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Our results support the decision to use this questionnaire. IMPLICATION FOR NURSING MANAGEMENT The adapted German MISSCARE will allow both monitoring of performed and missed nursing care over time and benchmarking of hospitals. This article is protected by copyright. All rights reserved.Discoid lupus erythematosus (DLE) is a chronic autoimmune skin disease that usually causes disfiguring scarring, dyspigmentation, and atrophy. Despite a range of available topical and systemic therapies, the treatment of DLE remains a therapeut