ArticleSAGE open nursing
Nursing Professional Commitment as a Mediator of the Relationship Between Work Environment and Missed Nursing Care Among Nurses: A Cross-Sectional Analysis.
Article in SAGE open nursing. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- The role of professional commitment and resilience in predicting family nursing practice: Iranian nurses' point of view.BMC nursing · 2026Article
- Missed Nursing Care Among Hospital Nurses in the Middle East: A Systematic Literature Review.Nursing reports (Pavia, Italy) · 2026Review
- Determinants of Professional Commitment Among Nurses in Turkey: The Role of Workplace Incivility.Journal of clinical nursing · 2025Article
- Association of role clarity on ethical behaviour among orthopaedic nurses: a cross-sectional study.BMJ open · 2025Article
- Moral disengagement in critical care nurses: a conventional content analysis.BMC medical ethics · 2025Article
- The effect of toxic leadership on workplace deviance: the mediating effect of emotional exhaustion, and the moderating effect of organizational cynicism.BMC nursing · 2024Article
- Investigating the relationship between missed/rationed nursing care and organizational commitment in Iranian nurses.BMC nursing · 2024Article
- The relationship between nurses' professional commitment and missed nursing care: a cross-sectional study in Iran.BMC nursing · 2024Article
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Authors and funding
9 authors.
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Abstract
Introduction: Nursing care plays a pivotal role in promoting patient well-being and optimizing health outcomes. The nursing profession is characterized by its commitment to delivering high-quality care to patients. Objective: The purpose of the study was to explore the role of nursing professional commitment as a mediator between the work environment and missed nursing care. Methods: A cross-sectional analysis study "STROBE guideline" used an online structured questionnaire to collect data. It was conducted on a sample of 813 nurses who worked at seven governmental hospitals in Egypt, in the hospital wards, operating rooms, intensive care unit (ICU) or outpatient clinics, during a 4-month period from April to August 2022. Researchers used Characteristics of nurses, Nursing Work Index-Revised, Nursing Professional Commitment Scale, and MISSCARE Questionnaire to collect the data. Structural equation modeling by AMOS was used for testing nursing professional commitment as a mediator between the work environment and missed nursing care. Nurses' professional commitment was used as a mediator between work environment and missing nursing care. Results: The working environment has a direct impact of -0.175, an indirect impact of -0.139, and a total impact of -0.314. Furthermore, professional commitment has a direct impact of -0.421. Additionally, when the working environment increases by 1, professional commitment increases by 0.33. Similarly, when the working environment increases by 1, missed care decreases by 0.175. Moreover, when professional commitment, as a mediating factor, increases by 1, missed care decreases by 0.421. Conclusion: In conclusion, the findings of this study highlight the significant role of professional commitment as an intermediary factor between the working environment and missed nursing care. According to these results, it is necessary to formulate and implement intervention strategies to improve nurses' professional commitment and working environment, which is the key to reducing their missed nursing care.
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