Translating, Adapting and Validating the Revised MISSCARE Survey for Use in Norwegian Hospitals-A Pilot Study

Area of Science:

• Nursing research
• Healthcare quality improvement
• Psychometric validation

Background:

• The MISSCARE Survey, originally developed in the US, measures missed nursing care.
• The survey was revised in 2019 to include additional causes of missed care.
• A Norwegian version was needed as existing tools were not translated.

Purpose of the Study:

• To translate and adapt the revised MISSCARE Survey for use in Norwegian hospitals.
• To assess the psychometric properties of the Norwegian adaptation.
• To provide a reliable instrument for measuring missed nursing care in Norway.

Main Methods:

• Translation and cultural adaptation of the revised MISSCARE Survey.
• Expert panel review, cognitive interviews, and final version testing.
• Psychometric evaluation including exploratory factor analysis, internal consistency (Cronbach's alpha), and test-retest reliability (ICC).

Main Results:

• The study involved 120 nurses and nursing assistants.
• Exploratory factor analysis identified four factors for Part B, with strong sampling adequacy (KMO=0.895).
• High internal consistency (Cronbach's alpha 0.751-0.841) and excellent test-retest reliability (ICC 0.894 for Part A, 0.827 for Part B) were found.

Conclusions:

• The Norwegian adaptation of the revised MISSCARE Survey is a reliable and promising tool.
• The instrument is suitable for assessing missed nursing care in medical and surgical units in Norwegian hospitals.
• Further validation in larger, diverse populations is recommended to confirm the factor structure.