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Exploring the Relationship Between Caring and Missed Nursing Care: A Scoping Review.
Gregor Romih1,2, Majda Pajnkihar2, Dominika Vrbnjak2
1Fresenius Medical Care, Gaji 28, 3000 Celje, Slovenia.
Healthcare (Basel, Switzerland)
|February 13, 2026
Summary
Caring behaviors and ability are negatively associated with missed nursing care, indicating that higher caring levels correlate with fewer missed care events. However, more experimental research is needed to confirm this relationship.
Area of Science:
- Nursing Science
- Healthcare Quality Improvement
- Patient Safety Research
Background:
- Missed nursing care is a key indicator of healthcare quality and patient safety.
- Caring is a fundamental nursing concept, yet its relationship with missed nursing care is underexplored.
- Existing evidence on the conceptualization, measurement, and empirical links between caring and missed nursing care requires synthesis.
Purpose of the Study:
- To conduct a scoping review of the literature on caring and missed nursing care.
- To map the conceptualization and measurement approaches of caring and missed nursing care.
- To synthesize empirical evidence on the relationship between caring and missed nursing care.
Main Methods:
- Adherence to JBI methodology and PRISMA-ScR guidelines.
- Comprehensive literature search across multiple databases (PubMed, CINAHL, MEDLINE, Web of Science) and grey literature.
- Inclusion of all study designs examining caring in relation to missed nursing care in any healthcare setting.
Main Results:
- Five quantitative cross-sectional studies (2012-2024) from the Philippines and Slovenia were included.
- Caring was measured using instruments like the Caring Behaviors Inventory, while missed nursing care was assessed via the MISSCARE Survey.
- A negative association was found between caring behaviors/ability and missed nursing care across studies.
Conclusions:
- Caring is a measurable factor influencing patient outcomes, acting as both a moral ideal and an actionable element.
- The current evidence base is limited, characterized by inconsistent theoretical frameworks and a lack of experimental studies.
- Future research should prioritize theory-based, experimental designs with diverse samples to investigate causal links and effective interventions.
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