RNOtherJournal of advanced nursing2026

Cross-Cultural Adaptation and Validation of the MISSCARE Survey-Patient-Danish Version.

Maja Thomsen Albrechtsen, Lone Jørgensen, Ingrid Poulsen and 4 others

PMID 41013885

WHAT IT FOUND

An adapted MISSCARE survey let Danish hospital patients report missed nursing care, especially gaps in physical, emotional and relational care, but it was not tested again over time.

Key findings

01The adapted Danish MISSCARE Survey-Patient was tested with 284 hospital patients and contained 23 nursing-care items.

02In the field test, the three domains together explained 53% of variation in patient-reported missed nursing care; psychosocial care (0.46) and physical care (0.26) had significant associations.

03The survey had good acceptability, with missing data for items from 1.1% to 3.5%, but it was not tested again over time.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

Patients were recruited by convenience sampling and returned questionnaires voluntarily, so more engaged or satisfied patients may have been overrepresented. The study did not test whether the same patients would give similar answers on a second occasion, so reliability over time is unknown. The questionnaire was completed during hospital stay, so patients could not assess discharge education or care that happened without direct interaction. Some items did not apply to all patients; for example, 77.8% selected non-relevant for privacy. The study was done in one Danish university hospital, so results may not transfer to other settings or cultures.

Declared interests

The authors declared no conflicts of interest. The named funder was Aalborg University Hospital.

The easy way to misread this

Do not read this as evidence that the survey improves care or reduces missed nursing care. It tested whether Danish patients could use and report on an adapted MISSCARE survey; it did not test an intervention or measure patient outcomes.

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