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Latent profile analysis and influencing factors of missed nursing care of ICU nurses
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Xiumei XU1, Peihua XIAO1, Chen WANG1, Li LI1, Yaping WANG1, Guozhen SUN2
Chinese Nursing Research | 2026, 40(2) : 286 - 293
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Chinese Nursing Research | 2026, 40(2): 286-293
• Comprehensive Study •
Latent profile analysis and influencing factors of missed nursing care of ICU nurses
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Xiumei XU1, Peihua XIAO1, Chen WANG1, Li LI1, Yaping WANG1, Guozhen SUN2
Affiliations
  • 1Suzhou Ninth People's Hospital, Jiangsu 215200 China
  • 2School of Nursing, Nanjing Medical University
Published: 2026-01-25 doi: 10.12102/j.issn.1009-6493.2026.02.014
Outline
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Objective

To investigate the categories of missed nursing care of intensive care unit(ICU) nurse and to analyze influencing factors based on the theoretical model of missed nursing care.

Methods

A total of 517 ICU nurses from 13 cities in Jiangsu Province were selected as survey subjects in January 2025 by convenience sampling.Data were collected using a general information questionnaire,the ICU Missed Nursing Care Content Assessment Subscale,the Chinese version of Decision Fatigue Scale,the Chinese version of National Aeronautics and Space Administration-Task Load Index(NASA-TLX),the Chinese version of the Nurses' Occupational Coping Self-Efficacy Scale,and the Perceived Organizational Support Scale.Latent profile analysis was used to explore the categories of missed nursing care of ICU nurses.Univariate analysis and Logistic regression analysis were used to examine the influencing factors of different categories.

Results

Missed nursing care of ICU nurses could be categorized into 3 categories,namely low missed care group(52.2%),moderate missed care group(36.0%),and high missed care group(11.8%).Results from the Logistic regression analysis showed that the average number of patients responsible for per shift,average monthly income,whether the nurse was an ICU specialist nurse or not,decision fatigue,and perceived organizational support were influencing factors for the different categories of missed nursing care of ICU nurses(P<0.05).

Conclusions

The level of missed nursing care of ICU nurses was relatively low but had group heterogeneity.Nursing managers need to continuously optimize the work environment,enhance nurses' perceived organizational support,and help to reduce their decision fatigue,thereby lowering the level of missed care and ensuring patient safety.

intensive care unit(ICU)  /  missed nursing care  /  latent profile analysis  /  average monthly income  /  specialist nurse  /  decision fatigue  /  perceived organizational support  /  influencing factors
许秀梅, 肖佩华, 王晨, 李莉, 王雅萍, 孙国珍. 护士ICU护理缺失潜在剖面分析及影响因素. 护理研究, 2026 , 40 (2) : 286 -293 . DOI: 10.12102/j.issn.1009-6493.2026.02.014
Xiumei XU, Peihua XIAO, Chen WANG, Li LI, Yaping WANG, Guozhen SUN. Latent profile analysis and influencing factors of missed nursing care of ICU nurses[J]. Chinese Nursing Research, 2026 , 40 (2) : 286 -293 . DOI: 10.12102/j.issn.1009-6493.2026.02.014
Year 2026 volume 40 Issue 2
74
29
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Article Info
doi: 10.12102/j.issn.1009-6493.2026.02.014
  • Receive Date:2025-02-17
  • Online Date:2026-10-28
  • Published:2026-01-25
Article Data
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History
  • Received:2025-02-17
  • Revised:2025-12-25
Affiliations
    1Suzhou Ninth People's Hospital, Jiangsu 215200 China
    2School of Nursing, Nanjing Medical University

Corresponding:

XIAO Peihua, E-mail:
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小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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