Haile Kirubel Eshetu, Amsalu Atitegeb Alebachew, Kassie Gizachew Ambaw, Asgedom Yordanos Sisay, Chema Tsion Zebdiwos, Gebrekidan Amanuel Yosef, Azeze Gedion Asnake
School of Nursing, College of Health Sciences and Medicine, Wolaita Sodo University, Wolaita Sodo, Ethiopia.
School of Public Health, College of Health Sciences and Medicine, Wolaita Sodo University, Wolaita Sodo, Ethiopia.
BMC Nurs. 2025 Aug 8;24(1):1043. doi: 10.1186/s12912-025-03697-3.
Missed nursing care refers to the pertinent nursing tasks that are delayed, unfinished, or not carried out at all and is also becoming an increasing healthcare issue worldwide. At present, the emergence of various societal issues has placed psychological, financial, and occupational burdens on nurses. This situation can have detrimental effects on patient safety, duration of hospital stay, patient survival rates, and overall surgical outcomes. We aimed to determine the pooled prevalence and associated factors of missed nursing care among nurses.
In our systematic review and meta-analysis, targeted articles were searched from a variety of electronic databases; including Pub Med, Science Direct, Cochrane Library, Medline, Center for Evidence-Based Medicine, AJOL, Excerpta Medical Database, Global Health Library, Institutional repository, Scopus, and Google Scholar. All studies on missed nursing care among nurses in Ethiopia published up to February 2, 2025, have been retrieved and the necessary data were extracted by using a standardized data extraction format. We used a statistical software Stata version 17 for analyzing the data. Funnel plot and I tests were used to check publication bias and heterogeneity between studies, respectively. The pooled prevalence was determined by using a random-effects model. Sub-group analysis and leave-out-one sensitivity analysis was done.
Our search strategy identified 10 full-text articles; comprising 3,803 study participants. This study revealed that the overall prevalence of missed nursing care among nurses was 55.99% (95% CI 47.9, 64.08), reflecting the significant impact of missed nursing care on the overall healthcare system, and five predictors were identified. Nurse intention to leave either profession or hospital (OR = 2.45, 95% CI, = 1.79 to 3.36), Job satisfaction (OR = 3.6, 95% CI = 2.8 to 5.54), level of education (OR = 4.9, 95% CI = 2.2 to 11.19), working shift hours (OR = 3.16, 95% CI = 2.06-4.9), and training opportunity (OR = 1.8, 95% CI = 1.2-2.77) with P-value < 0.001, all were the significant correlated factors.
In Ethiopia, the pooled prevalence of missed nursing care is significantly high, with more than half of basic nursing care being missed. Therefore, all possible efforts should be made to address this issue. To tackle these problems, we identified several key focus areas: decreasing nurses' intention to exit the profession, boosting job satisfaction, and offering training, reducing the occurrence of night shifts, and improving educational qualification.
Not applicable.
漏护指的是被推迟、未完成或根本未执行的相关护理任务，这在全球范围内也日益成为一个医疗保健问题。目前，各种社会问题的出现给护士带来了心理、经济和职业负担。这种情况可能会对患者安全、住院时间、患者生存率和整体手术结果产生不利影响。我们旨在确定护士漏护的合并患病率及其相关因素。
在我们的系统评价和荟萃分析中，从各种电子数据库中检索了目标文章；包括PubMed、科学Direct、Cochrane图书馆、Medline、循证医学中心、AJOL、医学文摘数据库、全球健康图书馆、机构知识库、Scopus和谷歌学术。检索了截至2025年2月2日发表的所有关于埃塞俄比亚护士漏护的研究，并使用标准化数据提取格式提取了必要数据。我们使用统计软件Stata 17版来分析数据。漏斗图和I检验分别用于检查研究之间的发表偏倚和异质性。合并患病率采用随机效应模型确定。进行了亚组分析和留一法敏感性分析。
我们的检索策略确定了10篇全文文章；包括3803名研究参与者。这项研究表明，护士漏护的总体患病率为55.99%（95%可信区间47.9，64.08），反映了漏护对整体医疗保健系统的重大影响，并确定了五个预测因素。护士离开该职业或医院的意愿（OR = 2.45，95%可信区间 = 1.79至3.36）、工作满意度（OR = 3.6，95%可信区间 = 2.8至5.54）、教育水平（OR = 4.9，95%可信区间 = 2.2至11.19）、工作班次时长（OR = 3.16，95%可信区间 = 2.06 - 4.9）和培训机会（OR = 1.8，95%可信区间 = 1.2 - 2.77），P值 < 0.001，所有这些都是显著的相关因素。
在埃塞俄比亚，漏护的合并患病率显著较高，超过一半的基础护理被遗漏。因此，应尽一切可能努力解决这个问题。为解决这些问题，我们确定了几个关键重点领域：降低护士离开该职业的意愿、提高工作满意度、提供培训、减少夜班的发生以及提高教育资格。
不适用。
