associated with missed nursing care needs.Additionally, gender, working in rotation, allocating sufficient time for care, perceived competence in psychiatric nursing practice, and participation in a certificate program were associated with the reasons of missed nursing care services. Conclusion:The study revealed that various factors contribute to missed care needs among nurses working in psychiatric clinics.Managerial interventions that strengthen patient safety culture and foster a positive work environment are essential to reducing missed nursing care.