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Assessment of Missed Nursing Care Practices and Contributed Factors Among Nurses in Jeddah, Saudi Arabia

Received: 23 October 2025     Accepted: 3 November 2025     Published: 8 December 2025
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Abstract

Background: Missed nursing care is considered a global problem, as evidenced by research. This phenomenon, known as missed nursing care, is a global issue that affects patient satisfaction and the quality of nursing care. Therefore, by mitigating missed nursing care, healthcare organizations can uphold standards of excellence and ensure optimal patient outcomes. Objective: This study aimed to assess the missed nursing care practices and contributed factors among nurses in Jeddah, Saudi Arabia. Method: A descriptive, correlational, cross-sectional design was conducted. A convenience sample of 204 registered nurses working in the Maternity and Children Specialized Hospital in Jeddah, Saudi Arabia. A self-administered questionnaire was distributed among the targeted nurses via a Google Form survey. The questionnaire includes personal data and professional characteristics of the nurses, a 25-items questionnaire to measure the missed nursing care (MNC) practices, and a 22-items questionnaire to explore the reasons for missed nursing care (RMNC). Results: of the involving 204 nurses, 66.7% were between 25 and 34 years old. 11.8%, 29.4%, and 22.5% were very satisfied with their current position, job, and the level of teamwork at their unit. The most common missed nursing care was related to interventions and basic needs, while labour resources were the most common reason for missed nursing care. The overall mean MNC and RMNC scores were 1.66 and 2.59, respectively. Higher scores in MNC and RMNC were associated with thinking of inadequate unit staffing and dissatisfaction with the current position and job. Conclusion: The occurrence of missed nursing is common in this hospital setting. Labor and material resources were seen as the prominent reasons for missed nursing care. It is essential to note that enhancing satisfaction with unit staffing and teamwork may reduce missed nursing care among this population.

Published in American Journal of Nursing Science (Volume 14, Issue 5)
DOI 10.11648/j.ajns.20251405.12
Page(s) 98-106
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2025. Published by Science Publishing Group

Keywords

Missed Nursing Care, Factors Associated with Missed Nursing Care, Reasons of Missed Nursing Care, Quality of Care, Nurses

References
[1] Lee, E., & Kalisch, B. J. (2021). Identification and comparison of missed nursing care in the United States of America and South Korea. Journal of Clinical Nursing, 30(11–12), 1592–1603.
[2] Kebede, C., Geta, T., Bikamo, E., Nigussie, G., Elós, E., Merkine, M., & Adamu, T. (2024). Missed nursing care and associated factors among nurses working in public hospitals of Wolaita Zone, 2023: Mixed-method study design. International Journal of Africa Nursing Sciences. Advance online publication.
[3] Khajoei, E., Balvardi, M., Eghbali, M., Yousefi, M., & Azizzadeh Forouzi, M. (2025). Missed nursing care and associated factors: A cross-sectional study. BMC Nursing, 24(1), 132.
[4] Papastavrou, E., & Suhonen, R. (Eds.). (2021). Impacts of rationing and missed nursing care: Challenges and solutions (RANCARE Action). Springer.
[5] Gustafsson, N., Leino-Kilpi, H., Prga, I., Suhonen, R., & Stolt, M. (2020). Missed care from the patient’s perspective: A scoping review. Patient Preference and Adherence, 14, 383–400.
[6] Moisoglou, I., Yfantis, A. D., Galanis, P., Pispirigou, A., Chatzimargaritis, E., Theoxari, A., & Prezerakos, P. (2020). Nurses’ work environment and patients’ quality of care. International Journal of Caring Sciences, 13(1), 1–108. Retrieved from
[7] Al Muharraq, E. H., Alallah, S. M., Alkhayrat, S. A., & Jahlan, A. G. (2022). An Overview of Missed Nursing Care and Its Predictors in Saudi Arabia: A Cross-Sectional Study. Nursing research and practice, 2022, 4971890.
[8] Ozmen, S., & Arslan Yurumezoglu, H. (2025). Job satisfaction, work environment, and burnout as predictors of missed nursing care in pediatric units: A descriptive cross-sectional study. Journal of Pediatric Nursing, 81, e1–e8.
[9] Alshammari, B., Alshammari, M. M., & Baghdadi, N. A. (2025). The association between missed nursing care and job satisfaction among nurses in Saudi Arabian hospitals: A cross-sectional study. Nursing Reports, 15(8), 296.
[10] Campbell, C. M., Prapanjaroensin, A., Anusiewicz, C. V., Baernholdt, M., Jones, T., & Patrician, P. A. (2020). Variables associated with missed nursing care in Alabama: A cross-sectional analysis. Journal of nursing management, 28(8), 2174–2184.
[11] Mandal, L., & Seethalakshmi, A. (2023). Experience of missed nursing care: A mixed method study. Worldviews on evidence-based nursing, 20(3), 212–219.
[12] Mainz, H., Buus, A. A. Ø., Laugesen, B., Voldbjerg, S. L., Kusk, K. H., & Grønkjær, M. (2025). Missed nursing care in Danish hospitals: A national survey. Scandinavian Journal of Caring Sciences, 39(2), e70027.
[13] Hammad, M., Guirguis, W., & Mosallam, R. (2021). Missed nursing care, non-nursing tasks, staffing adequacy, and job satisfaction among nurses in a teaching hospital in Egypt. The Journal of the Egyptian Public Health Association, 96(1), 22.
[14] Bae, S.-H. (2025). Association between nurse turnover and missed nursing care in acute care hospitals in South Korea. Frontiers in Medicine, 11, Article 1448839.
[15] Zárate-Grajales, R. A., Benítez-Chavira, L. A., Serván-Mori, E., Hernández-Corral, S., Cadena-Estrada, J. C., & Nigenda, G. (2022). Sociodemographic and work environment correlates of missed nursing care at highly specialized hospitals in Mexico: A cross-sectional study. International journal of nursing studies, 126, 104140.
[16] Ministry of Health. (2013). Health statistics annual book (6). General Directorate of Statistics & Information. Retrieved from
[17] Kalisch, B. J., & Williams, R. A. (2009). Development and psychometric testing of a tool to measure missed nursing care (MISSCARE Survey). Journal of Nursing Administration, 39(5), 211–219.
[18] Daniel, W. W., & Cross, C. L. (2019). Biostatistics: A foundation for analysis in the health sciences (10th ed.). Wiley.
[19] Cartaxo, A., Mayer, H., Eberl, I., & Bergmann, J. M. (2024). Missing nurses cause missed care: Is that it? Non-trivial configurations of reasons associated with missed care in Austrian hospitals – a qualitative comparative analysis. BMC Nursing, 23, Article 282.
[20] Al-Mnaizel, E. A. M. (2023). The relationship between nursing job satisfaction and missed nursing care among Jordanian nurses.
[21] Taskiran Eskici, G., & Baykal, U. (2022). Frequency, reasons, correlates and predictors of missed nursing care in Turkey: A multi-hospital cross-sectional study. International journal of nursing practice, 28(5), e13050.
[22] Kassahun, A., Yimam, S. M., Muanenda, Y. S., Ali, B. M., & Yalew, S. G. (2024). Uncovering the priorities of scientific research on sustainable development goals: A case study in Ethiopia. Sustainable Development.
[23] Heng, L. M. T., Rajasegeran, D. D., See, A. M. T., Kannusamy, P., Lim, S. H., Aloweni, F. B. A., & Ang, S. Y. (2023). Nurse-reported missed care and its association with staff demographics and the work environment. American Journal of Nursing, 123(9), 28–36.
[24] Lima, M. B., Moura, E. C. C., Peres, A. M., & Nascimento, L. R. D. S. (2022). The nursing team’s perspective on missed nursing care: An analysis of the reasons. Revista de Enfermagem Referência, (1).
[25] Haile, K. E., Amsalu, A. A., Kassie, G. A., Asgedom, Y. S., Chema, T. Z., Gebrekidan, A. Y., & Azeze, G. A. (2025). Missed nursing care and associated factors among Ethiopian nurses: A systematic review and meta-analysis. BMC Nursing, 24, Article 1043. HYPERLINK "
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  • APA Style

    Alasiri, J., Gheith, N. (2025). Assessment of Missed Nursing Care Practices and Contributed Factors Among Nurses in Jeddah, Saudi Arabia. American Journal of Nursing Science, 14(5), 98-106. https://doi.org/10.11648/j.ajns.20251405.12

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    ACS Style

    Alasiri, J.; Gheith, N. Assessment of Missed Nursing Care Practices and Contributed Factors Among Nurses in Jeddah, Saudi Arabia. Am. J. Nurs. Sci. 2025, 14(5), 98-106. doi: 10.11648/j.ajns.20251405.12

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    AMA Style

    Alasiri J, Gheith N. Assessment of Missed Nursing Care Practices and Contributed Factors Among Nurses in Jeddah, Saudi Arabia. Am J Nurs Sci. 2025;14(5):98-106. doi: 10.11648/j.ajns.20251405.12

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  • @article{10.11648/j.ajns.20251405.12,
      author = {Jelan Alasiri and Nirvana Gheith},
      title = {Assessment of Missed Nursing Care Practices and Contributed Factors Among Nurses in Jeddah, Saudi Arabia},
      journal = {American Journal of Nursing Science},
      volume = {14},
      number = {5},
      pages = {98-106},
      doi = {10.11648/j.ajns.20251405.12},
      url = {https://doi.org/10.11648/j.ajns.20251405.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajns.20251405.12},
      abstract = {Background: Missed nursing care is considered a global problem, as evidenced by research. This phenomenon, known as missed nursing care, is a global issue that affects patient satisfaction and the quality of nursing care. Therefore, by mitigating missed nursing care, healthcare organizations can uphold standards of excellence and ensure optimal patient outcomes. Objective: This study aimed to assess the missed nursing care practices and contributed factors among nurses in Jeddah, Saudi Arabia. Method: A descriptive, correlational, cross-sectional design was conducted. A convenience sample of 204 registered nurses working in the Maternity and Children Specialized Hospital in Jeddah, Saudi Arabia. A self-administered questionnaire was distributed among the targeted nurses via a Google Form survey. The questionnaire includes personal data and professional characteristics of the nurses, a 25-items questionnaire to measure the missed nursing care (MNC) practices, and a 22-items questionnaire to explore the reasons for missed nursing care (RMNC). Results: of the involving 204 nurses, 66.7% were between 25 and 34 years old. 11.8%, 29.4%, and 22.5% were very satisfied with their current position, job, and the level of teamwork at their unit. The most common missed nursing care was related to interventions and basic needs, while labour resources were the most common reason for missed nursing care. The overall mean MNC and RMNC scores were 1.66 and 2.59, respectively. Higher scores in MNC and RMNC were associated with thinking of inadequate unit staffing and dissatisfaction with the current position and job. Conclusion: The occurrence of missed nursing is common in this hospital setting. Labor and material resources were seen as the prominent reasons for missed nursing care. It is essential to note that enhancing satisfaction with unit staffing and teamwork may reduce missed nursing care among this population.},
     year = {2025}
    }
    

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    T1  - Assessment of Missed Nursing Care Practices and Contributed Factors Among Nurses in Jeddah, Saudi Arabia
    AU  - Jelan Alasiri
    AU  - Nirvana Gheith
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    DO  - 10.11648/j.ajns.20251405.12
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    JF  - American Journal of Nursing Science
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    AB  - Background: Missed nursing care is considered a global problem, as evidenced by research. This phenomenon, known as missed nursing care, is a global issue that affects patient satisfaction and the quality of nursing care. Therefore, by mitigating missed nursing care, healthcare organizations can uphold standards of excellence and ensure optimal patient outcomes. Objective: This study aimed to assess the missed nursing care practices and contributed factors among nurses in Jeddah, Saudi Arabia. Method: A descriptive, correlational, cross-sectional design was conducted. A convenience sample of 204 registered nurses working in the Maternity and Children Specialized Hospital in Jeddah, Saudi Arabia. A self-administered questionnaire was distributed among the targeted nurses via a Google Form survey. The questionnaire includes personal data and professional characteristics of the nurses, a 25-items questionnaire to measure the missed nursing care (MNC) practices, and a 22-items questionnaire to explore the reasons for missed nursing care (RMNC). Results: of the involving 204 nurses, 66.7% were between 25 and 34 years old. 11.8%, 29.4%, and 22.5% were very satisfied with their current position, job, and the level of teamwork at their unit. The most common missed nursing care was related to interventions and basic needs, while labour resources were the most common reason for missed nursing care. The overall mean MNC and RMNC scores were 1.66 and 2.59, respectively. Higher scores in MNC and RMNC were associated with thinking of inadequate unit staffing and dissatisfaction with the current position and job. Conclusion: The occurrence of missed nursing is common in this hospital setting. Labor and material resources were seen as the prominent reasons for missed nursing care. It is essential to note that enhancing satisfaction with unit staffing and teamwork may reduce missed nursing care among this population.
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