Evidence map›Paper›PMID 40186237›Full record

ArticleBMC nursing2025

Missed nursing care and related factors: a cross-sectional study.

Rahimeh Khajoei, Mohadeseh Balvardi, Tayebeh Eghbali, Mahboubeh Sadat Yousefi, Mansooreh Azizzadeh Forouzi

Abstract read
In one paragraph

Article in BMC nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

  1. Review
  2. Patient-Count and Perceived Workload Associations With Missed Nursing Care: A Multicenter Repeated-Measures Study.Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing · 2026
    Observational
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  9. Review
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  11. Article
  12. Routinization in Nursing Care: An Integrated Review.Iranian journal of nursing and midwifery research
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Rahimeh KhajoeiDepartment of Nursing and Midwifery, Sirjan School of Medical Sciences, Sirjan, IR, Iran.ORCID http://orcid.org/0000-0002-3770-6790
Mohadeseh BalvardiDepartment of Biostatistics, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran.ORCID https://orcid.org/0000-0001-7321-7292
Tayebeh EghbaliNursing research center, Kerman University of Medical Sciences, Kerman, Iran.ORCID http://orcid.org/0000-0003-3804-9267
Mahboubeh Sadat YousefiDepartment of Medical Surgical Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, IR, Iran.ORCID https://orcid.org/0000-0003-4491-4560
Mansooreh Azizzadeh ForouziNeuroscience Research Center, Institute Neuropharmacology, Kerman University of Medical Sciences, Haft Bagh High Way, Kerman, Iran. forozy@gmail.com.ORCID https://orcid.org/0000-0002-9327-4937

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNurses facing numerous responsibilities in hospitals are often forced to prioritize nursing care. Missed nursing care affects nurses' ability to effectively manage, oversee, and assess patient care interventions and may contribute to unfavorable patient outcomes. Awareness of missed nursing care is essential for improving patient care and nursing performance and optimizing the work environment. Research on the factors contributing to missed nursing care is essential for implementing targeted strategies. This study aimed to determine missed nursing care and its related factors in Iran.

methodsThis cross-sectional study involved 189 nurses. Two questionnaires on missed nursing care and related factors were used for the data collection. Mann-Whitney U test and one-way ANOVA or Kruskal-Wallis test were used to analyze the data.

resultsThe mean (SD) of nurses' age was 31.19 (6.4). The mean of missed nursing care was 6.4 (SD = 31.1), which was higher than the median of the questionnaire. The most frequently reported missed care was toilet monitoring (23.3%) and setting up food (19.6%). The total mean score of factors related to missed nursing care was 11.6 (SD = 68.7), which was lower than the median of the questionnaire. The factors related to missed nursing care included engaging the nurse with other actions (76.7%) and an inadequate number of staff (76.2%). There was a significant association between the mean MNC score and participants' age (P < 0.001), work experience (P = 0.002), and employment type (P < 0.001).

conclusionGiven the severe nursing shortage and its potential negative impact on patients, healthcare management and policymakers need to address missed nursing care. Proposed solutions to alleviate the nursing staff shortage include enhancing the work environment, increasing nurse recruitment opportunities, and improving their compensation and benefits packages. Additionally, there is a need for governmental and hospital initiatives to enhance the working conditions through increased financial investment and support programs for nurses. Management should focus on minimizing nurses' non-essential responsibilities and supporting efforts to reduce missed nursing care occurrences.

Indexed as

Missed careNursesNursingNursing care

Identifiers

PMID40186237
PMCPMC11971738

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.