关键词: 手术室护士, 护理缺失, 信度, 效度, 文化

Abstract:

Objective To translate the Misscare Survey Operating Room（OR） Scale into Chinese，and to test its reliability and validity. Methods The improved Brislin model is used for translation. The Chinese version scale was determined after cross-cultural adaptation and pre-experiment. A convenient sampling method was used to investigate 310 operating room nurses from 2 tertiary A hospitals in Liaoning province from October to December 2023 to analyze the reliability and validity of the scale through questionnaire survey. Results The Chinese version scale of the Misscare Survey OR included 28 OR nursing activities in part A and 16 items of missed nursing care in part B. The Cronbach’s α coefficient was 0.949 and 0.886，respectively；the test-retest reliability was 0.887 and 0.784，respectively. In part A，the exploratory factor analysis extracted 5 factors，including law，preparedness，security，communication and closure procedures，with a cumulative variance contribution of 85.718 %. In Part B，4 factors （urgency，staffing，materials，teamwork） were extracted by exploratory factor analysis，and the cumulative variance contribution rate was 82.965%. In Part A，the content validity and the content validity index of the item level of the scale was 0.80~1.00 and 0.98；in Part B，the content validity and the content validity index of the item level of the scale was 0.80~1.00 and 0.96. Conclusion The Chinese version of the Misscare Survey OR Scale has good reliability and validity，which can be used to measure the missing items of the OR nurses in China and reflect the missing reasons，and it can be used as an evaluation tool to evaluate the missed care of OR nurses.

Key words: Operating Room Nurse, Missed Nursing Care, Reliability, Validity, Culture