Volume 28, Issue 8 pp. 2025-2035
SPECIAL ISSUE PAPER

Measuring the validity and reliability of the Lithuanian missed nursing care in infection prevention and control scales using Rasch analysis

Olga Riklikiene RN, PhD

Corresponding Author

Olga Riklikiene RN, PhD

Professor

Department of Nursing and Care, Faculty of Nursing, Medical Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania

Correspondence

Olga Riklikiene, Department of Nursing and Care, Faculty of Nursing, Medical Academy, Lithuanian University of Health Sciences, Eiveniu str. 4, room 607, LT-50161 Kaunas, Lithuania.

Email: [email protected]

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Ian Blackman EdD, BEd, MEd, Grad Dip (HealthCouns), RN, RPN

Ian Blackman EdD, BEd, MEd, Grad Dip (HealthCouns), RN, RPN

Adj. Senior Lecturer

College of Nursing and Health Sciences, Flinders University, Adelaide, South, Australia

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Irmina Bendinskaite RN, BSN, MSN

Irmina Bendinskaite RN, BSN, MSN

An assistant

Department of Nursing and Care, Faculty of Nursing, Medical Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania

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Julie Henderson BA (Hons), Grad Dip (Information Studies), PhD

Julie Henderson BA (Hons), Grad Dip (Information Studies), PhD

Senior Research Associate

College of Nursing and Health Sciences, Flinders University, Adelaide, South, Australia

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Eileen Willis BEd, M.Ed, PhD

Eileen Willis BEd, M.Ed, PhD

Emeritus Professor

College of Nursing and Health Sciences, Flinders University, Adelaide, South, Australia

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First published: 02 December 2019
Citations: 11

Funding Information

This study has received funding from the European Social Fund (project No. 09.3.3-LMT-K-712-14-0078) under a grant agreement with the Research Council of Lithuania (LMTLT).

Abstract

Aim

The aim was to translate and validate the Missed Nursing Care in Infection Prevention and Control Survey for its use in the Lithuanian context.

Methods

A convenience sample of 331 nurses was surveyed. The study instrument explored missed care in the context of infection prevention and control practices. Rasch analysis was undertaken using Winsteps® Rasch measurement computer program and the generalized item response modelling software.

Results

The Missed Nursing Care in Infection Prevention and Control Survey in the Lithuanian language demonstrated unidimensionality and provided evidence of item fit to the modified instrument. The reliability of both sub-scales was 0.78 and 0.98, respectively. Differing consensus between the nurses based on their perceived frequencies and reasons of missed care was demonstrated.

Conclusions

The final Lithuanian version of the Missed Nursing Care in Infection Prevention and Control Survey consists of 29 items that assess type and frequency of missed care and 17 items that identify reasons for missed care.

Implications for Nursing Management

Unit managers will be able to use the modified scales to generate evidence as to the sources of missed infection control practices in their clinical areas and the rationale for the breaks in the hierarchy of mandatory infection prevention.

Conflict of Interest

No conflict of interest has been declared by the authors.

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