Research Article
Frontline Nurses’ Job Satisfaction and Missed Nursing Care in a COVID-19 Dedicated Hospital in China: A Cross-Sectional Study
Table 4
Participants’ reasons for missed nursing care (in descending order of each missed nursing care’s percentage).
| Items | Not a reason/1 point | Minor reason/2 points | Moderate reason/3 points | Significant reason/4 points | Scores median (IQR) | Reasons for MNC | N (%) | N (%) | N (%) | N (%) | Yes N(%) | Rank |
| (2) Urgent patient situations (e.g., worsening of a patient’s condition) | 50 (16.45) | 86 (28.29) | 76 (25.00) | 92 (30.26) | 3 (2) | 168 (55.26) | 1 | (3) Unexpected rise in patient volume and/or acuity on the unit | 60 (19.74) | 80 (26.32) | 83 (27.30) | 81 (26.64) | 3 (2) | 164 (53.95) | 2 | (4) Nurse did no nursing work | 71 (23.36) | 81 (26.64) | 83 (27.30) | 69 (22.70) | 2.5 (1) | 152 (50.00) | 3 | (1) Inadequate number of staff | 80 (26.32) | 77 (25.33) | 82 (26.97) | 65 (21.38) | 2 (2) | 147 (48.36) | 4 | (6) Medications were not available when needed | 107 (35.20) | 94 (30.92) | 68 (22.37) | 35 (11.51) | 2 (2) | 103 (33.88) | 5 | (8) Tension or communication breakdowns with patients | 123 (40.46) | 94 (30.92) | 62 (20.39) | 25 (8.22) | 2 (2) | 87 (28.62) | 6 | (5) Unbalanced patient assignments | 126 (41.45) | 93 (30.59) | 57 (18.75) | 28 (9.21) | 2 (2) | 85 (27.96) | 7 | (7) Inadequate hand-off from previous shift or sending unit | 117 (38.49) | 105 (34.54) | 56 (18.42) | 26 (8.55) | 2 (2) | 82 (26.97) | 8 | (9) Supplies/equipment not available when needed | 138 (45.39) | 89 (29.28) | 48 (15.79) | 29 (9.54) | 2 (2) | 77 (25.33) | 9 | (19) Underdeveloped management and quality assurance system | 139 (45.72) | 88 (28.95) | 44 (14.47) | 33 (10.86) | 2 (2) | 77 (25.33) | 10 | (12) Tension or communication breakdowns with other ancillary/support departments | 149 (49.01) | 82 (26.97) | 48 (15.79) | 25 (8.22) | 2 (1) | 73 (24.01) | 11 | (10) Supplies/equipment not functioning properly when needed | 146 (48.03) | 87 (28.62) | 47 (15.46) | 24 (7.89) | 2 (1) | 71 (23.36) | 12 | (16) Patient’s and family’s refusal | 139 (45.72) | 95 (31.25) | 50 (16.45) | 20 (6.58) | 2 (1) | 70 (23.03) | 13 | (11) Lack of backup support from team members | 147 (48.36) | 88 (28.95) | 43 (14.14) | 26 (8.55) | 2 (1) | 69 (22.70) | 14 | (18) Nurses with less job responsibility | 144 (47.37) | 91 (29.93) | 41 (13.49) | 28 (9.21) | 2 (1) | 69 (22.70) | 15 | (14) Tension or communication breakdowns within the medical staff | 154 (50.66) | 88 (28.95) | 43 (14.14) | 19 (6.25) | 2 (1) | 62 (20.39) | 16 | (15) Delayed communication between novices and nurses on patients’ care | 143 (47.04) | 99 (32.57) | 43 (14.14) | 19 (6.25) | 2 (1) | 62 (20.39) | 17 | (17) Underdeveloped role description/workflow | 145 (47.70) | 101 (33.22) | 37 (12.17) | 21 (6.91) | 2 (1) | 58 (19.08) | 18 | (13) Tension or communication breakdowns within the nursing team | 173 (56.91) | 76 (25.00) | 35 (11.51) | 20 (6.58) | 1 (1) | 55 (18.09) | 19 | Total | | | | | 37 (19) | | |
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