Through a Filter of Empathy and Understanding: Patients' Experiences of Missed Nursing Care.
Maja Thomsen Albrechtsen, Lone Jørgensen, Ingrid Poulsen and 2 others
PMID 42062781WHAT IT FOUND
Patients noticed delays and omissions in nursing care but often excused them because they understood staff were busy.
Many held back from asking for help, so their unmet needs could go unseen.
Key findings
01Many patients noticed delayed, incomplete or omitted nursing care but explained it as understandable staff busyness rather than neglect.
02Patients often hesitated to ask for physical help or waited quietly, downplaying their own needs because they did not want to burden staff.
03Patients valued psychosocial care but often accepted task-focused care because staff time was limited.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Findings rely on self-reported experiences, which may be shaped by recall bias or social desirability, especially because participants were empathetic toward nurses. The sample was small and purposive, so it explores meaning rather than estimating how common these experiences are. Patients who were more dissatisfied, more severely ill, cognitively impaired, or unable to communicate may not have participated. The study was done in one Danish university hospital, so transferability to other health systems is uncertain. The term missed nursing care was deliberately not introduced, which may have helped participants speak in their own words but may also have made omissions harder to identify consistently. Interviews took place 3 to 49 days after discharge, so recall varied. The interviewer had no clinical nursing background, which may have affected recognition of nursing care cues.
Declared interests
The study was supported by Aalborg University Hospital. The authors declared no conflicts of interest.
The easy way to misread this
Do not conclude that patients were satisfied and missed nursing care is harmless because they excused delays. The study found many patients still noticed omitted or delayed care, but they reframed it as understandable staff busyness, which can hide unmet needs.