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Aims: Missed nursing care (MNC) significantly affects patient safety and quality of care. It is a widely used concept that has been studied in different settings, but research in paediatric care is quite limited. Therefore, this descriptive cross‐sectional study aimed to report the prevalence, patterns, correlates, factors and predictors of MNC in paediatric care units in two central European countries. Design: A cross‐sectional comparative study. Methods: Data collection was carried out between June and November 2021 using the MISSCARE Survey‐Pediatric. The study included 441 registered nurses working in paediatric care units in the Czech Republic and Slovakia. Data were analysed using descriptive and inferential statistics in the SPSS 25.0 statistical program. Results: Almost all nurses, 92.7% of nurses missed at least one nursing activity during the last shift. The most missed care activity in both countries was the promotion of neuroevolutionary development, and the most prominent reasons were labour resources. MNC was weakly but significantly correlated with nurse experience in the current position and was predicted by the country, nurse education and overtime hours (p ≤.05). Differences in prevalence of MNC and reasons for MNC were identified based on several variables (p ≤.05). Conclusion: The assessment of MNC in paediatric settings is often a neglected area, although the prevalence in this study was moderate. Implications for the Profession and/or Patient Care: Nurse staff shortages, as a global problem, have many impacts on patient outcomes in the delivery of nursing care. However, there are also many factors that can reduce the prevalence of MNC. More research should focus on a closer examination of these factors that involve hospital and nurse variables. Reporting Method: The study was carried out according to the STROBE checklist and the RANCARE guideline. Patient or Public Contribution: No patient or public contribution. [ABSTRACT FROM AUTHOR]