Systematic Review of Assessment Tools for Factors Influencing Missed Nursing Care Among Nurses Based on COSMIN Guidelines

Background: Due to various reasons, the phenomenon of missed nursing care is widespread, which directly leads to the occurrence of adverse nursing events. At present, a variety of measurement tools have been developed worldwide to assess the influencing factors of clinical nurses’ missed nursing care. However, there is no comprehensive standard evaluation of the performance of such measurement tools and the methodological quality of the research. Aim: A systematic review of the methodological quality and measurement properties of the scale for influencing factors of missed nursing care was conducted to provide evidence-based guidance for nursing managers in selecting high-quality assessment tools. Methods: To systematically retrieve literature on assessment tools for clinical nurses’ missed nursing care from Pubmed, Embase, Web of Science, CINAHL, CNKI, Wanfang Data Knowledge Service Platform, VIP Database, and China Biology Medicine (CBM) from inception to July 1, 2024. Two researchers independently screened and extracted the data. The assessment tools were evaluated in terms of measurement properties and methodological quality based on the Consensus-based Standards for the Selection of Health Measurement Instruments (COSMIN), ultimately leading to the formulation of recommendations. Results: A total of 12 studies included 12 assessment tools for evaluating factors influencing missed nursing care among clinical nurses. Since the content validity was “indeterminate” for all, there were no A-grade recommended tools. Nine assessment tools were recommended as B-grade, and three as C-grade. Conclusion: The methodological and measurement properties of assessment tools for missed nursing care need to be further improved. In comparison, the missed intensive nursing care scale (MINCS) has a relatively comprehensive report on measurement properties, with high-quality evidence demonstrating that its measurement properties of structural validity, internal consistency, and stability are “adequate”. It can be temporarily recommended as an assessment tool for influencing factors of missed nursing care in the intensive care unit. However, the reporting of its measurement properties still needs further refinement. Keywords: clinical nurses, missed nursing care, assessment tools, COSMIN, measurement properties, systematic review