Cross-Cultural Adaptation and Validation of the MISSCARE Survey OR for Chinese Operating Room Nurses: A...

To adapt the MISSCARE Survey OR to the Chinese cultural context and evaluate its psychometric properties.

A cross-sectional design.

A total of 700 operating room nurses from six tertiary hospitals within a geographically defined urban area in China participated in this study. The MISSCARE Survey OR was translated into Chinese utilising the Brislin two-way translation method. The reliability was assessed through the internal consistency coefficient and split-half reliability and test-retest reliability. The validity was determined through the Delphi expert consultation method and factor analysis.

The average S-CVI of the Chinese version was 0.99. Exploratory factor analysis and confirmatory factor analysis revealed that Part A of the scale extracted 5 common factors and 43 items, with a cumulative variance contribution rate of 70.15%. Part B of the scale extracted 4 common factors and 18 items, with a cumulative variance contribution rate of 75.89%. Furthermore, Cronbach's α coefficients were 0.96 and 0.94, Guttman's split-half coefficients were 0.97 and 0.95, and the test-retest reliability coefficient over a 30-day interval is 0.83 and 0.88 for Part A and Part B respectively.

The Chinese MISSCARE Survey OR evaluates missed nursing care, identifies factors affecting surgical care quality, supports cross-cultural research, and informs strategies to optimise management, improve nursing quality, ensure patient safety, and guide future research and policy development.