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Missed Nursing Care and Its Association With Patient Safety Culture in the Emergency Department: A Systematic Review and Meta‑Analysis Publisher



Hamzehkola RG1 ; Dargahi M2 ; Samani HA3 ; Ranjbari B4 ; Yourghanlo MF5
Authors
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Authors Affiliations
  1. 1. Department of Medical Surgical Nursing, School of Nursing and Midwifery, Shahid Beheshti University, Tehran, Iran
  2. 2. Department of Medical Surgical Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Department of Pediatric Nursing, Psychiatry and Health, Shahrekord University of Medical Sciences, Shahrekord, Iran
  4. 4. Department of Emergency Nursing, School of Nursing and Midwifery, Hormozgan University of Medical Sciences, Bandar Abbas, Iran
  5. 5. Department of Public Health, School of Public Health, Ardabil University of Medical Sciences, Ardabil, Iran

Source: Journal of Integrative Nursing Published:2025


Abstract

The quality of care and treatment can be impacted by a number of factors, including the rate of missed care. The present study was conducted with the aim to evaluate missed nursing care (MNC) and its association with patient safety culture in the emergency department (ED). Until September 2024, the international databases MEDLINE (PubMed and Ovid), Embase and Cochrane, Scopus, Wiley Online Library, Web of Science, Cochrane Central Register of Controlled Trials, EBSCO, ISI, Elsevier, and Google Scholar were searched using the search terms including patient safety culture and MNC. A total of eight articles were reviewed. In the fixed‑effect model with low heterogeneity (I 2 = 0%, P = 1), the mean score of overall MNC was 2.07 (ES, 2.97; 95% confidence interval: 2.21–6.35). According to meta‑regression analyses, MNC significantly inversely correlated with patient safety culture, age, and work experience (P < 0.01). By improving the working conditions of ED nurses and providing training related to patient safety, the amount of lost nursing care will decrease. © 2025 Journal of Integrative Nursing.
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