The role of compassion, communication, and teamwork on missed nursing care in the oncology units: fi ndings of a scoping review
DOI:
https://doi.org/10.12923/pielxxiw-2026-0016Keywords:
oncology, communication, teamwork, missed nursing care, commpassionAbstract
Introduction. Missed nursing care (MNC) refers to the omission or delay of care resulting from systemic problems, which is particularly dangerous in oncology and places a burden on patients and nurses.
Aim. To map and summarize empirical studies–qualitative, quantitative, and mixed methods–examining the role of compassion, teamwork, and communication in multidisciplinary nursing care among oncology nurses.
Material and methods. A scoping review was conducted following Arksey and O’Malley’s methodological framework. Five electronic databases: PubMed, Scopus, Web of Science, CINAHL, and ProQuest (Health and Medical Complete) were systematically searched, and the reference lists of included articles were manually screened to identify additional studies. Eligible studies were empirical (qualitative, quantitative or mixed methods), published in peer-reviewed journals and written in English. Grey literature, including dissertations, was also considered. Data were charted and analyzed using a narrative synthesis approach.
Conclusions. This scoping review suggests that teamwork and communication influence the occurrence of missed nursing care in oncology, although the current evidence base remains fragmented and limited. Notably, compassion is underexplored, and existing research on communication and teamwork often overlooks the relational and ethical dimensions of nursing practice, underscoring the need for more comprehensive investigation.
References
1. Kalisch BJ. Missed nursing care. J. Nurs. Care Qual. 2006;21(4):306-313. https://doi.org/10.1097/00001786-200610000-00006
2. Jones TL, Hamilton P, Murry N. Unfinished nursing care, missed care, and implicitly rationed care: state of the science review. Int. J. Nurs. Stud. 2015;52(6):1121-1137. https://doi.org/10.1016/j.ijnurstu.2015.02.012
3. Kalisch BJ, Landstrom G, Williams RA. Missed nursing care: errors of omission. Nurs. Outlook. 2009;57(1):3-9. https://doi.org/10.1016/j.outlook.2008.05.007
4. Antoszewska A, Gutysz-Wojnicka A. Factors influencing nursing care rationing in Poland -a literature review. Pielęg. XXI Wieku. 2025;24(2(91)):146-155. https://doi.org/10.12923/pielxxiw-2025-0015
5. Dehghan-Nayeri N, Shali M, Navabi N, et al. Perspectives of oncology unit nurse managers on missed nursing care: a qualitative study. Asia. Pac. J. Oncol. Nurs. 2018;5(3):327-336.
6. Papastavrou E, Charalambous A, Vryonides S, et al. To what extent are patients’ needs met on oncology units? The phenomenon of care rationing. Eur. J. Oncol. Nurs. 2016;21:48-56. https://doi.org/10.1016/j.ejon.2016.01.002
7. International Agency for Research on Cancer. World Cancer Report 2020. IARC Press; 2020. Accessed August 5, 2025. https://www.iccp-portal.org/sites/default/files/resources/IARC%20World%20Cancer%20Report%202020.pdf
8. Burg MA, Adorno G, Lopez EDS, et al. Current unmet needs of cancer survivors: analysis of open-ended responses to the American Cancer Society Study of Cancer Survivors II. Cancer. 2015;121(4):623-630. https://doi.org/10.1002/cncr.28951
9. Papastavrou E, Andreou P, Vryonides S. The hidden ethical element of nursing care rationing. Nurs. Ethics. 2014;21(8):876-885. https://doi.org/10.1177/0969733013513210
10. Vryonides S, Papastavrou E, Charalambous A, et al. The ethical dimension of nursing care rationing: a thematic synthesis of qualitative studies. Nurs. Ethics. 2016;23(8):846-862. https://doi.org/10.1177/0969733014551377
11. Ball JE, Murrells T, Rafferty AM, et al. “Care left undone” during nursing shifts: associations with workload and perceived quality of care. BMJ Qual. Saf. 2014;23(2):116-125. https://doi.org/10.1136/bmjqs-2012-001767
12. Palese A, Ambrosi E, Prosperi L, et al. Missed nursing care and predicting factors in the Italian medical care setting. Intern Emerg. Med. 2015;10(6):693-702. https://doi.org/10.1007/s11739-015-1232-6
13. Nortvedt P, Pedersen R, Grøthe KH, et al. Clinical prioritizations of healthcare for the aged-professional roles. J. Med. Ethics. 2008;34(5):332-335. https://doi.org/10.1136/jme.2007.020693
14. Aiken LH, Sloane DM, Bruyneel L, et al. Nurse staffing and education and hospital mortality in nine European countries: a retrospective observational study. Lancet. 2014;383(9931):1824-1830. https://doi.org/10.1016/S0140-6736(13)62631-8
15. Lucero RJ, Lake ET, Aiken LH. Variations in nursing care quality across hospitals. J. Adv. Nurs. 2009;65(11):2299-2310. https://doi.org/10.1111/j.1365-2648.2009.05090.x
16. Rabin EG, Silva CND, Souza AB, et al. Application of the MISSCARE scale in an oncology service: a contribution to patient safety. Rev. Esc. Enferm. USP. 2019;53:e03513. https://doi.org/10.1590/S1980-220X2018025403513
17. Paiva IC, Amaral AF, Moreira IM. Missed nursing care in a Portuguese hospital: nurses’ perceptions of minimizing strategies. Rev. Enferm. Referência. 2021;5(7):e20146. https://doi.org/10.12707/RV20146
18. Paiva ICS, Ventura FIQS, Vilela ACL, et al. Influence of oncology nurses’ decision-making and personality traits on missed nursing care and related factors: a correlational study. Eur. J. Oncol. Nurs. 2025;74:102749. https://doi.org/10.1016/j.ejon.2024.102749
19. Tricco AC, Lillie E, Zarin W, et al. PRISMA Extension for Scoping Reviews (PRISMA-ScR): checklist and explanation. Ann. Intern. Med. 2018;169(7):467-473. https://doi.org/10.7326/M18-0850
20. Arksey H, O’Malley L. Scoping studies: towards a methodological framework. Int. J. Soc. Res. Methodol. 2005;8(1):19-32.
21. McAllum K, Fox S, Ford JL, et al. Communicating compassion in organisation: a conceptual review. Front. Commun. 2023;8:1144045. https://doi.org/10.3389/fcomm.2023.1144045
22. Peters MDJ, Marnie C, Tricco AC, et al. Updated methodological guidance for the conduct of scoping reviews. JBI Evid. Synth. 2020;18(10):2119-2126. https://doi.org/10.11124/JBIES-20-00167
23. Page MJ, McKenzie JE, Bossuyt PM, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ. 2021;372:n71. https://doi.org/10.1136/bmj.n71
24. Stern C, Lizarondo L, Carrier J, et al. Methodological guidance for the conduct of mixed methods systematic reviews. JBI Evid. Synth. 2020;18(10):2108-2118. https://doi.org/10.11124/JBISRIR-D-19-00169
25. Sarpong AA, Arabiat D, Gent L, et al. A bibliometric analysis of missed nursing care research: current themes and way forward. Nurs. Forum. 2023;58(4):773-785. https://doi.org/10.1155/2023/8334252
26. Popay J, Roberts H, Sowden A, et al. Guidance on the conduct of narrative synthesis in systematic reviews. ESRC Methods Programme; 2006:1-92.
27. Pan SP, Lin CF. The relationship between organizational communication and missed nursing care in oncology wards in Taiwan. Nurs. Open. 2022;9(6):2750-2760. https://doi.org/10.1002/nop2.976
28. Xu X, Jia S, Zhang S, et al. Analysis of the factors influencing teamwork among oncology nurses based on multigroup structural equation model. Ann. Transl. Med. 2022;10(18):1015. https://doi.org/10.21037/atm-22-4217
29. Meneses-La-Riva ME, Fernández-Bedoya VH, Suyo-Vega JA, et al. Enhancing healthcare efficiency: the relationship between effective communication and teamwork among nurses in Peru. Nurs. Rep. 2025;15(2):59. https://doi.org/10.3390/nursrep15020059
30. Salehi M, Ghasemian A, Najar AV, et al. From compassion to burnout: emotional labor in oncology nursing – a qualitative study. BMC Nurs. 2025;24:272. https://doi.org/10.1186/s12912-025-02928-x
31. Malenfant S, Jaggi P, Hayden KA, et al. Compassion in healthcare: an updated scoping review of the literature. BMC Palliat. Care. 2022;21(1):80. https://doi.org/10.1186/s12904-022-00942-3
32. Kohanová D, Solgajová A, Bartoníčková D. The association of rationed nursing care and the level of teamwork in acute care setting: a cross-sectional study. Pielęg. XXI Wieku. 2024;23(2(87)):100-105. https://doi.org/10.2478/pielxxiw-2024-0017
33. Chiappinotto S, Papastavrou E, Efstathiou G, et al. Antecedents of unfinished nursing care: a systematic review of the literature. BMC Nurs. 2022;21(1):137. https://doi.org/10.1186/s12912-022-00890-6
34. He M, Zhu X, Dong Y, et al. Exploring the role of communication in missed nursing care: a systematic review. J. Adv. Nurs. 2022;78(12):4019-4033. https://doi.org/10.1111/jan.15444
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