A revised MISSCARE survey: Results from pilot testing

Appl Nurs Res. 2019 Dec:50:151202. doi: 10.1016/j.apnr.2019.151202. Epub 2019 Oct 20.


Background: Missed nursing care has been recognized as a universal patient care issue that affects outcomes for patients, nurses, and healthcare institutions. The MISSCARE Survey was developed to measure and determine the reasons for missed nursing care episodes. An extensive literature review and expert nurse opinion revealed five additional reasons for missing care that the authors utilized to revise the Survey.

Methods: The revised MISSCARE Survey was pilot tested with a group of 145 nursing staff from a public, non-profit, acute care hospital in the Midwestern U.S.

Results: Analysis indicated favorable results for the revised Survey's acceptability, reliability, and construct validity.

Conclusion: Based on the initial pilot study results, the authors recommend further use and study of the revised MISSCARE Survey with other nursing populations and additional psychometric testing.

Keywords: Missed care; Nursing care; Psychometrics; Survey.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Female
  • Humans
  • Male
  • Medical Errors / nursing*
  • Medical Errors / statistics & numerical data
  • Middle Aged
  • Midwestern United States
  • Nursing Care / methods*
  • Nursing Care / statistics & numerical data*
  • Pilot Projects
  • Psychometrics / methods*
  • Reproducibility of Results
  • Surveys and Questionnaires / standards*
  • Surveys and Questionnaires / statistics & numerical data*
  • Young Adult