Relationship between Moral Intelligence, Teamwork, and Missed Nursing Cares in Hospital Nurses: A Cross-Sectional Study

Background Ensuring quality and safety in care remains a top priority for the healthcare. Insufficient nurse staffing and missed care are linked to lower care standards and the occurrence of adverse events. This study aimed to illustrate the relationship between moral intelligence, teamwork, and missed nursing care, and how moral intelligence and teamwork affect quality of care and adverse hospital events. Methods This correlational study included 300 nurses in teaching hospitals with a stratified random sampling method. The participants completed Lennick and Kiel’s moral intelligence questionnaire and the Teamwork and MISSCARE questionnaire. The JBI guideline and STROBE checklist were followed for reporting in the study. Descriptive statistics, independent T-test, one-way ANOVA, and Multivariable regression models were used to estimate associations. Results The mean score (± SD) of moral intelligence, teamwork, and missed nursing care was 74.41 (± 10.61), 3.37 (± 0.6), and 37.3 (± 11.83). This showed an acceptable level of moral intelligence, moderate teamwork, and a low level of missed care in nurses. Nurses with more working years had fewer missed care, and the male nurses had more missed care (41.16 ± 12.15) than the female nurses (36.36 ± 12.15). The regression analysis results show that gender, working years, moral intelligence, and teamwork significantly predict missed nursing care. Conclusions This study showed an acceptable level of moral intelligence, moderate teamwork, and a low level of missed care in nurses. Gender, working years, moral intelligence, and teamwork significantly predict missed nursing care. Implications for Nursing Management: Enhancing moral intelligence and ensuring sufficient resources are recommended to reduce missed nursing care, prevent adverse events, and improve the quality of care.