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Table 2 Overview of the included systematic reviews showing the review objective and geographical locations, where the reviews primary studies were conducted

From: Missed nursing care in acute care hospital settings in low-income and middle-income countries: a systematic review

First author (year)

Study location

Study design

Study setting

Sample population and size

Exposure for missed nursing care studied

Missed nursing care tool

Prevalence of missed nursing care-reported median Likert score (scale)/%

Al-Faouri et al. (2021) [24]

Jordan

Cross-sectional

3 hospitals (public, private and university) in Jordan

300 Nurses

Factors and reasons

MISSCARE (Arabic translated)

2.16 (1.00–5.00)

Arslan et al. (2021) [43]

Turkey

Cross-sectional

Surgical, Medicine, and Intensive Care units of 3 tertiary hospitals

233 Nurses

Ethical leadership

MISSCARE

(Turkish translated)

1.41 (1.00–4.00)

Assaye et al. (2022) [23]

Ethiopia

Cross-sectional

Medical and surgical units in two (public and private) hospitals

74 and 80 nurses (2 timepoints), 517 patients

Factors

BERNCA-R (Translated to Amharic)

2.04 (1.00–4.00)

Bacaksiz et al. (2020) [44]

Turkey

Cross-sectional

25 private hospitals

897 Nurses

Factors and reasons

MISSCARE (Turkish translation)

1.39 (1.00–5.00)

Bekker et al. (2015) [45]

South Africa

Cross-sectional

60 medical and surgical units in private hospitals and public hospitals

1166 nurses

Non-nursing tasks and missed care

MNCS

Not reported

Chegini et al. (2020) [46]

Iran

Cross-sectional

Medical and surgical unit of 8 public and private hospitals

215 Nurses

Factors and reasons

MISSCARE (translated to Persian)

2.57 (1.00–5.00)/72.1%

Du et al. (2020) [26]

China

Cross-sectional

34 secondary and tertiary hospitals

6158 Nurses

Factors and reasons

MISSCARE-Chinese

2.98 (1.00–5.00)

Dutra et al. (2019) [47]

Brazil

Cross-sectional

Adult hospitalization units for clinical and surgical treatment of a single tertiary (teaching) hospital

58 Nurses and nursing technicians

Types and reasons

MISSCARE-Brasil

74.1%

Gathara et al. (2020) [27]

Kenya

Cross-sectional

Six health facilities in Kenya. (Public, private and mission hospitals)

216 Newborn infants

Prevalence and factors

Nursing Care Index

86%*

Ghezeljeh et al. (2020) [48]

Iran

Cross-sectional

Emergency departments in educational medical centres affiliated to a university (tertiary)

213 Nurses

Factors

MISSCARE

(Persian translation)

Not reported

Haftu et al. (2019) [40]

Ethiopia

Cross-sectional

Obstetrics and gynaecologic units in 8 general hospitals

401 Nurses and midwives

Factors and reasons

MISSCARE (modified by maternal health experts)

74.6%

Hammad et al. (2021) [49]

Egypt

Cross-sectional

50 units at a single tertiary Hospital

553 Nurses

Factors and reasons

MISSCARE

(Arabic translated)

2.26 (1.00–5.00)

Hernández-Cruz et al. (2017) [50]

Mexico

Cross-sectional

A single private hospital

71 Hospital nurses

Factors

MISSCARE

Not reported

John et al. (2016) [42]

Nigeria

Multi-method (Cross-sectional, Before and after study design (interventional)

Medical, surgical, Obstetrics and Gynaecology units of 4 hospitals providing direct adult care (2 tertiary and 2 secondary-level)

186 nurses and 120 patients/relatives

Prevalence and frequency

Effect of a 4-week capacity building intervention for nurses

Unnamed tool

83.9%

Kalisch et al. (2013) [51]

Lebanon and US

Cross-sectional

Medical-surgical unit, intermediate unit, and ICU in a single tertiary (teaching) hospital

114 Nurses

Factors and reasons

MISSCARE

1.21 (1.00–4.00)

Kalisch et al. (2020) [36]

Egypt

Before and after study design

Single paediatric nephrology unit at a tertiary (teaching) hospital

28 Staff nurses

MISSCARE orientation program

Missed Nursing Care Observational Checklist,

2.31 (1.00–3.00)

Labrague et al. (2020) [52]

Philippines

Cross-sectional

6 hospitals in the Philippines

549 Nurses

Nurse caring behaviours

MNCS

1.21 (1.00–4.00)

Labrague et al. (2022) [53]

Philippines

Cross-sectional

14 hospitals (7 government 7 private hospitals at various levels of healthcare)

295 nurses

Factors

MNCS

Not reported

Lima et al. (2020) [54]

Brazil

Cross-sectional

Ten hospitalization units of a single public tertiary (teaching) hospital

267 nurses, technicians, and auxiliaries

Prevalence and reason

MISSCARE-Brasil

Not reported

Moura et al. (2020) [55]

Brazil

Longitudinal Interventional

4 In-patient units at a single tertiary (university) hospital

96 Nurses

Primary Care Nursing Model

MISSCARE Brasil

Not reported

Moreno-Monsiváis et al. (2015) [56]

Mexico

Cross-sectional

Medical and surgical units of a single private hospital

160 Nurses and 160 private patients

Factors

MISSCARE

Not reported

Nahasaram et al. (2021) [57]

Malaysia

Cross-sectional

Medical and surgical unit of a large tertiary hospital

364 Nurses

Factors and reasons

MISSCARE (Malay translated)

1.88 (1.00–5.00)

Nantsupawat et al. (2022) [58]

Thailand

Cross-sectional

43 units in Five university (tertiary) hospitals

1188 nurses

Relationship between staffing, adverse events and missed nursing care

RN4Cast Questionnaire

Not reported

Pereira Lima Silva et al. (2020) [59]

Brazil

Cross-sectional

3 large ICUs. 2 from large public institutions and a 3rd from a private hospital offering complex services

29 ICU care nurses

Practice environment and nursing workload

MISSCARE Brasil

Not reported

Saqer et al. (2018) (22)

Jordan

Cross-sectional

Six Jordanian hospitals (Government, university, and private hospitals)

362 Hospital nurses

Reasons and predictors of missed care, confidence in delegation

MISSCARE

(Arabic-translation)

Not reported

Silva et al. (2021) [60]

Brazil

Cross-sectional

Women’s Health Care Unit of a single tertiary (teaching) hospital

62 Nurses

Factors and reasons

MISSCARE-Brasil

Not reported

Siqueira et al. (2017) [25]

Brazil

Cross-sectional

Single large-scale tertiary (teaching) hospital

330 nurse aides, technicians, nurses, and nurse administrators

Confirmatory Factor Analysis and factors

MISSCARE Brasil

Not reported

Taskiran et al. (2022) [61]

Turkey

Cross-sectional

10 Public, University, and private hospitals

1310 nurses

Frequency, reasons, correlates, and predictors

MISSCARE (Turkish translation)

2.93 (1.00–4.00)

Valles et al. (2016) [41]

Mexico

Cross-sectional

A single tertiary hospital

161 Nurses and 483 patients

Factors for missed nursing care

MISSCARE

(Adapted for pressure ulcers)

Not reported

Zárate-Grajales et al. (2022) [62]

Mexico

Cross-sectional

11 Specialised public hospitals (tertiary) in Mexico

315 nurses

Frequency and factors

MISSCARE

15.9%

Zhu et al. (2019) [37]

China

Cross-sectional

Medical and surgical units from 181 hospitals (secondary and tertiary-level)

7802 Nurses

NA

Basel Extent of Rationing of Nursing Care (BERNCA-R)

3.31 (Not reported)

  1. Emboldened—Prevalence of missed nursing care presented as mean/median Likert scores are the overall averages of individual nursing task mean Likert scores across a study population of nurses. A scale of 5.00 means a 5-point Likert scale was used, while that of 4.00 means a 4-point Likert Scale was used. Those presented as percentages are either the proportion of nurses who are classified as missing care based on a pre-agreed criteria by individual studies or the proportion of patients who had nursing tasks completed for patient-level estimations
  2. BERNCA Basel Extent of Rationing of Nursing Care, BERNCA-R Basel Extent of Rationing of Nursing Care—Revised, MISSCARE Missed nursing care survey tool, MNCS Missed Nursing Care scale
  3. *Indirectly derived, study reported task completion in 14% of babies