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

Resumo

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% va

Tipo

Artigo

Área

Enfermagem

Ano

2025

Idioma

Inglês

Licença

CC BY

DOI

10.1111/nicc.70044

Como citar (ABNT)

DE BARBIERI, Ilaria et al.. Missed Intensive Nursing Care Scale: Results From an Italian Validation Study. Nursing in Critical Care, v. 30, n. 3, 2025. DOI: 10.1111/nicc.70044.