Original scientific paper

https://doi.org/10.20471/acc.2021.60.03.08

Croatian Adaptation and Validation of the Perceived Implicit Rationing of Nursing Care (PIRNCA) Questionnaire: a Cross-Sectional Study

Adriano Friganović orcid.org/0000-0002-9528-6464 ; Department of Anesthesiology, Resuscitation and Intensive Medicine, Zagreb University Hospital Centre, Zagreb, Croatia; University of Applied Health Sciences, Zagreb, Croatia
Biljana Kurtović orcid.org/0000-0001-9669-9829 ; University of Applied Health Sciences, Zagreb, Croatia
Slađana Režić orcid.org/0000-0002-2360-8508 ; University of Applied Health Sciences, Zagreb, Croatia; Department of Health Care Quality Assurance and Improvement, Zagreb University Hospital Centre, Zagreb, Croatia
Cecilija Rotim ; University of Applied Health Sciences, Zagreb, Croatia; Dr. Andrija Štampar Teaching Institute of Public Health, Zagreb, Croatia
Dejan Živanović orcid.org/0000-0001-8232-9368 ; Department of Biomedical Sciences, College of Vocational Studies for Education of Preschool Teachers and Sports Trainers, Subotica, Serbia
Sanja Ledinski Fičko ; University of Applied Health Sciences, Zagreb, Croatia

Abstract

The aim was to perform adaptation and validation of the Perceived Implicit Rationing
of Nursing Care. Implicit delaying of nursing care is an intermediate step, linking nurses with
the quality of outcomes for patients and nurses, and it is the result of prioritization of health care
measures within the assigned group of patients cared for by nurses. The Perceived Implicit Rationing
of Nursing Care instrument is a tool used to assess the rationing of care in nursing practice. Study
participants were nurses working at hospital wards in 4 university hospitals in the Republic of Croatia.
The questionnaire was filled-in by 438 nurses. Data were collected between April and November 2018.
After principal axis factoring, a single factor solution based on the correlation matrix was adopted. The
measured construct is one-dimensional, and the extracted factor explains 47.2% of its variance. Additionally,
the reliability of the whole questionnaire was determined by using the internal consistency
coefficient Cronbach alpha on the Perceived Implicit Rationing of Nursing Care with 31 of 0.96
particles, which is extremely high internal consistency reliability. In conclusion, the study found a high
level of reliability and validity of the translated Perceived Implicit Rationing of Nursing Care questionnaire,
fully comparable to that of the original. The questionnaire can be used to assess the phenomenon
of implicit care rationing in Croatian hospitals.

Keywords

PIRNCA; Validation; Missed care; Patient safety; Nursing

Hrčak ID:

271427

URI

https://hrcak.srce.hr/271427

Publication date:

1.9.2021.

Article data in other languages: croatian

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