Missed Nursing Care at Tertiary Hospital, Bharatpur, Chitwan

Missed nursing care refers to necessary nursing care that is delayed, partially completed, or missing in a clinical, emotional, administrative aspect or for any number of possible reasons that might be of intentional or unintentional nature. It is a significant concern globally, affecting healthcare delivery and patient outcomes. This study aimed to assess missed nursing care at tertiary hospital, Bharatpur, Chitwan. A descriptive, cross-sectional study design was carried out among nurses working in general and critical care unit of Chitwan Medical College Teaching Hospital. Probability simple random sampling technique was used to select 150 nurses as a sample. A structured self-administrated survey questionnaire was used to collect the data. Collected data were analyzed on IBM SPSS version 24.0 using descriptive and inferential statistics. Chi-square or Fisher’s exact tests were used to examine associations between missed nursing care and selected variables. Regression model was constructed to identify the predictors for missed nursing care. The median score of the missed nursing care was 58.2%. Nearly two third (62.7%) had low and more than one third (37.3%) had moderate missed nursing care. None of the respondents had high missed nursing care. Missed nursing care is predicted by professional qualification (β= 0.939, 95%CI:1.140-5.736), designation (β = 2.197, 95 % CI:2.263-30.343), working department (β=1.726, 95% CI: 2.389-13.208), and faced emergency (β= 0.868, 95% CI:1.005-5.648). The study concluded that missed nursing care at the Tertiary Hospital Bharatpur, Chitwan, is moderate level. Hence hospital and nursing administrators need to plan and implement the programmed to reduce the incidence of missed nursing care in the hospital considering the identified predictors to enhance nursing care quality and elevating patient care standards.