Association Between Patient Safety Culture and Missed Nursing Care in Healthcare Settings: A Systematic Review and Meta‐Analysis

ABSTRACT Aim To appraise and synthesise existing research on the relationship between patient safety culture and missed nursing care. Design Systematic review and meta‐analysis. Methods Peer‐reviewed articles published from 2010 onwards were searched from five databases (CINAHL, ProQuest, PubMed, ScienceDirect and Web of Science). A total of nine studies were identified. Among these, seven studies with a combined sample size of 1661 participants were included in the meta‐analysis. Results The meta‐analysis revealed a significant negative correlation between overall patient safety culture and missed nursing care, with a pooled correlation coefficient of −0.205 (95% CI: −0.251 to −0.158) ( p < 0.001). Heterogeneity was low to moderate ( I 2 = 13.18%, 95% CI: 0.00 to 78.60), and publication bias tests indicated no significant bias (Egger's test p = 0.0603; Begg's test p = 0.3476). Conclusion The findings underscore a significant inverse relationship between patient safety culture and missed nursing care, highlighting the specific predictive roles of management support, organisational learning and unit‐level safety culture. Enhancing patient safety culture within healthcare organisations can be a strategic approach to mitigate missed nursing care. Impact Nursing leaders and administrators should prioritise fostering a safety‐oriented culture through targeted interventions, continuous education and supportive policies to improve patient care outcomes. Reporting Method Preferred reporting items for systematic reviews and meta‐analyses (PRISMA) guidelines. Patient or Public Contribution No patient or public contribution.