Association Between Patient Safety Culture and Missed Nursing Care in Healthcare Settings: A Systematic Review and Meta-Analysis

IF 3.4 3区医学 Q1 NURSING Journal of Advanced Nursing Pub Date : 2025-01-23 DOI:10.1111/jan.16758

Leodoro J. Labrague, Arcalyd Rose Cayaban

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引用次数: 0

Abstract

Aim

To appraise and synthesise existing research on the relationship between patient safety culture and missed nursing care.

Design

Systematic review and meta-analysis.

Methods

Peer-reviewed articles published from 2010 onwards were searched from five databases (CINAHL, ProQuest, PubMed, ScienceDirect and Web of Science). A total of nine studies were identified. Among these, seven studies with a combined sample size of 1661 participants were included in the meta-analysis.

Results

The meta-analysis revealed a significant negative correlation between overall patient safety culture and missed nursing care, with a pooled correlation coefficient of −0.205 (95% CI: −0.251 to −0.158) (p < 0.001). Heterogeneity was low to moderate (I² = 13.18%, 95% CI: 0.00 to 78.60), and publication bias tests indicated no significant bias (Egger's test p = 0.0603; Begg's test p = 0.3476).

Conclusion

The findings underscore a significant inverse relationship between patient safety culture and missed nursing care, highlighting the specific predictive roles of management support, organisational learning and unit-level safety culture. Enhancing patient safety culture within healthcare organisations can be a strategic approach to mitigate missed nursing care.

Impact

Nursing leaders and administrators should prioritise fostering a safety-oriented culture through targeted interventions, continuous education and supportive policies to improve patient care outcomes.

Reporting Method

Preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines.

Patient or Public Contribution

No patient or public contribution.

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来源期刊

Journal of Advanced Nursing 医学-护理

CiteScore

6.40

自引率

7.90%

发文量

369

审稿时长

3 months

期刊介绍： The Journal of Advanced Nursing (JAN) contributes to the advancement of evidence-based nursing, midwifery and healthcare by disseminating high quality research and scholarship of contemporary relevance and with potential to advance knowledge for practice, education, management or policy. All JAN papers are required to have a sound scientific, evidential, theoretical or philosophical base and to be critical, questioning and scholarly in approach. As an international journal, JAN promotes diversity of research and scholarship in terms of culture, paradigm and healthcare context. For JAN’s worldwide readership, authors are expected to make clear the wider international relevance of their work and to demonstrate sensitivity to cultural considerations and differences.