ArticleBMC nursing2026
Investigating the relationship between moral sensitivity, moral distress, and patient safety climate with missed nursing care in clinical nurses: a systematic review.
Article in BMC nursing, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
2 citing papers in PubMed.
- 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 · 2026Observational
- Perceptions and experiences of missed nursing care among junior nurses: a qualitative study using reflexive thematic analysis.Frontiers in health services · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn recent years, missed nursing care (MNC) has been a major concern for healthcare systems. Although existing literature highlights moral sensitivity (MS), moral distress (MD), and patient safety climate (PSCL), as important factors contributing to this issue, the precise relationship between these factors and MNC remains inadequately understood. This study aimed to explore the relationship between MS, MD, and PSCL with MNC in clinical nurses.
methodsThe systematic review used several international databases, including PubMed, Web of Science, Scopus, EMBASE, ProQuest as well as Google Scholar search engine. The search covered publications from January 1, 1995, to August 31, 2025; thirteen articles were included in this review. Quality was assessed using the 8-item Joanna Briggs Institute (JBI) critical appraisal tool for analytical cross-sectional studies.
resultsThe findings showed varying links between MS and PSCL with MNC, spanning from no significant correlation to a significant negative one. Also, the findings revealed that the eligible included studies reported different relationships between MD and MNC, varying from no significant connection to a significant positive one.
conclusionThe study identified MS, MD, and the PSCL as potentially influencing factors for clinical nurses' MNC. Health policymakers and clinical nursing managers should focus on these specific factors to create initiatives that aim to minimize clinical nurse' MNC and improve the quality of care provided. CLINICAL TRIAL NUMBER: Not applicable.
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