Hospital Ethical Climate and its impact on Missed Nursing Care: Systematic Review and Meta-Analysis

Abdulrahman Alayed 1, Yasir Ashour 1, Omar Ghazi Baker 2, Nasima Awaji 1, Norah Garallah Alkaledi 1, Sarah Abdulaziz AlAbdalhai 1, Bushra Al hnaidi 1, Ali Alyasin 1

(1) PhD Candidate, College of Nursing, King Saud University, Riyadh, Saudi Arabia
(2) Professor, College of Nursing, King Saud University, P.O. Box 642, Riyadh 11421, Saudi Arabia

Correspondence:
Abdulrahman Alayed,
College of Nursing, King Saud University Riyadh,
Saudi Arabia
Email: abalayed62@gmail.com

Received: May 2024; Accepted: June 2024; Published: July 2024
Citation: Alayed A et al. Hospital Ethical Climate and its impact on Missed Nursing Care: Systematic Review and Meta-Analysis. Middle East Journal of Nursing 2024; 18(2): 45-62. DOI: 10.5742/MEJN2024.9378054

..............................................................................................................................................

..............................................................................................................................................

ABSTRACT

Background: Missed nursing care refers to the essential patient care that is not provided or is delayed. Evidence suggests that missed nursing care is a pervasive problem impacting negatively on the quality of care. It has been noted that missed nursing care is associated with an increased risk of hospital-acquired infections and mortality. Often, missed nursing care requires nurses to choose a care option over others, which presents ethical dilemmas, the resolution of which, is partly influenced by the prevailing institutional work climate. The existing ethical work climate may restrain nurses from executing what they perceive to be the right ethical decision.

Aim: The study aims to meta-analytically explore the impact of hospital ethical climate on missed nursing care.

Materials and methods: The literature was systematically reviewed and meta-analyzed in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) criteria.

Results: Six studies were selected; these studies covered a sample of 968 nurses. All studies were quantitative, cross-sectional design with low negative correlation between missed nursing care and ethical climate.

Conclusions: All of the included studies indicate that a relationship between the ethical climate and missed nursing is established, however, the meta-analysis of the studies shows that the relationship between ethical climate and missed nursing care is a low negative correlation and there could be other variables that might be more influential in determining the level of missed nursing care, other than the ethical climate.

Keywords: Ethical Climate, Hospital Ethical Climate, Missed Nursing Care, Nursing Care Left Undone