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Life sciences · Journal article
International Journal of Nursing Studies Advances · July 1, 2026
Reinforces what was already believed, rather than introducing something new.
The Japanese version of the revised MISSCARE Survey demonstrates acceptable construct validity and reliability in a sample of acute care nurses in Tokyo. Part A showed three-factor structure (fundamental care, clinical monitoring and management, responsive care) and Part B showed three-factor structure (communication, material and operational resources, labour resources). This instrument is suitable for systematic assessment of missed nursing care in Japanese acute care settings and enables international comparisons, though generalizability beyond the two studied hospitals requires further validation.
Cross-sectional psychometric validation study with confirmatory factor analysis and test-retest reliability assessment. Registered nurses working at two acute care hospitals in Tokyo; 1136 eligible nurses identified, 455 responded to web-based survey, 375 with complete data included in analysis.. Intervention: Japanese version of the revised MISSCARE Survey (Part A: missed nursing care; Part B: reasons for missed care). n = 375. Two acute care hospitals in Tokyo, Japan.
Part A three-factor confirmatory model: Satorra-Bentler scaled χ²(204) = 515.38, p <.001; RMSEA = 0.069; CFI = 0.918; TLI = 0.906; SRMR = 0.052 Part B three-factor confirmatory model: Satorra-Bentler scaled χ²(202) = 542.80, p <.001; RMSEA = 0.081; CFI = 0.906; TLI = 0.893; SRMR = 0.058 McDonald's omega exceeded 0.80 for all factors in both parts
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Clinicians and nurse managers in Japanese acute care settings can now use a validated instrument to systematically assess and monitor missed nursing care, enabling evidence-based evaluation of staffing and work environment interventions. The demonstrated reliability supports its use for benchmarking and international policy comparisons, though validation in other Japanese healthcare settings is recommended before widespread implementation.
Psychometric validation study demonstrating acceptable construct validity and reliability of a translated instrument in a specific population, suitable for systematic assessment but not establishing clinical efficacy or practice change.
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Quoted from the source exactly as published.
Clinicians and nurse managers in Japanese acute care settings can now use a validated instrument to systematically assess and monitor missed nursing care, enabling evidence-based evaluation of staffing and work environment interventions. The demonstrated reliability supports its use for benchmarking and international policy comparisons, though validation in other Japanese healthcare settings is recommended before widespread implementation.
Graded across the dimensions that decide whether you should act, each from what the source actually supports. There is no single score, and where a dimension was not assessed it says so.
Objective. To develop a Japanese version of the revised MISSCARE Survey and evaluate its psychometric properties among nurses in acute care hospitals.Design. Cross-cultural adaptation and validation of a psychometric instrument.Methods. Between October and November 2025, a cross-sectional survey was conducted among 1136 registered nurses working at two acute care hospitals in Tokyo. The construct validity of Part A (missed nursing care) and Part B (reasons for missed care) was examined using exploratory factor analysis, followed by confirmatory factor analysis. Reliability was assessed using McDonald's omega and test-retest intraclass correlation coefficients.Results. Of the 1136 eligible nurses, 455 responded to the web-based survey, and 375 nurses with complete data were included in the analysis. Forty-five participants completed the retest 3 weeks after the initial survey. Confirmatory factor analysis indicated a three-factor structure for Part A, comprising (1) fundamental care; (2) clinical monitoring and management; and (3) responsive care (Satorra-Bentler scaled χ²(204) = 515.38, p <.001; root mean square error of approximation [RMSEA] = 0.069, comparative fit index [CFI] = 0.918, Tucker-Lewis Index [TLI] = 0.906, Standardized Root Mean Square Residual [SRMR] = 0.052), and a three-factor structure for Part B, comprising (1) communication; (2) material and operational resources; and (3) labour resources (Satorra-Bentler scaled χ²(202) = 542.80, p <.001; RMSEA = 0.081, CFI = 0.906, TLI = 0.893, SRMR = 0.058), with several items reallocated to better reflect the Japanese context. Internal consistency was high for both parts of the survey, with McDonald's omega values exceeded 0.80 for all factors. The test-retest intraclass correlation coefficients for the total scores of Parts A and B were 0.82 (95% confidence interval [CI], 0.67-0.91) and 0.68 (95% CI, 0.45-0.82), respectively.Conclusions. The Japanese version of the revised MISSCARE Survey demonstrated acceptable validity and reliability. This instrument enabled the systematic assessment of missed nursing care in Japanese acute care settings, supported the evaluation of nurse staffing and work environment interventions, and facilitated international comparisons to inform evidence-based nursing policies and practices.
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