Missed nursing care in acute care hospital settings in low-income and middle-income countries: a systematic review.

"Declarations Ethics approval and consent to participateThis review used secondary data from previously published systematic reviews and so ethical approval or patient consent was not required. Consent for publicationNot applicable. Competing interestsAll authors declare no competing interests. Competing interests All authors declare no competing interests."

"Funding AI is supported for a PhD studentship at the University of Oxford by the National Institute for Health Research [NIHR130812]. ME and JA receive salary support from a Wellcome Trust Senior Research Fellowship (# 207522) awarded to ME. MM and DG receive salary support from the National Institute for Health Research (NIHR) (NIHR130812): Learning to Harness Innovation in Global Health for Quality Care (HIGH-Q) grant using UK aid from the UK government to support global health research. A Wellcome Trust core award to the KEMRI-Wellcome Trust Research Programme (#092654) enables this research. The funders had no role in the study design, data collection and analysis, or preparation of the manuscript. the views expressed in this publication are those of the authors and not necessarily those of the Wellcome Trust, NIHR, or the UK government."

"This systematic review was conducted and reported using the PRISMA guidance []. Our review protocol was registered with the International Prospective Register of Systematic Reviews (PROSPERO), Registration number CRD42021286897 and was also published []. Conclusions: Missed nursing care is reported for all key nursing task areas threatening care quality and safety. Data suggest nurses prioritise technical activities with more non-clinical activities missed, this undermines holistic nursing care. Improving staffing levels seems a key intervention potentially including sharing of less skilled activities. More research on missed nursing care and interventions to tackle it to improve quality and safety is needed in LMIC.: PROSPERO registration number: CRD42021286897."