Date of Award


Document Type


Degree Name

Master of Science in Nursing (MScN)

First Supervisor/Advisor

Dr. Saleema Gulzar


School of Nursing and Midwifery, Pakistan


Background: This study seeks to investigate the relationship between Patient Safety Culture (PSC) and Missed Nursing Care (MNC) in a tertiary care teaching hospital in Karachi, Pakistan. It stands out for its focus on healthcare setting in a developing country, addressing a significant gap in existing literature.
Purpose: The aim is to assess PSC, determine the prevalence of MNC among nurses, investigate their correlation, and examine the impact of demographic factors, including identifying the most frequent missed nursing care and their underlying reasons, providing valuable insights for healthcare systems in developing countries.
Methods: A cross-sectional analytical approach was adopted, involving 291 nurses selected through stratified random sampling from various departments of the hospital. Data collection utilized the Hospital Survey on Patient Safety Culture (HSOPSC) Scale and the MISSCARE Survey, enabling a detailed evaluation of PSC and MNC.
Results: The findings indicate a generally positive perception of PSC among nurses and a lower frequency of MNC. Significant differences emerged across gender, education, and experience levels. Male nurses reported higher MNC rates, while higher education and experience positively correlated with better PSC. Challenges such as staffing shortages and high patient volumes were identified as key contributors to MNC. The study revealed a significant negative correlation between PSC and MNC suggesting that enhancing safety culture may reduce missed care instances.
Conclusion: This research contributes significantly to understanding PSC and nursing practices in Pakistan's healthcare context. It offers crucial insights for improving patient care and safety, laying a foundation for future research and informing policy in similar settings. The findings provide empirical evidence to aid healthcare management and policy decisions focused on elevating nursing care quality and patient safety.