title: Evaluating the Performance of a Single-Item, Global, Estimate of Missed Nursing Care.
abstract: Current measures of missed nursing care employ inventories of tasks which are rated for the frequency with which each is missed. These lists have shortcomings for research and clinical evaluation. There is a need for measures with less response burden, wider generalizability, and greater sensitivity and specificity for identifying poor quality care.
  
  
  
  We tested a single-item, global, measure using data from a large study of missed care in Australia. We employed traditional and innovative analysis techniques such as receiver operating characteristic curve and item response theory.
  
  
  
  The single-item measure had adequate concurrent and convergent validity when compared to one list-format measure of missed care and strong sensitivity and specificity for identifying poor quality care.
  
  
  
  A well-crafted single-item measure, such as the one tested, can be useful for measuring missed nursing care.
authors.forename: Patti
authors.initials: P
authors.lastname: Hamilton
authors.forename: Eileen
authors.initials: E
authors.lastname: Willis
authors.forename: Terry
authors.initials: T
authors.lastname: Jones
authors.forename: Rhonda
authors.initials: R
authors.lastname: McKelvie
authors.forename: Ian
authors.initials: I
authors.lastname: Blackman
authors.forename: Luisa
authors.initials: L
authors.lastname: Toffoli
authors.forename: Clare
authors.initials: C
authors.lastname: Harvey
mesh_terms: D000328:Adult; D000368:Aged; D001315:Australia; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D008880:Midwifery; D009741:Nursing Staff, Hospital; D017063:Outcome Assessment, Health Care; D057184:Practice Patterns, Nurses'; D015203:Reproducibility of Results; D011795:Surveys and Questionnaires / Q000592:standards*; D013647:Task Performance and Analysis; D057188:Workflow; D055815:Young Adult