Association Between Patient Safety Culture and Missed Nursing Care in Healthcare Settings: A Systematic Review and Meta-Analysis

Aim: To appraise and synthesise existing research on the relationship between patient safety culture and missed nursing care. DesignSystematic review and meta-analysis. Methods: Peer-reviewed articles published from 2010 onwards were searched from five databases (CINAHL, ProQuest, PubMed, ScienceDirect and Web of Science). A total of nine studies were identified. Among these, seven studies with a combined sample size of 1661 participants were included in the meta-analysis. Results: The meta-analysis revealed a significant negative correlation between overall patient safety culture and missed nursing care, with a pooled correlation coefficient of -0.205 (95% CI: -0.251 to -0.158) (p < 0.001). Heterogeneity was low to moderate (I2 = 13.18%, 95% CI: 0.00 to 78.60), and publication bias tests indicated no significant bias (Egger's test p = 0.0603; Begg's test p = 0.3476). Conclusion: The findings underscore a significant inverse relationship between patient safety culture and missed nursing care, highlighting the specific predictive roles of management support, organisational learning and unit-level safety culture. Enhancing patient safety culture within healthcare organisations can be a strategic approach to mitigate missed nursing care. Impact: Nursing leaders and administrators should prioritise fostering a safety-oriented culture through targeted interventions, continuous education and supportive policies to improve patient care outcomes. Reporting Method: Preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines. Patient or Public Contribution: No patient or public contribution.