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Background: Literature suggests that merely omitting nursing care can put patients in danger and that avoiding these omissions potentially prevents deaths in hospitals.Objective: This study aimed to determine the perspective on the degree of missed nursing care among hospital nurses as it relates to their demographic profile.Method: A quantitative comparative research design was employed in this study. The study was conducted in the public hospitals in Hail City, Kingdom of Saudi Arabia. The study participants were 317 staff nurses, chosen through a simple random sampling, from the public hospitals of Hail City. Data were collected through a self-administered questionnaire between February and June of 2019.Results: The overall mean of the participants’ reported scores was “never missed” at 4.62. Statistically significant results were found in terms of the number of children (0.001), years of experience (0.004), unit of assignment (0.001), and the level of satisfaction with the profession (0.001). All other variables such as gender, age, marital status, and shift were found insignificant, where all of the p-values were more than 0.05.Conclusion: Nurses who had more children, a greater lack of experience, were assigned to a complex unit, and were less satisfied in the profession were more likely to miss nursing care. As such, these errors can compromise the outcomes of nursing care in hospitals.

Background Moral courage is the ability to defend and practice ethical and moral action when faced with a challenge, even if it means rejecting pressure to act otherwise. However, moral courage remains an unexplored concept among middle eastern nurses. Aim This study investigated the mediating role of moral courage in the relationship between burnout, professional competence, and compassion fatigue among Saudi Arabian nurses. Research design Correlational, cross-sectional design following the STROBE guidelines. Participants and research context Convenience sampling was used to recruit nurses ( n = 684) for four government hospitals in Saudi Arabia. Four validated self-report questionnaires (Nurses’ Moral Courage Scale, Nurse Professional Competence Scale-Short Form, Maslach Burnout Inventory, and Nurses Compassion Fatigue Inventory) were used to collect data between May to September 2022. Spearman rho and structural equation modeling analyses were employed to analyze the data. Ethical considerations The ethics review committee of a government university in Ha’il region, Saudi Arabia, approval this study (Protocol no.: H-2021-012; Approved: 08/022,021). Participants were fully explained the study aims, and consent was voluntarily secured. Results The emerging model showed that burnout had a direct and positive influence on compassion fatigue, while professional competence had a direct, negative effect on compassion fatigue. Moral courage had a small and direct but negative influence on compassion fatigue. Mediation analyses also indicated that moral courage significantly mediated the indirect effects of burnout and professional competence on compassion fatigue. Conclusion Moral courage can be a crucial aspect in preserving the psychological and mental health of nurses, particularly under stressful conditions. Therefore, it is advantageous from an organizational and leadership standpoint to implement measures such as programs and interventions to foster moral courage among nurses.

Psychiatric commitment has been a central subject in mental health care. It has been surrounded with ethical and legal issues basically focusing on individual’s autonomy and legal rights. This review aimed to explore the outcomes of psychiatric commitment on the lives of the individuals subject to this intervention despite these legal and ethical issues. Outcomes of involuntary commitment were leaning more towards its risks on individuals but poses benefits on health system and society. Therefore, more qualitative and quantitative studies focusing on benefits of psychiatric commitment are needed.

Several studies have been published focusing on the patient safety culture of nurses around the world and in the Kingdom of Saudi Arabia. However, comparative studies between the safety cultures of nurses in public and private hospitals in Saudi Arabia have not been updated yet since 2008, more than a decade ago. This study determined the patient safety cultures of nurses in public and private hospitals in a city in northwestern Saudi Arabia. A cross-sectional study designed was used and the survey tool was derived from the Hospital Survey on Patient Safety Culture. It was distributed to nurses both in public and private hospitals. A total of 441 nurses from four public and three private hospitals participated in the study. The study was conducted from December 2018 to March 2019. Along with the 12 composites of the Patient Safety Culture survey tool, there was no significant difference between the responses of the participants from public and private hospitals except for two composites which are the 9 th composite (Teamwork Across Units) and 11 th composite (Handoff and Transitions) having a p value of 0.899 and 0.989, respectively. Clearly, there are differences in some aspects of hospital guidelines between private and public hospitals. The difference in management and operational strategies between these two different institutions affects how their processes flow, thus affecting patient care provisions and safety as well. Both private and public hospitals in Saudi Arabia uphold and abide to the same guidelines on patient safety culture. Nurses are aware, regardless of the classification of their hospital, towards patient safety standards.

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