Aim: To determine the prevalence of, and reasons for, missed care by nurses and the factors associated with it in Iranian hospitals. Background: Despite providing high-quality patient care in hospitals, nurses often fail to deliver optimum care, which jeopardizes the safety of patients and increases health care costs. Therefore, identifying missed nursing care is essential if the quality of health services is to be improved. Methods: A cross-sectional study was conducted among 215 nurses working in the medical-surgical wards of eight public and private hospitals in Tabriz, Iran. The 'MISSCARE' survey tool was used to collect data in relation to the extent of missed care and the related reasons. Logistic regression models were used to assess the association between factors and missed nursing care. Results: Results showed that the mean score of overall missed nursing care was 2.57 and 72.1% of the nurses reported that they missed at least one nursing care item on their last shift. 'Patient discharge planning and teaching', 'emotional support to patient and/or family' and 'attend interdisciplinary care conferences whenever held' were the most common missed items by nurses in Iran. In a 5-point Likert scale, the most important reasons identified by nurses for missed care were 'human resources', 3.11 (95% CI: 3.03-3.19); 'material resources', 2.7 (95% CI: 2.6-2.8); and 'communication', 2.4 (95% CI: 2.3-2.5), respectively. Missed nursing care was associated with sex (OR for males = 2.83, 95% CI: 1.01-7.89), age (OR = 1.16, 95% CI: 1.01-1.33) and the number of patients under care (OR = 1.11, 95% CI 1.01-1.22). A reverse association was found with the number of patients discharged (OR = 0.89, 95% CI: 0.82-0.96) and satisfaction with teamwork (OR = 0.60, 95% CI: 0.41-0.89). Conclusions: There is a need to identify the factors contributing to the incidence of missed nursing care in hospitals and to develop strategies to address these. Implications for Nursing Management: The results of this study highlighted the importance of addressing missed nursing care in Iranian public and private hospitals. Nursing management should consider improving communication between team members and units. Changes are required regarding task division and payments to How to cite this article: CheginiZ, Jafari-Koshki T, Kheiri M, et al. Missed nursing care and related factors in Iranian hospitals: A cross-sectional survey.

There are widely emerging concerns that patient confidence in physicians is diminishing as physician–patient communication is threatened globally. This study aimed to assess patient communication preferences and their impact on patient trust in physicians. A cross-sectional study was conducted among outpatient clinics of 2 public and private hospitals in Tabriz, Iran. A total of 704 patients were selected conveniently. Of the 704 patients, 6.39% had low trust, 36.79% moderate trust, 35.37% had a high trust, and 21.45% had blind trust in physicians. Overall patient communication preference score was more in a private clinic rather than a public one ( P = .008). Patients of private hospitals and those who were living in rural areas have been shown to have more trust in physicians. Patients’ trust in physicians showed a significant association with patient communication preference ( B = 0.58; 95% CI: 0.53-0.63, P < .001).

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Objective: Patients' roles in reducing pressure injuries (PIs) are emphasised in clinical guidelines, although patients' preferences are undetermined. This study evaluated the effects of a pilot six-month educational intervention on patient participation in PI prevention. Method: A convenience sampling method was used to select patients admitted to medical-surgical wards at one of the teaching hospitals in Tabriz, Iran. This is a one-group pre-test and post-test interventional study, conducted via quasi-experimental design. Using a pamphlet, patients received education in preventing PIs. Data collected before and after intervention through a questionnaire were analysed using descriptive and inferential statistics (McNemar and paired t-tests) in SPSS software (IBM Corp., US). Results: The study cohort consisted of 153 patients. Findings revealed that the knowledge of the patients about PIs, patients' ability to talk with the nurses, information received about PIs, and patients' ability to participate in decisions related to PI prevention had significantly increased following the intervention (p<0.001). Conclusion: Educating patients can improve their knowledge to enable them to participate in PI prevention. The findings of this study suggests further research is necessary on factors influencing patients' participation in such self-care behaviours.

Background: This study aimed to determine the relationship between self-care and physician-patient relations in patients with Heart Failure (HF). This cross-sectional study was conducted on 200 patients with HF, referring to the outpatient clinics affiliated with Tabriz University of Medical Sciences, Iran. Utilizing a systematic random sampling method, the patients were selected from those who had made intake appointments. The Physician-Patient Relationship Questionnaire and the European Heart Failure Self-Care Behavior scale (EHFScB scale) were used to collect the data. Data were analyzed using descriptive statistics, Pearson correlation coefficient, logistic regression, Student’s t-test, and one-way ANOVA in SPSS (ver. 25). The total score of the self-care behaviors in the patients referring to the outpatient clinics was moderate (31.88 ± 8.66). Also, significant relationships were observed between the scores of self-care behaviors and physician’s gender, patient’s marital status, patient’s education, and between physician-patient relations scores and physician gender (P-value < 0.05). Moreover, physician-patient relations and marital status could predict the patient’s self-care variable by 22% (R2 = 0.221, F = 5.35). The study results revealed that physician-patient relations could explain the self-care behaviors of patients with HF.