Cultural adaptation and internal consistency analysis of the MISSCARE Survey for use in Brazil1

Objective: The aims of this methodological research were to culturally adapt the MISSCARE Survey instrument to Brazil and analyze the internal consistency of the adapted version. Method: The instrument consists of 41 items, presented in two parts. Part A contains 24 items listing elements of missed nursing care. Part B is comprised of 17 items, related to the reasons for not delivering care. The research received ethics committee approval and was undertaken in two phases. The first was the cultural adaptation process, in which a committee of five experts verified the face and content validity, in compliance with the steps recommended in the literature. The second was aimed at analyzing the internal consistency of the instrument, involving 60 nursing team professionals at a public teaching hospital. Results: According to the experts, the instrument demonstrated face and content validity. Cronbach’s alpha coefficients for parts A and B surpassed 0.70 and were considered appropriate. Conclusion: The adapted version of the MISSCARE Survey demonstrated satisfactory face validity and internal consistency for the study sample. Descriptors: Nursing Care; Validation Studies; Patient Safety. 1 Paper extracted from Master Thesis “Adaptação cultural e validação inicial do instrumento MISSCARE para o Brasil: contribuição para