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

摘要：

目的 汉化手术室护理缺失量表，进行文化调试后检验其信效度，为评估手术室护理缺失提供测评工具。方法 采用改良版Brislin翻译模型进行翻译，经文化调适后形成中文版手术室护理缺失量表。采用便利抽样的方法，于2023年10月—12月对辽宁省2所三级甲等医院的320名手术室护士进行问卷调查，检验量表的信效度。结果 中文版手术室护理缺失量表分A部分（手术室护理缺失项目）28个条目和B部分（手术室护理缺失原因分析）16个条目两部分，Cronbach’s α系数分别为0.949和0.886，重测信度分别为0.887和0.784。A部分探索性因子分析提取法律、准备、安全、沟通和术后处理5个因子，累计方差贡献率为85.718%；B部分探索性因子分析提取急诊急救、人员配备、物资资源和团队合作4个因子，累计方差贡献率为82.965%。两部分各条目水平的内容效度指数和平均内容效度指数分别为：A部分0.80~1.00和0.98；B部分0.80~1.00和0.96。结论 中文版手术室护理缺失量表信效度良好，能够测量国内手术室护士护理缺失的项目并反映缺失原因，可以作为评估手术室护士护理缺失的测评工具进行推广使用。

关键词: 手术室护士, 护理缺失, 信度, 效度, 文化