EXPLORING MISSED NURSING CARE: A DESCRIPTIVE STUDY IN CLINICAL SETTINGS

Abstract

Background: Missed nursing care refers to any required patient care or intervention that is omitted or delayed, either fully or partially, and is increasingly recognized as a critical patient safety issue. It has been linked to adverse outcomes, including prolonged hospital stay, increased morbidity, and reduced patient satisfaction. Identifying the extent and determinants of missed nursing care is essential to improve healthcare delivery.

Aim: The study aimed to assess the impact of missed nursing care on adult patients in a tertiary care hospital in Lahore, focusing on knowledge and practices of nurses as well as associated factors.

Methods

A descriptive cross-sectional quantitative study was conducted at Mayo Hospital, Lahore. A total of 150 nurses were recruited through proportionate sampling. Data were collected using structured questionnaires, semi-structured interviews, and direct observations. Data were analyzed using SPSS version 22, employing descriptive and inferential statistics, including t-tests, ANOVA, and correlation tests. Reliability and validity were established through Cronbach’s Alpha and KMO Bartlett’s test.

Results: Findings revealed that 36.7% of nurses had good knowledge, 33.3% moderate, and 30% poor knowledge regarding missed nursing care. In terms of practice, 53.3% demonstrated good practice, while 46.7% showed poor practice. Reliability analysis indicated Cronbach’s Alpha of 0.732, and validity testing confirmed adequacy (KMO = 0.917, p < 0.001). Key factors influencing missed care included workload, staffing shortages, and limited resources.

Conclusion: Missed nursing care remains a significant issue in tertiary hospitals, with both knowledge and practice gaps among nurses. Addressing staffing, continuous training, and administrative support are crucial to improve care quality