Objective To systematically evaluate near misses experienced by nurses to inform better management of the situation.Methods A computerized search of PubMed,Cochrane Library,Web of Science,Embase,PsycInfo,Scopus,China National Knowledge Infrastructure,Wanfang,VIP,and China Biomedical Literature Database for qualitative studies on nurses'experience of near miss events was conducted with a timeframe of the establishment of the database to December 30,2023.The quality of the included literature was evaluated using the 2016 Australian Joanna Briggs Institute(JBI)Center for Evidence-Based Health Care qualitative research quality assessment tool,and the results were integrated using meta-integration methods.Results A total of 7 articles were included,and 26 findings were distilled and grouped into 6 categories,resulting in 3 integrative findings,including reasons why near miss events occur,a dual emotional experience caused by near miss events,and ways of coping with near miss events.Conclusion Nursing administrators should pay more attention to the negative emotional experience that near miss events bring to nurses,improve the process of reporting near miss events,and establish a no-blame,nonpunitive management system,so as to promote nurses to report near miss events proactively and protect patient safety.