اعطای نمایه علمی–پژوهشی به فصلنامه «پرستاری، مامایی و پیراپزشکی» دانشگاه علوم پزشکی کردستان بنابر مصوبات کمیسیون ۱۴۷ نشریات علوم پزشکی کشور در مورخ ۳/۶/۱۴۰۵ و شماره نامه د/۷۰۰/۲۹۰۶

Volume 11, Issue 3 (11-2026)                   SJNMP 2026, 11(3): 205-215 | Back to browse issues page


XML Persian Abstract Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Moradi S, Bagheri-Saveh M I, Nouri B, Bahmani S. Relationship between Missed Nursing Care and Patient Safety Culture Factors in Emergency Departments: A Cross-Sectional Study. , SJNMP. 2026; 11 (3) :205-215
URL: http://sjnmp.muk.ac.ir/article-1-712-en.html
1- Students Research Committee, Kurdistan University of Medical Sciences, Sanandaj, Iran
2- Department of Nursing, Faculty of Nursing and Midwifery, Kurdistan University of Medical Sciences, Sanandaj, Iran. & Clinical Care Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran
3- Health Metric and Evaluation Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran
4- Department of Nursing and Midwifery, Sa.C., Islamic Azad University, Sanandaj, Iran , soma.bahmai25@gamil.com
Abstract:   (42 Views)
Background and Aims: The Emergency Department is a high-risk, sensitive, and high-potential environment for missed nursing care. This study aimed to determine the relationship between missed nursing care and patient safety culture in Emergency Departments.
Materials and Methods: This cross-sectional study was carried out using the census sampling method. The required data were collected utilizing demographic characteristics form, the Hospital Survey on Patient Safety Culture, Kalisch missed nursing care, and Blackman's questionnaire of factors associated with missed nursing care. Data analysis was performed using STATA software.
Results: The mean scores of patient safety culture, missed nursing care, and factors related to missed nursing care were 128.48±10.82, 52.41±2, and 52.48±11.55, respectively. Missed nursing care had a significant relationship with work setting (P=0.001) and passing a safety course (P=0.002). Regression analysis showed the relationship of factors affecting missed nursing care with patient safety, culture level, and demographic variables. Missed nursing care was associated with patient safety culture level.
Conclusion: The results showed that the mean scores of patient safety culture, missed nursing care, and factors related to missed nursing care in Emergency Departments were at a moderate level. Improving the work environment and holding training courses can help reduce missed care and promote patient safety culture.
 
Full-Text [PDF 909 kb]   (26 Downloads)    
Type of Study: Research | Subject: General
Received: 2026/07/9 | Revised: 2026/11/14 | Accepted: 2026/09/26 | Published: 2026/11/11 | ePublished: 2026/11/11

References
1. Fotoohi M, Jafar Jalal E, Haghani H. The correlation of safe nursing care with the quality of work life of nurses. Iran J Nurs. 2021;33(128):1-14. [DOI: 10.52547/ijn.33.128.1]
2. Ebadi J, Najafi E, Aghamohammadi V, Saeidi S, Nasiri K. Missed nursing care and its related factors in Ardabil and Khalkhal educational and medical centers in 2020. J Health Care. 2021;23(1):78-87. [DOI: 10.52547/jhc.23.1.78]
3. Akbari M, Taheri L, Momeniyan S, Yousefizadeh F. Relationship of nurses' mental workload with patient safety condition in emergency departments of Qom University of Medical Sciences hospitals, 2017. Iranian Journal of Emergency Care. 2019;1(2):67-79. [Link]
4. Mohkam M, Saiiari A, Imanzadeh F, Asgarian F, Ghoroubi J, Hatamian B, et al. Comparison of emergency wards in university-affiliated hospitals with Iranian Ministry of Health standards. Pajoohandeh J. 2009;14(2):77-81. [Link]
5. Malekzadeh R, Assadi T, Mahmoudi E, Jafari Palandi H. Assessment of patient safety dimensions in emergency departments in Mazandaran University of Medical Sciences applying operational planning. J Mazandaran Univ Med Sci. 2020;30(184):86-93. [Link]
6. Westrum R. A typology of organisational cultures. Qual Saf Health Care. 2004;13(Suppl 2):ii22-ii27. [DOI: 10.1136/qshc.2003.009522]
7. Asadi H, Habibi Soola A, Davari M, Ershadifard S. The status of patient safety culture in nurses of Imam Khomeini Hospital in Ardabil, Iran during the outbreak of COVID-19, in 2020. J Mil Med. 2020;22(11):1162-1170. [DOI: 10.30491/JMM.22.11.1162]
8. Mostafaei D, Aryankhesal A, Dastoorpour M, Rahimikhalifekandi Z, Estebsari F. Patient safety culture assessment of clinical and paraclinical staff perspective in selected University of Medical Sciences hospitals in Tehran. Iran J Health Educ Health Promot. 2018;6(3):293-301. [Link]
9. Baghaei R, Nourani D, Khalkhali HR, Pirnejad H. Evaluating patient safety culture in personnel of academic hospitals in Urmia University of Medical Sciences in 2011. J Urmia Nurs Midwifery Fac. 2012;10(2):155-164. [Link]
10. Tourani S, Khodayari-Zarnaq R, Arabloo J, Esmaili A, Taghizadeh S, Khosravizadeh O. A survey on patient safety using the Farsi version of the Safety Attitudes Questionnaire in Iran. Payavard Salamat. 2016;10(1):82-92. [Link]
11. Kakemam E, Sheikhy-Chaman M. The relationship between patient safety culture and adverse events among nurses in Tehran teaching hospitals in 2019. Avicenna J Nurs Midwifery Care. 2020;28(4):20-31. [DOI: 10.30699/ajnmc.28.4.20]
12. Gurková E, Mikšová Z, Šáteková L. Missed nursing care in hospital environments during the COVID-19 pandemic. Int Nurs Rev. 2022;69(2):175-184. [DOI: 10.1111/inr.12710]
13. Rooddehghan Z, Karimi H, Mohammadnejad E, Sayadi L, Haghani S. Causes of missed nursing care in emergency departments in selected hospitals of Tehran University of Medical Sciences: a descriptive study in Iran. Iranian Journal of Nursing Research. 2021;16(4):50-60. [Link]
14. Salavati S, Fanoosi T, Dehghan D, Tabesh H. Nurses' perspectives on patient safety culture. Iran J Nurs. 2013;26(84):24-33. [Link]
15. Moghri J, Ghanbarnezhad A, Moghri M, Rahimi Forooshani A, Akbari Sari A, Arab M. Validation of Farsi version of Hospital Survey on Patient Safety Culture questionnaire using confirmatory factor analysis method. Hospital. 2012;11(2):19-30. [Link]
16. Rezaei T, Ghahramanian A, Abdullahzadeh F, Asghari-Jafarabadi M, Sheikhalipour Z, Fadaei Z. Patient safety culture and the factors influencing it from the perspective of nurses of Imam Reza Medical Center, Tabriz. J Urmia Nurs Midwifery Fac. 2018;15(10):767-776. [Link]
17. Vatankhah I, Rezaei M, Baljani E. The correlation of missed nursing care and perceived supervisory support in nurses. Iran J Nurs. 2020;33(126):103-116. [DOI: 10.52547/ijn.33.126.103]
18. Zaroshani V, Sheykhi S, Amini M, Mohammadizeidi M. Investigation of safety attitudes among operating room staff of educational hospitals affiliated with Qazvin University of Medical Sciences. In: Selected Proceedings of the Safe Community Conference; 2009; Tehran, Iran. [Link]
19. Hessels AJ, Flynn L, Cimiotti JP, Cadmus E, Gershon RRM. The impact of the nursing practice environment on missed nursing care. Clin Nurs Stud. 2015;3(4):60-65. [DOI: 10.5430/cns.v3n4p60]
20. Khajooee R, Bagherian B, Dehghan M, Azizzadeh Forouzi M. Missed nursing care and its related factors from the points of view of nurses affiliated to Kerman University of Medical Sciences in 2017. Hayat. 2019;25(1):11-24. [Link]
21. Rooddehghan Z, Karimi H, Mohammadnejad E, Sayadi L, Haghani S, Karimi R. Missed nursing care in emergency departments: a cross-sectional descriptive study. BMC Emergency Medicine. 2024 Feb 14;24(1):22. [Link]
22. Dehghan-Nayeri N, Shali M, Navabi N, Ghaffari F. Perspectives of oncology unit nurse managers on missed nursing care: a qualitative study. Asia Pac J Oncol Nurs. 2018;5(3):327-336. [DOI: 10.4103/apjon.apjon_6_18]
23. Hernández-Cruz R, Moreno-Monsiváis MG, Cheverría-Rivera S, Díaz-Oviedo A. Factors influencing the missed nursing care in patients from a private hospital. Rev Lat Am Enfermagem. 2017;25:e2877. [DOI: 10.1590/1518-8345.1227.2877]
24. Yaghoubi M, Ebrahimi Torki M, Salesi M, Ehsani-Chimeh E, Bahadori M. The relationship between teamwork and missed nursing care: case study in a military hospital in Tehran. J Mil Med. 2019;21(1):63-72. [Link]
25. GMAEH, Ebrahim RMR. Factors leading to missed nursing care among nurses at selected hospitals. Am J Nurs Res. 2019;7(2):136-147. [DOI: 10.12691/ajnr-7-2-5]

Add your comments about this article : Your username or Email:
CAPTCHA

Send email to the article author


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2026 CC BY-NC 4.0 | Scientific Journal of Nursing, Midwifery and Paramedical Faculty

Designed & Developed by : Yektaweb