An Overview of Missed Nursing Care and Its Predictors in Saudi Arabia: A Cross-Sectional Study

Table 3

Reasons for missed nursing care.

Items	NOT a reason for missed care	Minor reason	Moderate reason	Significant reason	Mean	SD
Inadequate number of staff	44	28	98	433	3.53	0.88
	7.2%	4.8%	16.2%	71.8%
Inadequate number of assistive and/or clerical personnel (nursing assistants, technicians, and unit secretaries)	44	64	128	368	3.36	0.94
	7.3%	10.6%	21.2%	60.9%
Unexpected rise in patient volume and/or acuity on the unit	70	36	144	354	3.29	1.01
	11.6%	6%	23.8%	58.6%
Heavy admission and discharge activity	74	74	144	312	3.15	1.05
	12.3%	12.3%	23.8%	51.7%
Supplies/equipment not functioning properly when needed	74	89	135	306	3.12	1.06
	12.3%	14.7%	22.4%	50.7%
Unbalanced patient assignments	88	62	148	306	3.11	1.09
	14.6%	10.3%	24.5%	50.7%
Urgent patient situations (e.g., a worsening condition)	74	80	154	296	3.11	1.05
	12.3%	13.2%	25.5%	49%
Supplies/equipment not available when needed	78	92	142	292	3.07	1.07
	12.9%	15.2%	23.5%	45.3%
Lack of backup support from team members	92	88	162	262	2.98	1.09
	15.2%	14.6%	26.8%	43.4%
Other departments did not provide the care needed (e.g., physical therapy did not ambulate)	88	106	160	250	2.95	1.08
	14.6%	17.5%	26.5%	41.4%
Tension or communication breakdowns with other ancillary/support departments	100	84	176	244	2.93	1.10
	16.6%	13.9%	29.1%	40.4%
Tension or communication breakdowns with the medical staff	96	91	192	245	2.93	1.09
	15.9%	15.1%	28.5%	40.5%
Medications were not available when needed	94	124	126	230	2.91	1.12
	15.6%	20.5%	20.9%	43%
Tension or communication breakdowns within the nursing team	115	100	146	243	2.85	1.15
	19.1%	16.6%	24.2%	40.1%
Caregiver off unit or unavailable	122	112	136	234	2.80	1.16
	20.2%	18.5%	22.5%	38.7%
Inadequate handoff from the previous shift or sending unit	119	123	156	206	2.75	1.13
	19.5%	20.4%	25.8%	34.1%
Nursing assistant did not communicate that care was not provided	133	112	155	204	2.72	1.15
	21.9%	18.5%	25.7%	33.8%