Department of Medical Sciences, School of Nursing, Udine University, Udine, Italy.
Department of Nursing, Cyprus University of Technology, Limassol, Cyprus.
J Adv Nurs. 2021 Feb;77(2):565-582. doi: 10.1111/jan.14603. Epub 2020 Oct 19.
Different tools have been developed and validated to measure unfinished nursing care. However, no systematic review of the psychometric properties has been performed describing the quality of the methods used to estimate their validity.
(a) To identify tools measuring unfinished nursing care that have undergone validation processes; (b) to evaluate critically the quality of the methods used in ascertaining their psychometric properties; and (c) to compare the estimated psychometric properties of these tools.
A systematic review of the psychometric properties also evaluating their methodological quality was performed by following the COnsensus-based Standards for the selection of health Measurement Instruments (COSMIN) guideline for systematic reviews.
The databases Medline, the Cumulative Index to Nursing and Allied Health Literature, PubMed, Google and Google Scholar were searched up to 30 June 2018.
Data extraction was performed following the predetermined eligibility criteria. Eight properties and their methodological quality were assessed using the COnsensus-based Standards for the selection of health Measurement INstruments criteria.
A total of 20 studies reported validation data regarding three family of tools: the Missed Care Survey (MISSCARE), the Basal Extent of Rationing of Nursing Care (BERNCA) and the Task Undone scale (TU-7). The most estimated psychometric properties across studies were internal consistency, followed by structural validity, content validity, and cross-cultural validity. The less evaluated psychometric properties were reliability, hypothesis testing and convergent and criterion validity.
The psychometric properties of the investigated tools showed a more than acceptable quality, as did the methodologies used to estimate these properties.
The MISSCARE survey is the most widely used tool validated across countries to date. Evaluating the concurrent reliability of the tools available is strongly recommended to assess their effectiveness in measuring the same phenomenon.
已经开发和验证了不同的工具来衡量未完成的护理工作。然而，尚未进行系统评价，以描述用于评估其有效性的方法的质量。
(a)确定已通过验证过程的衡量未完成护理工作的工具；(b)批判性评估确定其心理测量特性的方法的质量；(c)比较这些工具的估计心理测量特性。
按照健康测量仪器选择的共识标准（COSMIN）系统评价指南，对心理测量特性进行了系统评价，同时也评估了其方法学质量。
截至 2018 年 6 月 30 日，检索了 Medline、护理与联合健康文献累积索引、PubMed、Google 和 Google Scholar 数据库。
根据预先确定的入选标准进行数据提取。使用健康测量仪器选择的共识标准（COSMIN）标准评估了八项特性及其方法学质量。
共有 20 项研究报告了关于三个工具系列的验证数据：错失护理调查（MISSCARE）、基本护理分配程度（BERNCA）和未完成任务量表（TU-7）。在研究中最估计的心理测量特性是内部一致性，其次是结构有效性、内容有效性和跨文化有效性。评估较少的心理测量特性是可靠性、假设检验以及收敛和标准有效性。
研究工具的心理测量特性表现出了可接受的质量，用于估计这些特性的方法也是如此。
迄今为止，MISSCARE 调查是使用最广泛、在多个国家得到验证的工具。强烈建议评估现有工具的同时可靠性，以评估其测量同一现象的有效性。
