Missed Nursing Care in Paediatric Surgical Settings in Türkiye: A Nationwide Cross-Sectional Study

IF 2.5 4区医学 Q2 NURSING

International Journal of Nursing Practice Pub Date : 2026-08-14 DOI:10.1111/ijn.70181

Zeynep Yurdakul, Figen Işık Esenay

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引用次数: 0

Abstract

Aims

This study aimed to describe specific missed nursing care (MNC) practices among paediatric surgical unit nurses in Türkiye and to explore descriptive differences and bivariate associations according to nurses' demographic and work-related characteristics.

Background

MNC adversely affects patient safety and care quality. Although widely studied in various clinical settings, evidence from paediatric surgical units, where care is complex and specialized, remains limited.

Design

A descriptive cross-sectional survey was conducted.

Methods

Data were collected from a nonprobability voluntary-response sample of 242 nurses working in paediatric surgical units between April and August 2024 using a structured questionnaire consisting of a demographic form and the adapted MISSCARE Survey. Participants were recruited through a professional association's social media network. Descriptive and exploratory bivariate statistical analyses were performed.

Results

Most frequently missed practices included promoting neurodevelopment (82.2%), nonpharmacological anxiety management (79%) and oral care (73.6%). Primary reported reasons for MNC were nurse shortages (42.1%) and increased patient load (40.5%). The primary reported reasons for MNC were nurse shortages (42.1%) and increased patient load (40.5%). Exploratory bivariate analyses showed statistically significant differences in MNC scores according to age, professional experience (p < 0.001), overtime work and job satisfaction (p < 0.05).

Conclusion

Organizational challenges—chiefly staffing shortages, increased workload and communication gaps—were the most prominent reported reasons for MNC; targeted organizational interventions and confirmatory research using representative samples are warranted.

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来源期刊

International Journal of Nursing Practice NURSING-

CiteScore

4.10

自引率

0.00%

发文量

审稿时长

3 months

期刊介绍： International Journal of Nursing Practice is a fully refereed journal that publishes original scholarly work that advances the international understanding and development of nursing, both as a profession and as an academic discipline. The Journal focuses on research papers and professional discussion papers that have a sound scientific, theoretical or philosophical base. Preference is given to high-quality papers written in a way that renders them accessible to a wide audience without compromising quality. The primary criteria for acceptance are excellence, relevance and clarity. All articles are peer-reviewed by at least two researchers expert in the field of the submitted paper.