Development and validation of the MISSCARE survey – Pediatric version

• Published in: Journal of advanced nursing 2018-12, Vol.74 (12), p.2922-2934
• Main Authors: Bagnasco, Annamaria, Zanini, Milko, Aleo, Giuseppe, Catania, Gianluca, Kalisch, Beatrice J., Sasso, Loredana
• Format: Article
• Language: English
• Subjects: Clinical outcomes; Construct validity; Critical incidents; Cronbach's alpha; Delayed; Exploratory factor analysis; Medical errors; missed nursing care; Mortality; nurses; Nursing; nursing activities; Nursing care; Patient safety; pediatric; Pediatric nurses; Pediatric nursing; Pediatrics; Polls & surveys; psychometric; Reliability; Validity; Workloads
• ISSN: 0309-2402; 1365-2648
• DOI: 10.1111/jan.13837

Aim Develop and test the validity and reliability of MISSCARE Survey‐Ped adapted from previous versions of the MISSCARE Survey, which measures omitted nursing activities and the reasons why they were left undone. Our secondary aim was to pre‐test the construct validity using Exploratory Factor Analysis (EFA). Background Missed Nursing Care is described as “every care activity necessary for the patient that is not provided or is seriously delayed”. Missed Care is correlated with negative patient outcomes, such as mortality and adverse events. Design A mixed‐mode cross‐sectional survey. Methods Participants included registered pediatric nurses and nurses working in pediatric wards. This study was conducted between June and September 2017 and consisted of four phases: (a) analysis of existing surveys and item construction; (b) content and face validity; (c) reliability analysis (acceptability for ease of use, Cronbach's alpha for internal consistency and test–retest to measure stability); and (d) construct validity (EFA). Results The MISSCARE Survey‐Ped consists of two sections: Section A “Missed Nursing Care Activities” (29 items) and Section B “Reasons for Missed Nursing Care Activities” (17 items). The new survey showed good validity properties and effectively identified Missed Nursing Care activities in pediatric settings. Conclusion The development and validation of the MISSCARE Survey‐Ped made it possible to conduct an objective and standardized study of missed nursing care activities in the field of pediatrics. This new survey offers the opportunity to collect data that enable to design and implement interventions that improve the quality and safety of pediatric nursing. 目的 开发并测试根据早期版护理缺失量表改编的护理缺失量表——儿科版的有效性和可靠性,该量表测量了遗漏的护理活动以及未完成护理活动的原因。我们的第二个目的是使用探索性因素分析(EFA)对结构效度进行预测试。 背景 护理缺失是指“没有为患者提供所必需的每一项护理活动或出现严重延误”。 护理缺失与不利的患者恢复结果相关,如死亡率和不良反映。 设计 混合型横向调查。 方法 参与者包括注册儿科护士和在儿科病房工作的护士。该研究于2017年6月至9月进行,分四个阶段:(a)分析现有调查和项目构建;(b)内容和表面效度;(c)可靠性分析(易用的可接受性、测量内部一致性的克隆巴赫系数和测试——重新测试以测量稳定性);和(d)结构效度。 结果 护理缺失量表——儿科版包括两部分:A部分“缺失的护理活动”(29项)和B部分“护理活动的缺失原因”( 17项)。新的研究显示了良好的效度,并有效地确定了在儿科方面中缺失的护理活动。 结论 护理缺失量表——儿科版的开发和验证使得有可能对儿科领域中缺失的护理活动进行客观和标准化的研究。新的研究为收集数据提供了机会,以便设计和实施干预,从而提高儿科护理的质量和安全性。