ReviewJournal of advanced nursing2026
The Omission of Nursing Care in Emergency Departments: A Conceptual Analysis Using Walker & Avant's Methodology.
Review in Journal of advanced nursing, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
What it found
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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.
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.
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Who cites it
3 citing papers in PubMed.
- Portuguese Version of the MISSCARE Survey-Patient: A Cross-Cultural Validation Study.Nursing reports (Pavia, Italy) · 2026Article
- Nursing Practice Environments and Professional and Care-Related Outcomes in Portuguese Emergency Services: A Descriptive Study of 2018 and 2022.Nursing reports (Pavia, Italy) · 2026Article
- Care Left Undone Among Physicians: An Explorative Thematic Analysis.BMJ open quality · 2025Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
AIM(S): To analyse the dimensions of the omission of nursing care in emergency departments, including its attributes, antecedents, and consequences, using Walker & Avant's concept analysis method. DESIGN CONCEPT ANALYSIS: Methods: Walker and Avant's eight-step method defined attributes, antecedents, and consequences of the omission of nursing care in emergency departments. DATA SOURCES: A comprehensive literature review was conducted using CINAHL, MEDLINE, Embase, Health Management Database, and Cochrane Library, covering publications from 2001 to 2024. The search was conducted in August 2024.
resultsKey attributes were delayed, incomplete, or interrupted care, mostly due to insufficient staffing or unpredictable patient volumes. Antecedents included high workloads, inadequate skill mixes, and understaffing. Consequences were increased patient morbidity and mortality, nurse burnout, and job dissatisfaction. A research gap exists in paediatric-specific measurement tools.
conclusionIdentifying dimensions of omitted nursing care in emergency departments informs interventions to improve patient safety and care quality. Developing paediatric-specific measurement tools is essential. IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: The findings emphasise the need for improved staffing and resource allocation policies, reducing risks to patients and enhancing nurse satisfaction. IMPACT: This study addressed the gap in understanding omitted nursing care specifically in emergency departments. Findings highlight systemic issues impacting patient outcomes and nurse well-being. The results will guide organisational improvements and future research globally. REPORTING
methodThis study adhered to EQUATOR guidelines, following Walker and Avant's method for concept analysis. PATIENT OR PUBLIC CONTRIBUTION: This study did not include patient or public involvement. IMPACT STATEMENT: This study underscores the critical impact of the omission of nursing care (ONC) in emergency departments (EDs) on patient safety, nurse well-being, and healthcare efficiency. ONC contributes to increased morbidity, mortality, and adverse events, highlighting the urgent need for improved staffing models and resource allocation. Training programmes should equip emergency nurses with prioritisation strategies to mitigate care omissions. Policymakers must recognise ONC as a key quality indicator, ensuring adequate workforce support. Additionally, this study identifies a gap in measuring ONC in paediatric EDs, calling for the development of tailored assessment tools and further research on intervention strategies.
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