Paiva Ivo Cristiano Soares, Dos Santos Eduardo José Ferreira, Ventura Filipa Isabel Quaresma Santos, Vilela António Carlos Lopes, Moreira Isabel Maria Pinheiro Borges
ICBAS - School of Medicine and Biomedical Sciences, Porto University, Porto, Portugal.
Health Sciences Research Unit: Nursing, Higher School of Nursing of Coimbra, Coimbra, Portugal.
BMC Nurs. 2025 Jul 23;24(1):966. doi: 10.1186/s12912-025-03632-6.
Missed nursing care (MNC) has compromised the quality of care provided, and patient safety and well-being. Given that internal aspects of nurses, such as personality traits and decision-making processes, influence the provision of care, this study aims to analyze the influence of nurses' personality traits and decision-making on MNC.
Quantitative cross-sectional descriptive-correlational study. A convenience sample of 296 nurses completed a questionnaire developed for this study consisting of the European Portuguese versions of the MISSCARE Survey, the Nursing Decision-Making Instrument (NDMI-PT), and the Ten-Item Personality Inventory (TIPI-P). Structural equation modeling was used to analyze the association between MNC, MNC-related factors, and nurses' decision-making and personality traits.
A positive and statistically significant correlation was found between nurses' personality traits and MNC-related factors and MNC (β = 0.14; p = 0.03; β = 0.27; p = 0.001, respectively). A negative, statistically significant correlation was found between nurses' decision-making and MNC (β = -0.16; p = 0.03).
Given the direct influence of nurses' personality traits and decision-making on MNC, nurse managers should implement training programs to promote personal and professional development, thus ensuring the quality of nursing care.
护理缺失（MNC）损害了所提供护理的质量以及患者的安全和福祉。鉴于护士的内在因素，如人格特质和决策过程，会影响护理的提供，本研究旨在分析护士的人格特质和决策对护理缺失的影响。
定量横断面描述性相关性研究。便利抽样选取296名护士，他们完成了为本研究编制的一份问卷，该问卷包括欧洲葡萄牙语版的MISSCARE调查、护理决策工具（NDMI-PT）和十项人格量表（TIPI-P）。采用结构方程模型分析护理缺失、护理缺失相关因素与护士决策和人格特质之间的关联.
护士的人格特质与护理缺失相关因素及护理缺失之间存在正向且具有统计学意义的相关性（β = 0.14；p = 0.03；β = 0.27；p = 0.001）。护士的决策与护理缺失之间存在负向且具有统计学意义的相关性（β = -0.16；p = 0.03）。
鉴于护士的人格特质和决策对护理缺失有直接影响，护士管理者应实施培训项目以促进个人和专业发展，从而确保护理质量。
