Abstract

Background: Nursing care is a fundamental pillar of services provided to individuals in medical centers. Missed nursing care refers to care that nurses do not provide or fail to provide under certain circumstances. This review study aims to identify the factors contributing to the omission of nursing care from the perspective of nurses and propose solutions to prevent it. Objective: This review study addresses missed nursing care and the factors related to it. Method: In this comprehensive review study, the keyword "nursing care" was used to search the Farsi databases of Magiran and Civilica. Additionally, the MeSH section of the PubMed website was used to find keywords for searching international databases, including Wiley, Google Scholar, ScienceDirect, and PubMed. Results: In the primary keyword search, irrelevant articles and those without full text were removed from the initial 69 articles. Finally, 43 selected articles were approved. Among the 24 studies available in the findings section from 2014 to 2023, it was shown that neglecting nursing care has been a constant issue throughout history, exacerbated by the increase in the number of patients and the lack of personnel. This neglect endangers patient safety. The findings of the reviewed studies indicate that the largest share of neglected nursing care is attributed to factors related to material resources, human resources, and communication. Conclusion: The results of the data studies showed that nurses prioritize their missed clinical activities. High workload and lack of nursing personnel, as human factors, along with material and communication resources, play the biggest roles in increasing missed nursing care. These factors lead to the lack of necessary training for discharge, insufficient training related to the emotional support of patients, and inadequate monitoring of patients' vital signs.

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