Missed Intensive Nursing Care Scale: Results From an Italian Validation Study.

IF 3 3区医学 Q1 NURSING

Nursing in Critical Care Pub Date : 2025-05-01 DOI:10.1111/nicc.70044

Ilaria de Barbieri, Martina Dato, Lisa Grego, Xiuni Gan, Elisa Daniele, Claudia Casumaro, Mayra Veronese, Matteo Danielis

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引用次数: 0

Abstract

Background: Unfinished Nursing Care (UNC) refers to essential patient care that is postponed or neglected, significantly impacting outcomes such as increased morbidity, mortality and hospital-acquired infections. In Intensive Care Units (ICUs), the complexity of patient conditions results in higher UNC rates, particularly for basic care interventions. The Missed Intensive Nursing Care Scale (MINCS) assesses the frequency and types of missed care in these settings.

Aim: This study aimed to translate, culturally adapt and validate MINCS for use in the Italian ICU context, ensuring its psychometric robustness.

Study design: A methodological research for translation, cross-cultural adaptation and validation was conducted in two hospitals in north-eastern Italy, involving general, neurosurgical and cardiothoracic ICUs. The process included translation, back-translation, expert evaluation, pilot testing and psychometric analysis of MINCS-Italy (MINCS-IT) using Cronbach's alpha, Exploratory Factor Analysis (EFA) and Rasch analysis.

Results: A total of 135 ICU nurses participated in the study, 76.3% were female, and an average ICU experience of 11.1 years. The final version of MINCS-IT contained 48 items, divided into three sections: demographics, elements of missed nursing care (34 items, α = 0.92), and reasons for missed care (14 items, α = 0.94). EFA revealed a five-factor structure for elements of missed care (53.2% variance explained) and a two-factor structure for reasons (64.9% variance explained). Rasch analysis supported item validity, except for one item ("Assessing patient nutritional status"), which showed suboptimal values.

Conclusions: The MINCS-IT is a reliable tool for assessing missed nursing care in Italian ICUs, addressing both fundamental and complex patient needs. Its comprehensive approach supports targeted interventions to improve care quality.

Relevance to clinical practise: The MINCS-IT enables nurse managers to identify missed care patterns, fostering improvements in nursing practises and patient-family care outcomes, ultimately elevating ICU standards.

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错过重症监护量表：来自意大利验证研究的结果。

背景：未完成护理（UNC）是指被推迟或忽视的基本患者护理，严重影响结果，如增加发病率、死亡率和医院获得性感染。在重症监护病房（icu），患者病情的复杂性导致较高的UNC率，特别是基本护理干预措施。错过的重症护理量表（MINCS）评估这些环境中错过护理的频率和类型。目的：本研究旨在翻译，文化适应和验证MINCS在意大利ICU背景下的使用，确保其心理测量稳健性。研究设计：在意大利东北部的两家医院进行了一项关于翻译、跨文化适应和验证的方法学研究，涉及普通科、神经外科和心胸科icu。该过程包括翻译、反译、专家评估、试点测试和使用Cronbach's alpha、探索性因子分析（EFA）和Rasch分析对MINCS-IT进行心理测量分析。结果：共有135名ICU护士参与研究，其中女性占76.3%，平均ICU工作年限11.1年。MINCS-IT的最终版本包含48个项目，分为三个部分：人口统计学，错过护理的要素（34项，α = 0.92）和错过护理的原因（14项，α = 0.94）。全民教育结果显示，遗漏医疗要素为五因素结构（解释方差为53.2%），原因为两因素结构（解释方差为64.9%）。Rasch分析支持项目效度，除了一个项目（“评估患者营养状况”）显示次优值。结论：MINCS-IT是评估意大利icu护理缺失的可靠工具，可解决基本和复杂的患者需求。其综合方法支持有针对性的干预措施，以提高护理质量。与临床实践的相关性：MINCS-IT使护士管理人员能够识别遗漏的护理模式，促进护理实践和患者-家庭护理结果的改进，最终提高ICU标准。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Nursing in Critical Care NURSING-

CiteScore

6.00

自引率

13.30%

发文量

109

审稿时长

>12 weeks

期刊介绍： Nursing in Critical Care is an international peer-reviewed journal covering any aspect of critical care nursing practice, research, education or management. Critical care nursing is defined as the whole spectrum of skills, knowledge and attitudes utilised by practitioners in any setting where adults or children, and their families, are experiencing acute and critical illness. Such settings encompass general and specialist hospitals, and the community. Nursing in Critical Care covers the diverse specialities of critical care nursing including surgery, medicine, cardiac, renal, neurosciences, haematology, obstetrics, accident and emergency, neonatal nursing and paediatrics. Papers published in the journal normally fall into one of the following categories: -research reports -literature reviews -developments in practice, education or management -reflections on practice