Patient Preference and Adherence (Jun 2023)
Development and Validation of the Missed Nursing Care Tool for Pre-Operative Patients with Lung Cancer in China
Abstract
Xin-ping Shi,1,* Ma Encarnacion A Dychangco,2,* Xu-ming Yang,3 Jennifer Joy R Olivar4 1The Nursing Department, Henan Provincial People’s Hospital, People’s Hospital of Zhengzhou University, Zhengzhou, People’s Republic of China; 2Paulinian Leadership Academy, University Research Council, St Paul University Manila, Manila, Philippine; 3Operating Room, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, People’s Republic of China; 4Nursing and Allied Health Sciences, St Paul University Manila, Manila, Philippine*These authors contributed equally to this workCorrespondence: Ma Encarnacion A Dychangco, St Paul University Manila, 680 Pedro Gil st. Malate, Manila, 1004, Philippines, Tel +632 85245687, Fax +632 85260410, Email [email protected]: Current research suggests that missed nursing care is widespread in preoperative lung cancer patients in China, and preoperative airway management nursing care for lung cancer patients is not standardized. Missed nursing care for preoperative lung cancer patients, on the other hand, is rarely investigated, particularly from the patient’s perspective. This study aimed to develop and validate the MISSCARE Survey for pre-operative patients with lung cancer in China.Methods: This study generated the preliminary draft of the MISSCARE Survey - Lung Cancer Patient (MS-LCP) and tested its reliability and stability through three rounds of lung cancer resection (494, 50, and 309 cases, respectively). 20 patients and 6 experts determined the face and content validity. EFA and CFA assessed construct and convergent validity. Internal consistency, including Cronbach’s alpha, Spearman-Brown reliability, and re-test reliability, was also examined.Results: The scale contained 15 items, including specific care, communicative care, timely care, and basic care. KMO was 0.932 (> 0.6), and Bartlett’s Test of Sphericity showed P = 0.000 ( 0.50) and CR from 0.861 to 0.904 (> 0.70).Conclusion: The MS-LCP was reliable and valid in this study, making it appropriate for the Chinese lung cancer patient population. This tool is more objective in its presentation of missed nursing care, assisting nursing staff in optimizing nursing procedures before surgery, increasing the implementation of higher-quality tumor care, and promoting the recovery of lung cancer surgery patients.Keywords: China, lung cancer, missed nursing care, psychometric properties, scale development
