The Reasons for Implicit Rationing of the Nursing Care Scale

Development, Testing Validity, and Reliability

Zeleníková, Renáta PhD, RN
Jarošová, Darja MSc, PhD, RN
Bujok, Petr PhD

Department of Nursing and Midwifery, Faculty of Medicine, University of Ostrava, Ostrava, Czech Republic
Department of Informatics and Computers, Faculty of Science, University of Ostrava, Ostrava, Czech Republic

Correspondence regarding this article should be directed to Renáta Zeleníková, PhD, RN, Department of Nursing and Midwifery, Faculty of Medicine, University of Ostrava Czech Republic, Syllabova 19, 703 00, Ostrava, Czech Republic. E-mail: [email protected]

Journal of Nursing Measurement 32(4):p 601-610, December 01, 2024. | DOI: 10.1891/JNM-2023-0047

Background and Purpose: Only a limited number of scales are available, which include a section measuring the reasons for implicit rationing of care. There is no single scale to assess the reasons for implicit rationing of nursing care. The main aim was to develop and psychometrically test a scale assessing the reasons for implicit rationing of nursing care. Methods: The sample comprises 8,027 nurses. Data were collected from the Czech Republic from September 2019 to October 2020. The construct validity of the instrument was assessed using exploratory factor analysis (EFA). To test reliability, Cronbach’s alpha was used. Results: The Reasons for Implicit Rationing of Nursing Care Scale consists of 10 items and an 11-point Likert-type scale. The EFA identified two main factors with eigenvalues greater than 1.0 (3.815; 2.689) that explain a total of 99.91% of variance. Factor 1 (communication and material resources) contains six items, and Factor 2 (labor resources) contains four items. Cronbach’s coefficient (α) of the scale was .908. Conclusions: The Reasons for Implicit Rationing of Nursing Care Scale is a short, valid, and reliable scale for routine use in clinical practice.