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Table 1 Main characteristics of the included studies according to the study pattern comparison

From: Were the unfinished nursing care occurrence, reasons, and consequences different between COVID-19 and non-COVID-19 patients? A systematic review

Author(s)

Year

Country

Design

Aim(s)

Setting

Exposed

COVID-19 patients

Comparison

Non-COVID-19 patients

Instrument of data collection

COVID-19 patients, first wave vs. before the pandemic in the same setting

Alfuqaha et al. [24]

2022

Jordan

Comparative cross-sectional study

To compare the nurses’ perception of missed patient care before and during the COVID-19

To examine the relationship between MNC and other factors, such as job satisfaction, absence, and plans of leaving the current position

Medical/surgical wards and intensive care units

Tertiary hospital in Amman

150 nurses, 130 answered (86.7%)

Age: 25–34 years 94 (72.3%)

Female: 84 (64.6%)

Bachelor: 80 (61.5%)

Nursing experience: 5 to 10 years, 50 (38.5%)

Data collection: March-May 2020

150 nurses, 130 answered (86.7%)

Age: 25–34 years 107 (82.3%)

Female: 69 (53.1%)

Bachelor: 92 (70.8%)

Nursing experience: 5 to 10 years, 54 (41.5%)

Data collection: November 2019 to January 2020

MISSCARE survey – Arabic version (based on Kalisch & Williams, 2009)

Self-administered via paper and pencil

Nymark et al. [29]

2021

Sweden

Cross-sectional study with a comparative approach

To evaluate MNC and patient safety during the outbreak and first wave of the COVID-19 pandemic in the inpatient wards

Cardiology department: two highly specialised medical wards and two intensive coronary care units

Karolinska University Hospital in Stockholm

105 RNs and 140 NAs, 20 RNs and 23 NAs answered (19.0% and 16.4%)

Age: median 36.7 years

Female: 39 (90.7%)

Bachelor: 18 (90.0%)

Nursing experience: NR

Data collection: May–June 2020

28 RNs and 31 NAs, participants’ rates NC

Age: median 39.9 years

Female: 50 (90.7%)

Bachelor: 18 (69.2%)

Nursing experience: NR

Data collection: October 2019

MISSCARE survey – Swedish version (Nymark et al., 2020)

Self-administered paper questionnaires

von Vogelsang et al. [30]

2021

Sweden

Comparative cross-sectional study

To evaluate frequencies, types of, and reasons for MNC during the COVID- 19 pandemic in inpatient wards

Medical/surgical departments

Karolinska University Hospital in Stockholm

235 RNs and 289 NAs, 130 RNs and NAs answered (24.8% total participants’ rates)

Age: median 34.0 years

Female: 112 (86.2%)

Bachelor: 46 (78.0%)

Nursing experience: > 10 years, 41 (31.5%)

Data collection: May–June 2020

915 nursing staff (50% RNs), 248 answered (27.1%)

Age: median 35.5 years

Female: 126 (80.3%)

Bachelor: 55 (69.6%)

Nursing experience: > 10 years, 58 (36.9%)

Data collection: October 2019

MISSCARE survey – Swedish version (Nymark et al., 2020)

Self-administered paper questionnaires

COVID-19 patients, second and third waves vs. before the pandemic in the same setting

  

Falk et al. [31]

2022

Sweden

Comparative cross-sectional study

To describe reported MNC in the critical care context during different waves of the COVID-19 pandemic

Four critical care units (thoracic, neurosurgical, and two general critical care units)

University Hospital in Stockholm

242 RNs during second wave, 38 answered (15.7%)

198 RNs during third wave, 37 answered (18.7%)

Second wave

Age: median 41.0 years

Female: 34 (89.5%)

Master or higher: 22 (57.9%)

Nursing experience: > 10 years, 23 (60.5%)

Third wave

Age: median 50.0

Female: 32 (86.5%)

Master or higher: 19 (51.4%)

Nursing experience: > 10 years, 24 (64.9%)

Data collection: November 2020 (second wave), May 2021 (third wave)

221 RNs, 59 answered (26.7%)

Age: median 43.5 years

Female: 49 (83.1%)

Master or higher: 44 (74.6%)

Nursing experience: > 10 years, 40 (67.8%)

Data collection: October 2019

MISSCARE survey – Swedish version (Nymark et al., 2020)

Self-administered online survey

COVID-19 vs. non-COVID-19 patients, second wave

   

Cengia et al. [26]

2021

Italy

Comparative cross-sectional study

To measure the occurrence of and reasons for UNC among COVID-19 and non-COVID-19 patients as perceived by nurses

22 units medical, geriatric, medical-surgical, and orthopedic units

15 COVID-19 and 7 non-COVID-19 units

Two hospitals in Veneto region

479 RNs, 90 answered (72.8%*)

Age: 40.1 (CI 37.8–42.3) years

Female: 80 (88.9%)

Bachelor: 49 (56.3%)

Nursing experience: 16.1 (CI 13.7–18.6) years

Data collection: November 2020-January 2021

479 RNs, 200 answered (72.8%*)

Age: 37.7 (CI 36.2–39.2) years

Female: 169 (84.5%)

Bachelor: 137 (72.2%)

Nursing experience: 13.5 (CI 11.9–15.1) years

Data collection: November 2020 to January 2021

Unfinished Nursing Care Survey (Bassi et al., 2020)

Self-administered online survey

  1. Abbreviations: CI, confidence interval; COVID-19, coronavirus-19; MNC, missed nursing care; NA, nursing assistant; NC, not calculated; NR, not reported; RNs, registered nurses; UNC, Unfinished Nursing Care
  2. * Total participation rate (exposed and comparison)