Alshammari Bushra, Alsaleh Ghady Saud, Alrasheeday Awatif, Baghdadi Nadiah, Almalki Nabat, Alshammari Farhan, Assiry Amira, Almalki Mawahib
Medical Surgical Nursing Department, College of Nursing, University of Hail, Hail 2440, Saudi Arabia.
Diabetes Center, King Fahed Hospital, Madinah Health Cluster, Madinah 42351, Saudi Arabia.
Nurs Rep. 2025 Aug 13;15(8):298. doi: 10.3390/nursrep15080298.
/: Missed nursing care-defined as any aspect of required patient care that is omitted or delayed-has emerged as a significant indicator of healthcare quality. Fatigue among nurses, particularly in high-demand environments, may contribute to care omissions. This study aimed to assess the prevalence and patterns of missed nursing care and its association with occupational fatigue among nurses working in Saudi hospitals. : A cross-sectional correlational study was conducted among 183 registered nurses from multiple hospitals in the Hail and Madinah regions, Saudi Arabia. Data were collected using the Missed Nursing Care Scale (MISSCARE) and the Occupational Fatigue Exhaustion/Recovery Scale (OFER-15). Statistical analysis was performed to assess the relationships between missed care, fatigue, and demographic/work-related variables. : Nurses reported moderate levels of missed care, especially in basic care tasks such as oral hygiene, assistance with meals, and timely ambulation. The most frequently cited causes of missed care included insufficient staffing, high patient load, and a lack of support personnel. Occupational fatigue scores were also moderate, with notably low inter-shift recovery. A significant negative correlation was found between inter-shift recovery and missed care (r = -0.120, 95% CI: -0.23 to -0.005, = 0.040), indicating that poorer recovery between shifts was associated with more frequent omissions. Other fatigue dimensions showed weak, non-significant associations with missed care. : Missed nursing care is a prevalent issue in Saudi hospitals and is significantly influenced by organizational factors and nurses' recovery between shifts. Interventions to improve staffing adequacy and promote rest and recovery may reduce care omissions and enhance patient outcomes.
漏护护理（定义为患者所需护理的任何方面被遗漏或延迟）已成为医疗质量的一项重要指标。护士疲劳，尤其是在高需求环境下，可能导致护理遗漏。本研究旨在评估沙特医院护士漏护护理的患病率和模式及其与职业疲劳的关联。：对沙特阿拉伯哈伊勒和麦地那地区多家医院的183名注册护士进行了一项横断面相关性研究。使用漏护护理量表（MISSCARE）和职业疲劳疲惫/恢复量表（OFER - 15）收集数据。进行统计分析以评估漏护护理、疲劳与人口统计学/工作相关变量之间的关系。：护士报告的漏护护理水平中等，尤其是在口腔卫生、协助进餐和及时走动等基础护理任务方面。漏护护理最常被提及的原因包括人员配备不足、患者负荷高以及缺乏辅助人员。职业疲劳得分也中等，轮班间恢复明显较低。发现轮班间恢复与漏护护理之间存在显著负相关（r = -0.120，95%置信区间：-0.23至-0.005，P = 0.040），表明轮班间恢复较差与更频繁的遗漏相关。其他疲劳维度与漏护护理显示出微弱的、不显著的关联。：漏护护理在沙特医院是一个普遍问题，并且受到组织因素和护士轮班间恢复的显著影响。改善人员配备充足性以及促进休息和恢复的干预措施可能会减少护理遗漏并改善患者结局。
