AimsTo compare nurses' and patients' reports of missed nursing care, explore patients' perspectives and utilise these insights to elucidate discrepancies or congruence between perceptions.DesignA descriptive mixed‐methods design combining quantitative (questionnaires) and qualitative (semi‐structured interviews) methods.MethodsIn the quantitative phase, 143 nurses and 643 patients completed the MISSCARE and MISSCARE‐Patient surveys. Correlations between their total missed care scores were examined. In the qualitative phase, 68 patients participated in semi‐structured interviews analysed using thematic analysis.ResultsThe correlation between nurses' and patients' perceptions of missed nursing care was nonsignificant. Qualitative findings revealed three themes: (1) patients' need to preserve individuality; (2) most patients attributed missed care to systemic factors, while some attributed it to nurses' attitudes and (3) emotional responses varied from empathetic understanding, inadvertently enabling more missed care, to frustration and assertiveness to ensure receiving necessary care.ConclusionsThis study reveals a significant discrepancy between nurses' and patients' perceptions of missed care. Patient perspectives offer insights into this misalignment, highlighting differences in care priorities and role understanding.Implications for the Profession and/or Patient CareEnhancing nurse–patient communication and patient empowerment are crucial. Healthcare institutions should integrate patient feedback into quality initiatives, create supportive work environments and foster a patient‐centred care culture. Effectively marketing nurses' expertise and implementing strategies to manage patient assertiveness are essential.ImpactThis study addresses the discrepancy in perceptions of missed nursing care between nurses and patients. It reveals how patients' care priorities and attributions influence their experience of missed care. Findings will impact healthcare policymakers, nursing educators and hospital administrators, informing strategies to improve care quality, patient satisfaction and nurse work environments across healthcare settings.Reporting MethodThe study has adhered to STROBE guidelines for the quantitative component and SRQR guidelines for the qualitative component.Patient or Public ContributionNo patient or public contribution.

中文翻译：

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并置护士和患者对漏诊护理的看法：一种描述性混合方法设计


目的 比较护士和患者对错过护理的报告，探索患者的观点并利用这些见解来阐明感知之间的差异或一致性。设计一种结合定量（问卷）和定性（半结构化访谈）方法的描述性混合方法设计。方法在定量阶段，143 名护士和 643 名患者完成了 MISSCARE 和 MISSCARE-患者调查。检查了他们错过护理的总分之间的相关性。在定性阶段，68 名患者参加了使用主题分析进行分析的半结构化访谈。结果护士和患者对错过护理的看法之间的相关性不显著。定性研究结果揭示了三个主题：（1） 患者需要保持个体性;（2） 大多数患者将错过护理归因于系统因素，而一些患者将其归因于护士的态度和 （3） 情绪反应各不相同，从同理心理解、无意中使更多错过护理，到沮丧和自信以确保得到必要的护理。结论本研究揭示了护士和患者对错过护理的看法之间存在显着差异。患者的观点提供了对这种错位的见解，突出了护理重点和角色理解的差异。对专业和/或患者护理的影响加强护士与患者的沟通和患者赋权至关重要。医疗保健机构应将患者反馈纳入质量计划，创造支持性的工作环境，并培养以患者为中心的护理文化。有效地营销护士的专业知识并实施管理患者自信的策略至关重要。影响本研究解决了护士和患者之间对错过护理的看法差异。它揭示了患者的护理优先级和归因如何影响他们错过护理的经历。研究结果将影响医疗保健政策制定者、护理教育者和医院管理人员，为提高医疗保健环境中的护理质量、患者满意度和护士工作环境的策略提供信息。报告方法该研究遵守定量成分的 STROBE 指南和定性成分的 SRQR 指南。患者或公众捐款没有患者或公众捐款。