ArticleNursing in critical care2025
Missed nursing care and its causes and effects on moral distress in neonatal intensive care nurses.
Article in Nursing in critical care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Portuguese Version of the MISSCARE Survey-Patient: A Cross-Cultural Validation Study.Nursing reports (Pavia, Italy) · 2026Article
- Neonatal Critical Care Nursing.Nursing in critical care · 2026Article
- Predictors of Moral Distress Among Nurses: A Cross-Sectional Study.International journal of environmental research and public health · 2026Article
- Article
- Moral distress among pediatric nurses: a cross-sectional study from Sichuan, China.Frontiers in pediatrics · 2026Article
- Missed nursing care and its causes and effects on moral distress in neonatal intensive care nurses.Nursing in critical care · 2025Article
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3 authors.
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Abstract
backgroundDeficiencies emerge in the care provided by nurses because of the complex treatment plans, shortage of labour resources and communication problems in neonatal intensive care units (NICUs). Knowing how to provide quality patient care but being unable to maintain it because of individual or institutional issues can lead to moral distress among nurses.
aimThis study aimed to examine missed nursing care in NICUs and its relationship with the moral distress experienced by nurses. STUDY
designThis was a cross-sectional study. This study included a sample of 153 NICU nurses. The data were collected online between January and May 2024 using a descriptive information form, the Missed Care Survey-Paediatric Form, and the Moral Distress Scale-Revised for Paediatric Nurses.
resultsThe mean age of the participants was 31.22 years, and on average, they cared for 3.42 ± 0.96 patients per day. The medical condition of the child under care (t = 2.954, p < .001), duration of working in the NICU (F = 15.901, p < .001), inadequate number of nurses (F = 3.626, p = .029) and job satisfaction (F = 3.359, p = .037) were listed as variables affecting the reasons for missed nursing care. Communication (β = .275, p = .018) and labour resources (β = .216, p = .021), subdimensions of the Missed Care survey used in the study, were predictive factors that positively affected moral distress.
conclusionsThe factors associated with missed care should be explored as strategies to reduce moral distress. Managers should focus on integrating effective communication techniques into nursing care and increasing the labour resources to reduce missed nursing care, thus improving the moral distress levels of NICU nurses. RELEVANCE TO CLINICAL PRACTICE: Understanding the factors associated with missed care and developing related strategies can complement the efforts of NICU managers, educators and nurses in reducing moral distress.
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