| Summary: | Background: Missed nursing care (MNC) is a global problem that could endanger patient safety in all nations and cultures and have a detrimental effect on patient outcomes. Objective: To assess the magnitude, reason and associated factors of missed nursing care in case of North Shewa Zone public Hospitals, 2021. Methods: Institution based cross-sectional study was conducted among randomly selected 315 nurses working in selected Hospitals from April 1–20/2021. Data was collected through self- administered MISSCARE survey tools. Model fitness was checked by Hosmer and Lemshow goodness of fit. Variables that have p < 0.05 with 95 % CI in the multi variable logistic regression model were considered as statically significant. Descriptive statistics were done and presented with tables and graphs. Result: The prevalence of missed nursing care in study area was 33 %. Labor resource (85.4 %) and material resource (84.55 %) were main reasons. Nurses who were diploma holder (AOR = 4.5; 95 % CI: 2.29,8.84), work experience 6 m-2yrs (AOR = 1.5; 95 % CI: 1.1,2.2), worked with day and night shift (AOR = 4.1; 95 % CI: 1.9,8.5), worked over time>400hrs in the past 3 months (AOR = 3.8; 95 % CI: 1.4, 9.9) and dissatisfaction in nursing profession(AOR = 2.2; 95 % CI: 1.1, 4.5) were associated with missed nursing care. Conclusion: In the research area, the incidence of MNC was relatively low; however crucial nursing care tasks like initial evaluation and physical examination were neglected.
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