ArticleHealthcare (Basel, Switzerland)2026
Cross-Cultural Adaptation and Preliminary Psychometric Evaluation of the Romanian Version of the Revised MISSCARE Survey: A Single-Centre Pilot Study.
Article in Healthcare (Basel, Switzerland), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
BACKGROUND/
objectivesMissed nursing care is a patient-safety concern shaped by organizational resources, workload, and care prioritization. No Romanian version of the Revised MISSCARE Survey has previously undergone published cross-cultural and psychometric evaluation. This study translated and culturally adapted the instrument and examined its preliminary measurement properties and item-level findings in a Romanian hospital.
methodsA methodological, cross-sectional, single-centre pilot study invited all 487 nurses employed at a large university-affiliated hospital in western Romania. Translation and back-translation, expert review, and pretesting preceded electronic administration. Part A activities and Part B reasons were summarized descriptively. The Part B structure was investigated using polychoric correlations, parallel analysis, minimum-residual extraction, and promax rotation. McDonald's omega and ordinal alpha assessed internal consistency. A unique-response-pattern sensitivity analysis evaluated stability.
resultsOverall, 266 nurses participated (response proportion, 54.6%). Ambulation or mobilization was the most frequently missed activity, reported as missed at least occasionally by 55.3% of respondents, followed by bathing and skin care (36.8%), turning every two hours (36.5%), and mouth care (35.3%). The leading moderate or significant reasons were inadequate assistive or clerical personnel (84.6%), unexpected patient volume or acuity (83.5%), and inadequate staffing (82.7%). Parallel analysis supported two correlated Part B factors: organizational resources, coordination, and support; and staffing and workload pressure (r = 0.658). Omega was 0.968 and 0.943, respectively. The two-factor solution and item rankings remained stable in sensitivity analyses.
conclusionsThe Romanian Revised MISSCARE Survey produced interpretable item-level findings and preliminary evidence of a two-factor structure for Part B, with high internal consistency within each factor.
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