Cross-Cultural Adaptation and Validation of the MISSCARE Survey-Patient-Danish Version.

Abstract

AIM To translate, cross-culturally adapt, validate and psychometrically test the MISSCARE Survey-Patient for assessing patients' perspectives on missed nursing care (MNC) in a Danish hospital setting. DESIGN A two-phase cross-cultural adaptation and psychometric validation study. METHODS The study was conducted in two phases. First, the MISSCARE Survey-Patient was cross-culturally adapted to ensure its relevance in a Danish hospital context. This phase involved translation and back-translation, expert committee reviews and cognitive interviews with 18 inpatients to establish content validity. Second, a convenience sample of 284 patients from surgical and medical departments completed the adapted survey. Psychometric properties were evaluated using structural equation modelling to test a second-order formative model. RESULTS The cross-cultural adaptation phase led to minor and substantial revisions, including the addition of six new items to enhance content validity. These items addressed aspects of nursing care relevant to patients in the contemporary hospital setting that were not captured by the original survey. Structural equation modelling confirmed the second-order formative model and demonstrated robust psychometric properties. CONCLUSION The MISSCARE Survey-Patient was successfully adapted and validated for use in Danish hospitals, ensuring strong content validity and psychometric robustness. IMPLICATION The Danish version of the survey provides a valuable tool for assessing MNC from patients' perspectives in hospital settings. Its use can help identify specific areas where nursing care falls short, guiding targeted initiatives to enhance care quality and patient safety. By integrating patients' experiences into quality improvement initiatives, the survey supports the development of more person-centred care practices. REPORTING METHOD The study adhered to the COnsensus-based Standards for the selection of health Measurement INstruments reporting guideline for studies on measurement properties of patient-reported outcome measures. PATIENT CONTRIBUTION Patients were not involved in the study's design, conduct, or reporting. IMPACT The Danish version of the survey facilitates data collection on patients' perspectives of MNC in contemporary hospital settings, providing valuable insights into care quality. By offering a validated tool to assess MNC from patients' perspectives, the survey helps hospitals identify care gaps, prioritise improvement efforts and enhance person-centred care.