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The Development and Testing of the MISSCARE Survey OR.

Beatrice Kalisch1, Margaret McLaughlin2, Valerie Marsh3

  • 1University of Michigan, Ann Arbor, Michigan bkalisch@umich.edu.

Journal of Nursing Measurement
|September 14, 2021
PubMed
Summary

A new survey, the MISSCARE Survey OR, has been developed to measure missed nursing care in operating rooms. This reliable and valid instrument identifies the extent and reasons for missed nursing care.

Keywords:
measuremissed nursingperioperativesafety

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Area of Science:

  • Perioperative Nursing
  • Healthcare Quality Improvement
  • Survey Methodology

Background:

  • No validated instrument existed to measure missed nursing care in perioperative settings.
  • Assessing missed nursing care is crucial for patient safety and quality of care.
  • Perioperative environments present unique challenges for care delivery.

Purpose of the Study:

  • To develop and psychometrically test the MISSCARE Survey OR.
  • To provide a reliable and valid tool for measuring missed nursing care in the operating room.
  • To identify the extent and reasons for missed nursing care in perioperative settings.

Main Methods:

  • Nationwide data collection from 1,693 operating room (OR) nurses.
  • Development of the MISSCARE Survey OR with two parts: Elements of perioperative nursing care (32 questions) and Reasons for missing nursing care (17 questions).
  • Psychometric testing including reliability (alpha coefficients) and validity (content, criterion, construct via factor analysis and CFA).

Main Results:

  • The MISSCARE Survey OR demonstrated high acceptability with low missing data rates.
  • Exploratory factor analysis identified five subscales for care elements and four for reasons.
  • The survey showed good reliability (alpha coefficients 0.71-0.90) and acceptable validity across multiple measures.
  • Criterion validity indicated nurses in smaller hospitals missed less care (p = .003).

Conclusions:

  • The MISSCARE Survey OR is a reliable and valid instrument.
  • It effectively measures the extent and reasons for missed nursing care in operating rooms.
  • This tool can aid in quality improvement initiatives within perioperative settings.