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Adaptation of the MISSCARE Survey to the Maternity Care Setting

Kathleen Rice Simpson, Audrey Lyndon, Joanne Spetz

    Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN
    |June 14, 2019
    PubMed

    Missed nursing care is an important measure of nursing care quality that is sensitive to nurse staffing and is associated with patient outcomes in medical-surgical and pediatric inpatient settings. Missed nursing care during labor and birth has not been studied, yet childbirth represents the most common reason for hospitalization in the United States. The Missed Nursing Care (MISSCARE) Survey, a measure of medical-surgical nursing quality with substantial evidence for validity and reliability, was adapted to maternity nursing care using data from focus groups of labor nurses, physicians, and new mothers and an online survey of labor nurses. Content validity was evaluated via participant feedback, and exploratory factor analysis was performed to identify the factor structure of the instrument. The modified version, the Perinatal Missed Care Survey, appears to be a feasible and promising instrument with which to evaluate missed nursing care of women during labor and birth in hospitals.

    Keywords:
    maternity nursingnursing carepsychometricssurvey methodology

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