Factor analysis, validity of the perceived implicit rationing of nursing care instrument and prevalence and patterns of unfinished nursing care in Slovakia
Corresponding Author
Elena Gurková PhD, RN
Associate Professor
Department of Nursing, Faculty of Health Sciences, Palacký University in Olomouc, Olomouc, Czech Republic
Correspondence
Elena Gurková, Department of Nursing, Faculty of Health Sciences, Palacký University in Olomouc, Hněvotínská 976/3, 775 15 Olomouc, Czech Republic.
Email: [email protected]
Search for more papers by this authorMatúš Adamkovič PhD
Researcher
Institute of Psychology, Faculty of Art, University of Prešov in Prešov, Prešov, Slovak Republic
Search for more papers by this authorTerry Jones PhD, RN
Associate Professor
Department of Adult Health and Nursing Systems, Virginia Commonwealth University, Richmond, Virginia
Search for more papers by this authorRadka Kurucová PhD, RN
Lecturer
Department of Nursing, Jessenius Faculty of Medicine in Martin, Comenius University in Bratislava, Bratislava, Slovak Republic
Search for more papers by this authorDominika Kalánková PhD
Student
Department of Nursing, Jessenius Faculty of Medicine in Martin, Comenius University in Bratislava, Bratislava, Slovak Republic
Search for more papers by this authorKatarína Žiaková PhD, RN
Professor
Department of Nursing, Jessenius Faculty of Medicine in Martin, Comenius University in Bratislava, Bratislava, Slovak Republic
Search for more papers by this authorCorresponding Author
Elena Gurková PhD, RN
Associate Professor
Department of Nursing, Faculty of Health Sciences, Palacký University in Olomouc, Olomouc, Czech Republic
Correspondence
Elena Gurková, Department of Nursing, Faculty of Health Sciences, Palacký University in Olomouc, Hněvotínská 976/3, 775 15 Olomouc, Czech Republic.
Email: [email protected]
Search for more papers by this authorMatúš Adamkovič PhD
Researcher
Institute of Psychology, Faculty of Art, University of Prešov in Prešov, Prešov, Slovak Republic
Search for more papers by this authorTerry Jones PhD, RN
Associate Professor
Department of Adult Health and Nursing Systems, Virginia Commonwealth University, Richmond, Virginia
Search for more papers by this authorRadka Kurucová PhD, RN
Lecturer
Department of Nursing, Jessenius Faculty of Medicine in Martin, Comenius University in Bratislava, Bratislava, Slovak Republic
Search for more papers by this authorDominika Kalánková PhD
Student
Department of Nursing, Jessenius Faculty of Medicine in Martin, Comenius University in Bratislava, Bratislava, Slovak Republic
Search for more papers by this authorKatarína Žiaková PhD, RN
Professor
Department of Nursing, Jessenius Faculty of Medicine in Martin, Comenius University in Bratislava, Bratislava, Slovak Republic
Search for more papers by this authorFunding information
This article is based on work from COST Action RANCARE CA15208, supported by COST (European Cooperation in Science and Technology).
Abstract
Aim
The aim of the study was to adapt and validate the perceived implicit rationing of nursing care instrument in the Slovak nurse work environment and to evaluate the prevalence of unfinished nursing care in acute care hospitals.
Background
The measurement of unfinished nursing care could be assumed as a proxy indicator of nurse staffing adequacy or higher risk of adverse events.
Methods
A cross-sectional survey design was used. The sample of 1,429 registered nurses from 21 hospitals in Slovakia was recruited. Exploratory factor analysis, confirmatory factor analysis and internal reliability were performed.
Results
The instrument is essentially rather an inventory than scale per se. Concurrent validity of the Slovak version was supported by the significant associations between unfinished nursing care and clinically relevant variables.
Conclusions
The prevalence of unfinished nursing care based the percentage of positive responses was higher than prevalence based on composite mean scores. Findings from the study raise questions about a unidimensional structure of nursing tasks reflected in most commonly used survey instruments of unfinished nursing care internationally.
Implications for Nursing Management
The periodical measurement of unfinished nursing care based on the percentage of positive responses should be assumed as a key strategy to increase patient safety and quality of nursing care.
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