Abstract
Background: Missed nursing care (care left undone or task incompletion) is viewed as an important early predictor of adverse patient care outcomes and is a useful indicator to determine the quality of patient care. Available systematic reviews on missed nursing care are based mainly on primary studies from developed countries, and there is limited evidence on missed nursing care from low-middle income countries (LMICs). We propose conducting a systematic review to identify the magnitude of missed nursing care and document factors and reasons associated with this phenomenon in LMIC settings.Methods and analysis: This protocol was developed using the Preferred Reporting Items for Systematic Reviews and Meta-analysis Protocols (PRISMA-P). We will conduct literature searching across the Ovid Medline, Embase and EBSCO Cumulative Index to Nursing and Allied Health Literature (CINAHL) databases, from inception to 2021. Two independent reviewers will conduct searches and data abstraction, and discordance will be handled by discussion between both parties. The risk of bias of the individual studies will be determined using the Newcastle-Ottawa Scale (NOS).Ethics and dissemination: Ethical permission is not required for this review as we will make use of already published data. We aim to publish the findings of our review in peer-reviewed journalsPROSPERO registration number:CRD42021286897 (27thOctober 2021)
Highlights
Missed nursing care is an umbrella term that describes nursing care that is either partially or completely omitted or delayed
Pre-review, we identified two recently published systematic reviews on missed nursing care that do not report any findings from low-middle income countries (LMICs)[1,2]
For studies to be eligible for inclusion in our review they should either report on one, or any combination of, the following categories: types and magnitude of nursing care that are missed and factors and reasons associated with missed nursing care in LMIC settings
Summary
Missed nursing care is an umbrella term that describes nursing care that is either partially or completely omitted or delayed. To address the aforementioned gaps in evidence, we propose a systematic review to identify the levels and types of nursing care that are most frequently missed in LMIC contexts, and document factors that might be associated with these. For studies to be eligible for inclusion in our review they should either report on one, or any combination of, the following categories: types and magnitude of nursing care that are missed and factors and reasons associated with missed nursing care in LMIC settings. Data items We will develop a standardised Microsoft Excel form to abstract data from our identified primary articles This will include, as a minimum, the publication year, name of the first author, country, research context, type of care that is missed, how missed care was measured and factors and reasons for care that were missed. Study status We confirm that by the time of submission of this protocol we have completed our search and are conducting full-text screening of identified articles
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