Unfinished Nursing Care Survey for Students (UNCS4S): A multicentric validation study
Alvisa Palese1, Stefania Chiappinotto2, Emanuele Canino1
1Udine University, Italy.
Nurse Education Today
|April 24, 2021
Summary
A new survey tool was validated to measure Unfinished Nursing Care (UNC) as perceived by nursing students. The tool helps identify reasons for delayed or omitted care, aiding in improving student training and patient safety.
Area of Science:
- Nursing Education
- Healthcare Quality Improvement
- Patient Safety
Background:
- Unfinished Nursing Care (UNC) refers to delayed or omitted nursing interventions.
- Nursing students encounter UNC during clinical rotations.
- No validated tools existed to measure UNC from a student's perspective.
Purpose of the Study:
- To validate a tool measuring Unfinished Nursing Care (UNC) as perceived by nursing students.
- To assess the acceptability, construct validity, hypothesis testing, and criterion validity of the tool.
Main Methods:
- A validation study followed the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) guideline.
- The Unfinished Nursing Care Survey tool (UNCS), comprising parts A (unfinished interventions) and B (reasons), was administered to nursing students and clinical supervisors.
- Statistical analyses included Mokken Scale Analysis, Exploratory and Confirmatory Factor Analyses.
Main Results:
- 737 students and 30 clinical nurse supervisors participated.
- Interventions were prioritized, indicating varying difficulty in completion.
- Reasons for UNC were categorized into communication, priority setting, resource availability, and workload.
- Second-year students reported higher UNC; perceptions aligned between students and supervisors.
Conclusions:
- The Unfinished Nursing Care Survey for Students (UNCS) is a valid tool for measuring UNC.
- The validated tool consists of 22 items for unfinished interventions and 18 for reasons.
- The UNCS demonstrates acceptable validity for use in nursing education and practice.
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