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Measuring Reasons for Unfinished Nursing Care as Perceived by Community Care Nurses: A Binational Development and
Stefania Chiappinotto1, Einav Srulovici2, Galit Palacios Klein2,3
1Department of Medicine, University of Udine, Udine, Italy.
Public Health Nursing (Boston, Mass.)
|June 3, 2026
Summary
The Unfinished Community Nursing Care Reasons Survey (UCNC_RS) was developed and validated across Israel and Italy. Findings reveal distinct reasons for unfinished nursing care (UNC) in each country, necessitating tailored interventions.
Area of Science:
- Nursing Science
- Health Services Research
- Cross-cultural Health Studies
Background:
- Unfinished nursing care (UNC) is a global concern impacting patient outcomes.
- Understanding the reasons for UNC is crucial for developing effective interventions.
- Existing tools for measuring UNC reasons may lack transnational validation.
Purpose of the Study:
- To develop and validate the Unfinished Community Nursing Care Reasons Survey (UCNC_RS) transnationally.
- To compare the reasons for UNC between community nurses in Israel and Italy.
Main Methods:
- The study followed COnsensus-based Standards for the selection of health Measurement Instruments (COSMIN) guidelines.
- Content, language, and structural validation were performed with 309 community nurses in Israel and Italy.
- Exploratory Factor Analysis (EFA) and Mokken analysis were utilized for validation.
Main Results:
- The validated UCNC_RS comprises 23 items.
- Factor analysis revealed different structures in Israel (3 factors) and Italy (2 factors).
- Reasons for UNC differed significantly between the two countries in order of importance and average scores.
Conclusions:
- The UCNC_RS is a validated tool for surveying and addressing factors contributing to UNC.
- Hierarchical organization of UNC reasons suggests multi-level interventions are needed.
- Country-specific policy recommendations are necessary to address differing UNC drivers in Israel and Italy.
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