Sat, Nov 1, 2025
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Mahsa Khalkhali1 
, Faranak Jabbarzadeh Tabrizi *2 , Alehe Seyyed Rasooli1 , Parvin Sarbakhsh3 , Mohammad Khajehgoodari1
, Faranak Jabbarzadeh Tabrizi *2 , Alehe Seyyed Rasooli1 , Parvin Sarbakhsh3 , Mohammad Khajehgoodari1
1- Department of Medical Surgical Nursing, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran.
2- Department of Medical Surgical Nursing, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran. ,jabbarzadehf@tbzmed.ac.ir
3- Department of Statistics and Epidemiology, Faculty of Health Science, Tabriz University of Medical Sciences, Tabriz, Iran.
2- Department of Medical Surgical Nursing, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran. ,
3- Department of Statistics and Epidemiology, Faculty of Health Science, Tabriz University of Medical Sciences, Tabriz, Iran.
Abstract: (27 Views)
Background: Missed nursing care, defined as care that is either omitted or delayed, poses significant risks to patient safety. This study aims to compare the perspectives of patients and nurses on missed nursing care in medical-surgical wards of hospitals affiliated with Tabriz University of Medical Sciences, Iran, in 2024.
Methods: It was a descriptive-comparative cross-sectional study. A total of 167 nurses and 164 hospitalized patients were recruited by proportion to size random sampling and stratified convenience sampling, respectively. Data collection tools included demographic questionnaires and the Missed Nursing Care Survey (MISSCARE Survey). Data were analyzed using independent t-tests, Pearson correlation coefficient, and one-way ANOVA in SPSS. 21. A significance level of p ≤ 0.05 was considered for all statistical analyses.
Results: The mean score of missed nursing care from the nurses' perspective was 1.92 ± 0.52, and from the patients' perspective, it was 2.32 ± 0.47. The most frequently missed care from the nurses' perspective included monitoring patients' eating and oral care, while from the patients' perspective, it included supervision of bathing and daily skin care. There was a significant difference between the perspectives of nurses and patients regarding the extent of missed care (P < 0.001), with patients perceiving a higher mean of missed care. There was a significant borderline relationship between the extent of missed care and the item of "Interest in Nursing Profession".
Conclusion: There are significant differences between the perspectives of patients and nurses regarding the extent of missed nursing care. Although nurses consistently ensured timely fluid intake monitoring and medication administration, they paid less attention to the important aspect of patients’ hygiene. This suggests that nurses prioritize more visible tasks over patient-centered care. To improve the quality of nursing care, it is essential to incorporate both patients' and nurses' viewpoints regarding missed nursing care.
Methods: It was a descriptive-comparative cross-sectional study. A total of 167 nurses and 164 hospitalized patients were recruited by proportion to size random sampling and stratified convenience sampling, respectively. Data collection tools included demographic questionnaires and the Missed Nursing Care Survey (MISSCARE Survey). Data were analyzed using independent t-tests, Pearson correlation coefficient, and one-way ANOVA in SPSS. 21. A significance level of p ≤ 0.05 was considered for all statistical analyses.
Results: The mean score of missed nursing care from the nurses' perspective was 1.92 ± 0.52, and from the patients' perspective, it was 2.32 ± 0.47. The most frequently missed care from the nurses' perspective included monitoring patients' eating and oral care, while from the patients' perspective, it included supervision of bathing and daily skin care. There was a significant difference between the perspectives of nurses and patients regarding the extent of missed care (P < 0.001), with patients perceiving a higher mean of missed care. There was a significant borderline relationship between the extent of missed care and the item of "Interest in Nursing Profession".
Conclusion: There are significant differences between the perspectives of patients and nurses regarding the extent of missed nursing care. Although nurses consistently ensured timely fluid intake monitoring and medication administration, they paid less attention to the important aspect of patients’ hygiene. This suggests that nurses prioritize more visible tasks over patient-centered care. To improve the quality of nursing care, it is essential to incorporate both patients' and nurses' viewpoints regarding missed nursing care.
Keywords: Nurses’ perspective, Patients’ perspective, Delayed care, Missed Nursing Care, Quality of health care
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