Abstract
ABSTRACTObjective:to analyze the metric validity and reliability properties of the MISSCARE-BRASIL survey. Method:methodological research conducted by assessing construct validity and reliability via confirmatory factor analysis, known-groups validation, convergent construct validation, analysis of internal consistency and test-retest reliability. The sample consisted of 330 nursing professionals, of whom 86 participated in the retest phase. Results:of the 330 participants, 39.7% were aides, 33% technicians, 20.9% nurses, and 6.4% nurses with administrative roles. Confirmatory factorial analysis demonstrated that the Brazilian Portuguese version of the instrument is adequately adjusted to the dimensional structure the scale authors originally proposed. The correlation between “satisfaction with position/role” and “satisfaction with teamwork” and the survey’s missed care variables was moderate (Spearman’s coefficient =0.35; p<0.001). The results of the Student’s t-test indicated known-group validity. Professionals from closed units reported lower levels of missed care in comparison with the other units. The reliability showed a strong correlation, with the exception of “institutional management/leadership style” (intraclass correlation coefficient (ICC)=0.15; p=0.04). The internal consistency was adequate (Cronbach’s alpha was greater than 0.70). Conclusion:the MISSCARE-BRASIL was valid and reliable in the group studied. The application of the MISSCARE-BRASIL can contribute to identifying solutions for missed nursing care.
Highlights
The hospital work environment has been described as fast-paced and unpredictable, favoring interruptions and errors in nursing care, as these professionals are constantly moving from one activity to the and managing information from several sources
The MISSCARE-BRASIL survey was validated by assessing psychometric properties related to its construct validity and reliability via confirmatory factor analysis, known-groups validation, convergent construct validation, analysis of internal consistency (Cronbach’s alpha) and test-retest reliability
Three hundred thirty nursing professionals participated in the study; 131 (39.7%) were aides, 109 (33%) technicians, 69 (20.9%) nurses, and 21 (6.4%) nurses with administrative roles
Summary
The hospital work environment has been described as fast-paced and unpredictable, favoring interruptions and errors in nursing care, as these professionals are constantly moving from one activity to the and managing information from several sources. They tend to multitask with high rates of interruptions(1). Faced with multiple demands and insufficient resources, professionals can find it impossible to meet all nursing care requirements, and by prioritizing, they may choose to leave some aspects of care unfinished in many situations. Seven themes relative to the reasons for missing care were reported as follows: staff issues, amount of time for complete nursing interventions, poor use of existing staff resources, “It’s not my job” syndrome, ineffective delegation, habit, and denial(3)
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