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Measuring nursing error: psychometrics of MISSCARE and practice and professional issues items
Journal of Nursing Measurement
|January 23, 2015
Summary
This study developed and validated five subscales to measure nursing errors and their causes in hospitals. These tools offer reliable measurement for improving patient safety and reducing healthcare errors.
Area of Science:
- Nursing Research
- Healthcare Quality Improvement
- Patient Safety
Background:
- Healthcare errors contribute significantly to patient morbidity and mortality.
- Existing nursing error questionnaires were pooled to create refined measurement tools.
Purpose of the Study:
- To test the psychometric properties of modified subscales derived from pooled nursing error questionnaire items.
- To establish reliable and valid measures for nursing error and its antecedents.
Main Methods:
- Items from MISSCARE Part A, Part B, and Practice and Professional Issues were collected from 556 registered nurses.
- Principal component analyses were conducted to evaluate items related to nursing error and its antecedents.
Main Results:
- Five subscales demonstrated acceptable factor loadings and internal consistency reliability (0.70-0.89).
- These include Acute Care Missed Nursing Care, Errors of Commission, Workload, Supplies Problems, and Communication Problems.
Conclusions:
- The study supports the use of five validated subscales for measuring nursing error and antecedents across various inpatient settings.
- The Activities of Daily Living (ADL) Omissions subscale may not be suitable for all inpatient units.
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