Determinants of missed nursing care among nurses in critical care units in selected counties in kenya

Introduction

The evolving nature of nursing and its critical nature in improving patient outcomes in critical care units affirms a broader spectrum in evaluating any underlying challenges that could limit the delivery of excellent care. There has been a high prevalence of 55-98% of nursing care missed by providers. Despite its evident impact, there needs to be a more comprehensive understanding about the factors that may contribute to missed care in critical care settings. While studies highlight staffing issues, time constraints, and workload as potential culprits, a more nuanced exploration is needed to unravel the intricate interplay of individual, unit, and systemic factors influencing MNC. Methodology: Descriptive cross-sectional study. The census sampling method recruited 46 nurses in the three facilities as the sample size. Data collection done using a pre-tested, standardized, structured questionnaire. Data analysis was done using descriptive and inferential analysis. The nature of MNC was calculated using a proportion of nurses who participated in the study. Univariate, bivariate, and multivariable analysis was done using binary logistic regression. Data analysis was done using SPSS version 28. The level of significance was investigated at p<0.05.