Kontakt X:X | DOI: 10.32725/kont.2026.018

Psychometric properties of the Slovak version of the MISSCARE Survey-PatientNursing - Original article

Elena Gurková Elena Gurková ORCID...1, *, Mária Sováriová Soósová ORCID...2, Katarína Žiaková ORCID...3
1 University of Prešov, Faculty of Health Care, Department of Nursing, Prešov, Slovak Republic
2 Pavol Jozef Šafárik University in Košice, Faculty of Medicine, Department of Nursing Care, Košice, Slovak Republic
3 Comenius University in Bratislava, Jessenius Faculty of Medicine in Martin, Department of Nursing, Martin, Slovak Republic

Background: Understanding patient-perceived missed nursing care is essential for improving patient-centred care, safety, and quality of nursing services in acute care settings. Although missed nursing care has been widely examined from nurses' perspectives, instruments capturing patients' experiences require further cultural adaptation and validation.

Aim: This study aimed to adapt the Slovak version of the MISSCARE Survey-Patient and to evaluate its psychometric properties in adult medical and surgical inpatient settings.

Design: A cross-sectional, correlational study.

Methods: A convenience sample of 319 adult inpatients from medical and surgical wards of three acute care hospitals participated in the study. Psychometric evaluation included item analysis, internal consistency assessment, confirmatory factor analysis, and testing of convergent and known-groups validity.

Results: Confirmatory factor analysis supported a three-factor structure comprising communication, basic care, and timeliness domains. Internal consistency was acceptable for the communication and basic care subscales. In contrast, the timeliness subscale demonstrated weaker psychometric performance, characterised by low item-total correlations and a high proportion of "not applicable" responses. Missed nursing care was most frequently reported in the communication domain. Significant associations were observed between patient-perceived missed nursing care, nursing care quality, and selected adverse events.

Conclusion: The Slovak version of the MISSCARE Survey-Patient demonstrates acceptable psychometric properties for assessing patient-perceived missed nursing care in acute medical and surgical settings, particularly in the communication and basic care domains. However, the applicability of the timeliness subscale appears limited, suggesting cautious interpretation and further refinement or validation of this domain before routine clinical use.

Keywords: Missed nursing care; Patient; Reliability; Validity
Grants and funding:

The study was supported by the Slovak Ministry of Education, Science, Research and Sport under grant KEGA 001UPJŠ-4/2024.

Conflicts of interest:

The authors declare no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Received: December 1, 2025; Revised: January 19, 2026; Accepted: February 27, 2026; Prepublished online: March 31, 2026 

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