Evidence map›Paper›PMID 42359090›Full record

ArticleFrontiers in medicine2026

The double‑edged sword of calling: mediating nursing practice environment and missed care - a cross‑sectional study.

Qian Zhao, Guiyue Ma, Nan Mo, Xueqing Zhang, Guiling Miao

Abstract read
In one paragraph

Article in Frontiers in medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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.

Qian ZhaoChina Hospital Reform and Development Research Institute of Nanjing University, Nanjing Drum Tower Hospital, Nanjing, China.
Guiyue MaSchool of Nursing, Anhui University of Chinese Medicine, Hefei, China.
Nan MoDepartment of Nursing, Second Affiliated Hospital of Anhui Medical University, Hefei, China.
Xueqing ZhangDepartment of Nursing, The First People's Hospital of Changde City, the Affiliated Hospital of Xiangya School of Medicine, Central South University, Changde, China.
Guiling MiaoDepartment of Respiratory and Critical Care Medicine, Nanjing Drum Tower Hospital, the Affiliated Hospital of Nanjing University Medical School, Nanjing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aim and objectives: To investigate the status of missed nursing care and examine the mediating role of calling between nursing work environment and missed nursing care. Background: Missed nursing care (MNC) critically affects patient safety and care quality and is closely linked to the nursing work environment. However, the role of career calling-a key psychological resource for nurses-in this process remains unclear. Design: Cross-sectional study. Methods: We recruited 535 clinical nurses from a tertiary hospital in Nanjing, China, using convenience sampling. Participants completed the Nursing Work Environment Scale, Career Calling Scale, and the Missed Nursing Care Scale. Data were analyzed using descriptive statistics, Pearson's correlation, and the PROCESS macro in SPSS 26.0. Statistical significance was set at Results: The mean score for missed nursing care was 34.75 (S Conclusion: Career calling partially mediates the link between the nursing work environment and MNC: a poor environment strengthens calling, which in turn is linked to more MNC, revealing a paradoxical effect. Relevance to clinical practice: To reduce MNC, nurse managers should improve the practice environment-particularly nurse-physician collaboration and staffing-while fostering a balanced sense of career calling to prevent over-commitment, which is critical for patient safety and care quality. Patient or public contribution: No patient or public contribution was involved in this study, as the research focused on clinical nurses as the study population.

Indexed as

career callingcross-sectional studymediation effectmissed nursing carenursing work environment

Identifiers

PMID42359090
PMCPMC13290674

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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.