Table 2.

The occurrence of and reasons for unfinished nursing care in studies using the MISSCARE survey [59]

Interventions		Albsoul et al. [34] a	Alfuqaha et al. [35]		Al Muharraq et al. [36]	Falk et al. [38]			Gurkova et al. [25]b	Gurková et al. [39]	Hosseini et al. [41]	Khrais et al. [44]	Labrague et al. [45]c	Mingude et al. [47]	Nymark et al. [48]		Rahmani et al. [49]d	von Vogelsan et al. [54]		Xie et al. [55]e
PART A, Interventions
			B	D		B	W 2	W 3							CS	RS		CS	RS
Ambulation 3 times per day or as ordered			•••	•••	•••	•••	••	••		•••		••	••		•••	••	•	•••	•••
Assess effectiveness of medications			•							•							•	••	•
Turning patient every 2 h			•••	•••	•••	••	•••	•••		••				•••	•••	•••	••	•••	•••
Mouth care			•••	••	••			•		•		•	••		••	•••	•••	••	••
Patient teaching about procedures, tests and other diagnostic studies			••	••	••	•	•			••	•••	••					•
PRN medication requests acted on within 15 min														•••	•
Full documentation of all necessary data										••	••	•••		•
Feeding patient while the food is still warm				••	••	•••	•••	•••			•••					••	••		•
Medications administered within 30 min before or after scheduled time								•								••			•
Assist with toileting needs within 5 min of request				•	•	••	•	•		•							•••
Response to call light is initiated within 5 min						•						•••
Emotional support to patient and/or family			••	•••	•		•			•••	•••		•••			•	•	•	••
Patient bathing/skin care			•		•										•		•••
IV/central line site care and assessments according to hospital policy														••	•		•	•
Teach patient about plans for their care after discharge						•••	••	••				••	•		••	•		••	••
Monitoring intake/output											••		•••	•••			•
Setting up meals for patients who feed themselves			•			•••	•••	•••								•	•••
Vital signs assessed as ordered														••			•
Focused reassessments according to patient condition				•									••	•			••
Hand-washing											••	•					•
Bedside glucose monitoring as ordered												•		•
Patient assessments performed each shift																	•
r-Attend interdisciplinary care conferences whenever held			••	•	•••	••	••	••				•••		••	•••	•••	•••	•••	•••
r- Skin/wound care						•		•					•••		••			•
r-Interdisciplinary care conferences whenever held										•••			•
r-Discussing patient expectation														•••
r-pain assesment and management														•
r-Physical examination
r-Initial assesment
r-Review of collected lab results
Treatments and procedures													•
PART B, Reasons
Communication	Tension or communication breakdowns within the nursing team					•	•	•	•••			•••			•	•		•	•
	Lack of backup support from team members				•	•	•	•	••			•••			••	•		••	•
	Nursing assistant did not communicate that care was not done						•	•	•		••	•		•	•	•		•	••
	Caregiver is off unit or unavailable					•	••	••	••
	Tension or communication breakdown with the medical staff						•	•	•••			••			•	••			•
	Tension or communication breakdown with other support departments		•				•		•			••
	Other departments did not provide the care needed							•	••
	Inadequate hand-off from previous shift or sending unit			••					••			•
	Unbalanced patient assignments		•		••	••	••	••	••		•••	•••			••	••		••	••
	r-Inadequate supervision of nursing assistants
	r-Lack of cues/reminders
Material resources	Supplies/equipment not available when needed	•	•	••	•				•••		••			•••
	Supplies/equipment not functioning properly when needed	•	••	•	••				••		••			••
	Medications were not available when needed	•		•••		••	•		•••			•		••				•
Labor resources	Unexpected rise in patient volume and/or acuity on the unit	•••	••	••	•••	•••	•••	•••	••					••	•••	•••		•••	•••
	Urgent patient situations (e.g. a patient’s condition worsening)		••	•••	•	•••	•••	•••	••		•••	••		•••	•••	•••		•••	•••
	Inadequate number of staff	•••	•••	•••	•••	•••	•••	•••	•••		•••			•••	•••	•••		•••	•••
	Inadequate number of assistive personnel (e.g. nursing assistants, technicians, etc.)	•••	•••	•	•••	•	••	•	•••			•		•
	r-Emotional or physical exhaustion	••
	r-Interruptions/Multitasking	••
	r-Inadequate support from leadership	••
	r-Heavy admission and discharge activity		•••	•	••	••	••	••	•••					•	••	••		••	••

Legend: **, as first, second and third unfinished activities in order according to the statistical values (1st,2nd,3rd); ••, 4th,5th,6th order; •, 7th,8th,9th order; B, before; CS, COVID-19 Sample; D, during; RS, reference sample; W, Wave; a, this study was concentrated on analysing only the elements in Part B in the MISSCARE survey; b, this study defined part B of MISSCARE survey; c, this study defined a few specific items of part A within the main score of the MISSCARE survey; d, this study defined only the results of part A of the MISSCARE survey and overall score of the survey; e, this study defined only the overall score of the MISSCARE survey (see Supp. File 3)