The effect of missed care on the nursing image perceived by patients and their trust relationships with nurses.
Behire Sancar, Ayse Buket Dogan Aktas
PMID 39449520WHAT IT FOUND
Patients reporting more missed nursing care trusted nurses less and viewed the profession more negatively.
Communication gaps and unmet basic care were especially tied to lower trust. This was a patient-report survey, so it shows association, not cause.
Key findings
01Patients who reported more missed nursing care had lower trust in nurses.
02More missed communication and more missed basic care were associated with lower trust in nurses.
03More missed nursing care was also associated with a less positive view of the nursing profession.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The survey was done at one hospital in southern Türkiye, so the findings may not apply to other settings. The study used patient reports, which are subjective, and it did not measure how much nursing care was actually due or whether nurses were short-staffed on those shifts. It was a correlational survey, so it cannot show that missed care caused lower trust or a poorer nursing image. Nurses on different wards provide different interventions, so the extent of nursing interventions was not assessed.
Declared interests
The authors declared no conflict of interest. The research received no specific grant from public, commercial, or not-for-profit sectors.
The easy way to misread this
Do not conclude that missed care caused patients to distrust nurses. The study used patient-reported scores and showed correlations, not a tested cause.