MISSING NURSING CARE IN EMERGENCY SERVICES AND ITS CONDITIONING FACTORS: A SYSTEMATIC REVIEW

Abstract

Background: Missed nursing care is a current phenomenon, with a special incidence in emergency departments, resulting in a vast number of missing nursing care, which is influenced by factors of the most varied dimensions. Objectives: Obtain and analyze the available scientific evidence on the most missing nursing care in emergency departments, also identifying in this process the factors that influence them and lead to their absence. Methodology: Systematic literature review, analyzing articles published between 2018 and 2023 in the B-ON, EBSCO, PMC and PubMed databases, using MeSH and DeCS descriptors, being selected 13 articles. Results: The studies showed that there is a lack of nursing care, particularly failure to carry out lifting and/or positioning, non-compliance with schedules and errors in administering therapy. A number of factors have also been identified that lead to missing nursing care, including those that have a negative influence on it, such as non-compliance with safe nursing allocations and peaks in the number of patients, which are considered to be factors that professionals cannot control. Conclusions: The missing nursing care was cleary and unequivocally identified, as were the factors that conditioned it, and a cause-effect relationship was established between the two, as well as the nurses ability to control and manage the former, to the detriment of the latter, which proved to be unattainable and difficult to control.