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Abstract Objective To develop and validate a questionnaire to evaluate missed nursing care (MNC) in a home care setting. Design A new instrument was developed and tested performing a preliminary analysis of a multicenter cross‐sectional study in Italy. Reporting was performed according to COnsensus‐based Standards for the selection of health status Measurement INstruments (COSMIN) guidelines. Sample Eight hundred out of a total of 2549 home care nurses enrolled in AIDOMUS‐IT were considered for the validation of the Missed Nursing Care in Home Care (MNCHC). Measurements The MNCHC instrument was developed by a panel of experts and underwent content and face validation. Exploratory (EFA) and confirmatory factor analyses (CFA) were conducted. Results EFA revealed a one‐factor solution, explaining 56% of the total variance for MNCHC. CFA confirmed excellent structural validity, with a one‐factor model showing an exceptional fit (χ 2 (27) = 141. 39, p 0. 5). MNCHC also demonstrated high reliability (Cronbach's α = 0. 92). The activity with the highest rate of missed care was the documentation of nursing care (77%), while activities related to nursing techniques (e. g. , injections, dressings, etc. ) were reported to be missed less (33. 63%). Conclusions MNCHC is a quick‐filling, valid, reliable, and psychometrically sound instrument for measuring MNC in home care useful for future research.
Nitto et al. (Tue,) studied this question.