Kontakt X:X | DOI: 10.32725/kont.2026.041

Missed nursing care in Brazilian hospitalsOšetřovatelství - původní práce

Diana Albuquerque Alvim de Paula ORCID...1, Adrize Rutz Porto ORCID...2, Maria Cristina Soares Rodrigues ORCID...3, Paula Roberta Silva Araújo Machado ORCID...3, Lucas da Silva Dellalibera2, Nádia Fontoura Sanhudo1, Herica Silva Dutra ORCID...1, *
1 Federal University of Juiz de Fora, College of Nursing, Minas Gerais, Brazil
2 Federal University of Pelotas, College of Nursing, Rio Grande do Sul, Brazil
3 University of Brasília, College of Nursing, Distrito Federal, Brazil

Introduction: Missed nursing care refers to nursing activities that are omitted or delayed; it is recognized as a global issue with potential consequences for patient safety, including an increased risk of adverse events. Universal access healthcare is predominant in the Brazilian health system.

Aim: To describe missed nursing care and its reasons in Brazilian hospitals.

Methods: A multicenter descriptive study was conducted in three teaching hospitals at different Brazilian regions, involving 429 nursing professionals. Data were collected using the MISSCARE-BRASIL instrument.

Results: The most missed nursing care activities were ambulation (57.1%) and participation in interdisciplinary team discussions. The main reasons for missed nursing care were unexpected increases in patient volume and/or acuity (76.5%), and inadequate staffing (75.6%), predominantly within the material resources (μ = 2.85) and labor resources (μ = 2.76) domains. Multivariate analysis showed that staffing inadequacy and job dissatisfaction (p < 0.001) were associated with missed nursing care.

Conclusion: Missed nursing care in Brazilian hospitals is associated with limitations in human and material resources, workload overload, staffing inadequacy, and job dissatisfaction, highlighting the need for staffing models adjusted to patient acuity, improved resource management, and organizational strategies to enhance job satisfaction and care quality.

Klíčová slova: Missed nursing care; Nursing; Nursing care; Patient safety; Quality of health care
Granty a financováni:

This work was supported by Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - Brazil (CAPES) - Finance Code 001 and Federal University of Juiz de Fora. The funding agencies did not interfere in any part of the research, including study design; collection, analysis and interpretation of data; writing of the report; and the decision to submit the article for publication.

Střet zájmů:

The authors have no conflict of interest to declare.

Vloženo: 2. říjen 2025; Revidováno: 30. duben 2026; Přijato: 28. červen 2026; Zveřejněno online: 29. červen 2026 

Sdílet...
Stáhnout citaci
  • BibTeX (.bib)
  • Bookends (.ris)
  • EasyBib (.ris)
  • EndNote (.enw)
  • EndNote 8 (.xml)
  • ISI WoS (.isi)
  • Medlars (.medlars)
  • Mendeley (.ris)
  • MODS (.xml)
  • Papers (.ris)
  • RefWorks (.txt)
  • RefManager (.ris)
  • RIS (.ris)
  • MS Word (.xml)
  • Zotero (.ris)
    • Zobrazit celý článek

    Reference

    1. Abawaji M, Cardwell R, Germossa G, McKenna L (2025). Missed nursing care and its associated factors among nursing students: a cross-sectional study. Nurse Educ Today 151: 106742. DOI: 10.1016/j.nedt.2025.106742. Přejít k původnímu zdroji...
    2. Ahansaz N, Adib-Hajbaghery M, Baghaei R (2024). Missed nursing care and its relationship with nurses' moral sensitivity: a descriptive-analytical study. BMC Nurs 23(1): 169. DOI: 10.1186/s12912-024-01854-8. Přejít k původnímu zdroji...
    3. Bragadóttir H, Kalisch BJ, Tryggvadóttir GB (2017). Correlates and predictors of missed nursing care in hospitals. J Clin Nurs 26(11-12): 1524-1534. DOI: 10.1111/jocn.13449. Přejít k původnímu zdroji...
    4. Castro MC, Massuda A, Almeida G, Menezes-Filho NA, Andrade MV, de Souza Noronha KVM, et al. (2019). Brazil's unified health system: the first 30 years and prospects for the future. Lancet 394(10195): 345-356. DOI: 10.1016/S0140-6736(19)31243-7. Přejít k původnímu zdroji... Přejít na PubMed...
    5. Chaboyer W, Harbeck E, Lee BO, Grealish L (2021). Missed nursing care: An overview of reviews. Kaohsiung J Med Sci 37(2): 82-91. DOI: 10.1002/kjm2.12308. Přejít k původnímu zdroji... Přejít na PubMed...
    6. Chegini Z, Jafari-Koshki T, Kheiri M, Behforoz A, Aliyari S, Mitra U, Islam SMS (2020). Missed nursing care and related factors in Iranian hospitals: A cross-sectional survey. J Nurs Manag 28(8): 2205-2215. DOI: 10.1111/jonm.13055. Přejít k původnímu zdroji... Přejít na PubMed...
    7. Das AS (2024). KoboToolbox. In: Pundhir A, Mehto AK, Jaiswal A (Eds). Open electronic data capture tools for medical and biomedical research and medical allied professionals. Academic Press, pp. 241-329. Přejít k původnímu zdroji...
    8. Dutra CKR, Salles BG, Guirardello EB (2019). Situations and reasons for missed nursing care in medical and surgical clinic units. Rev Esc Enferm USP 53: e03470. DOI: 10.1590/S1980-220X2018027803470. Přejít k původnímu zdroji...
    9. Eshetu K, Amsalu AA, Kassie GA, Asgedom YS, Chema TZ, Gebrekidan AY, Azeze GA (2025). Missed nursing care and associated factors among Ethiopian nurses: a systematic review and meta-analysis. BMC Nurs 24(1): 1043. DOI: 10.1186/s12912-025-03697-3. Přejít k původnímu zdroji...
    10. Falk AC, Nymark C, Göransson KE, von Vogelsang AC (2022). Missed nursing care in the critical care unit, before and during the COVID-19 pandemic: A comparative cross-sectional study. Intensive Crit Care Nurs 72: 103276. DOI: 10.1016/j.iccn.2022.103276. Přejít k původnímu zdroji...
    11. Hair JF, Jr., Black WC, Babin BJ, Anderson RE (2018). Multivariate Data Analysis. 8th ed. Hampshire: Cengage Learning EMEA.
    12. Imam A, Obiesie S, Aluvaala J, Maina M, Gathara D, English M (2022). Missed nursing care in acute care hospital settings in low-middle income countries: A systematic review protocol. Wellcome Open Res 6: 359. DOI: 10.12688/wellcomeopenres.17352.1. Přejít k původnímu zdroji...
    13. Kalánková D, Kirwan M, Bartoníčková D, Cubelo F, Žiaková K, Kurucová R (2020). Missed, rationed or unfinished nursing care: A scoping review of patient outcomes. J Nurs Manag 28(8): 1783-1797. DOI: 10.1111/jonm.12987. Přejít k původnímu zdroji... Přejít na PubMed...
    14. Kassahun CW, Endalkachew K, Mekonnen CK, Kassie H (2022). Missed nursing care and associated factors among nurses at University of Gondar Comprehensive Specialized Hospital, Ethiopia. Sci Rep 14(1): 25571. DOI: 10.1038/s41598-024-76325-w. Přejít k původnímu zdroji... Přejít na PubMed...
    15. Labrague LJ, de Los Santos JAA, Fronda DC (2022). Factors associated with missed nursing care and nurse-assessed qualityof care during the COVID-19 pandemic. J Nurs Manag 30(1): 62-70. DOI: 10.1111/jonm.13466. Přejít k původnímu zdroji... Přejít na PubMed...
    16. Lee E, Kalisch BJ (2021). Identification and comparison of missed nursing care in the United States of America and South Korea. J Clin Nurs 30(11-12): 1596-1606. DOI: 10.1111/jocn.15685. Přejít k původnímu zdroji...
    17. Li Y, Li L, Hu X, Gan X (2025). Prevalence and reasons for missed nursing care in adult intensive care units. Sci Rep 15: 39712. DOI: 10.1038/s41598-025-23369-1. Přejít k původnímu zdroji... Přejít na PubMed...
    18. Lima JC, Silva AEBC, Caliri MHL (2020). Omission of nursing care in hospitalization units. Rev Lat Am Enfermagem 28: e3233. DOI: 10.1590/1518-8345.3538.3233. Přejít k původnímu zdroji...
    19. Mainz H, Tei RMH, Andersen KV, Lisby M, Gregersen M (2024). Prevalence of missed nursing care and its association with work experience: a cross-sectional survey. Int J Nurs Stud Adv 6: 100196. DOI: 10.1016/j.ijnsa.2024.100196. Přejít k původnímu zdroji... Přejít na PubMed...
    20. Moreira FTL, Callou RCM, Albuquerque GA, Oliveira RM (2019). Effective communication strategies for managing disruptive behaviors and promoting patient safety. Rev Gaúcha Enferm 40(spe): e20180308. DOI: 10.1590/1983-1447.2019.20180308. Přejít k původnímu zdroji... Přejít na PubMed...
    21. Oliveira MCN, Leite HDCS, Lopes VCA, Cruz JVOM, Vasconcelos CDA, Nogueira LT (2022). Reasons correlated with omission of nursing care. Rev Esc Enferm USP 56: e20220171. DOI: 10.1590/1980-220X-REEUSP-2022-0171en. Přejít k původnímu zdroji...
    22. Pereira Lima Silva R, Gonçalves Menegueti M, Dias Castilho Siqueira L, de Araújo TR, Auxiliadora-Martins M, Mantovani Silva Andrade L, Laus AM (2020). Omission of nursing care, professional practice environment, and workload in intensive care units. J Nurs Manag 28(8): 1986-1996. DOI: 10.1111/jonm.13085. Přejít k původnímu zdroji...
    23. Santos BMPD, Gomes AMF, Lourenção LG, Cunha ICKO, Cavalcanti AJCA, Silva MCND, et al. (2023). Profile and essentiality of Nursing in the context of the COVID-19 pandemic. Cien Saude Colet 28(10): 2785-2796. DOI: 10.1590/1413-812320232810.06612023. Přejít k původnímu zdroji...
    24. Silva SCD, Morais BX, Munhoz OL, Ongaro JD, Urbanetto JS, Magnago TSBS (2021). Patient safety culture, missed nursing care and its reasons in obstetrics. Rev Lat Am Enfermagem 29: e3461. DOI: 10.1590/1518-8345.4801.3461. Přejít k původnímu zdroji...
    25. Siqueira LDC, Caliri MHL, Haas VJ, Kalisch B, Dantas RAS (2017). Validation of the MISSCARE-BRASIL survey - A tool to assess missed nursing care. Rev Lat Am Enfermagem 25: e2975. DOI: 10.1590/1518-8345.2354.2975. Přejít k původnímu zdroji... Přejít na PubMed...
    26. Siqueira LDC, Caliri MHL, Kalisch B, Dantas RAS (2013). Cultural adaptation and internal consistency analysis of the MISSCARE Survey for use in Brazil. Rev Lat Am Enfermagem 21(2): 610-617. DOI: 10.1590/S0104-11692013000200019. Přejít k původnímu zdroji...
    27. Souza AC, Alexandre NMC, Guirardello EB (2017). Propriedades psicométricas na avaliação de instrumentos: avaliação da confiabilidade e da validade. Epidemiol Serv Saude 26(3): 649-659. DOI: 10.5123/S1679-49742017000300022. Přejít k původnímu zdroji...
    28. Tavakol M, Dennick R (2011). Making sense of Cronbach's alpha. Int J Med Educ 2: 53-55. DOI: 10.5116/ijme.4dfb.8dfd. Přejít k původnímu zdroji...
    29. Voldbjerg SL, Ellehave SM, Poulsen I, Eekholm S, Grønkjær M, Kusk KH, et al. (2025). Hidden factors of limited time and busyness: a qualitative, multicentre study of the reasons for missed nursing care. J Adv Nurs 81(8): 5027-5037. DOI: 10.1111/jan.16717. Přejít k původnímu zdroji... Přejít na PubMed...
    30. Wieczorek-Wojcik B, Gaworska-Krzemińska A, Owczarek AJ, Kilańska D (2020). In-hospital mortality as the side effect of missed care. J Nurs Manag 28(8): 2240-2246. DOI: 10.1111/jonm.12965. Přejít k původnímu zdroji... Přejít na PubMed...

    Tento článek je publikován v režimu tzv. otevřeného přístupu k vědeckým informacím (Open Access), který je distribuován pod licencí Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND 4.0), která umožňuje nekomerční distribuci, reprodukci a změny, pokud je původní dílo řádně ocitováno. Není povolena distribuce, reprodukce nebo změna, která není v souladu s podmínkami této licence.


    Návrat zpět