Perceived implicit rationing of nursing care: Psychometric assessment in the Indonesian context

Abstract

Background & Aim: The perceived implicit rationing of nursing care is a tool for evaluating the rationing of nursing care. This tool has been used and psychometrically validated previously in different countries but never in Indonesia. This study aimed to assess the psychometric properties of the Indonesian version of the perceived implicit rationing of nursing care.

Methods & Materials: A descriptive cross-sectional design was chosen to investigate psychometric properties of the perceived implicit rationing of nursing care. The data collection period was during May 2021. Statistical analyses were performed using Partial Least Square-Structural Equation Models (PLS-SEM) on the SPSS software with the assistance of the Smart PLS-3 program. A multivariate analysis was conducted to assess construct validity. Cronbach’s alpha coefficient was used to evaluate instrument reliability.

Results: Outer loading for the entire instrument was > 0.7. Cronbach’s alpha for assistance with physical care= 0.964; monitoring-safety-support= 0.980; documentation-supervision= 0.994; communication= 0.931; and implementation of the prescribed treatment plan= 0.984. Using both statistical methods when evaluating the perceived implicit rationing of nursing care, in the confirmation that the tool is valid and reliable.

Conclusion: This version of the perceived implicit rationing of the nursing care instrument showed acceptable psychometric properties for use as an assessment instrument in an Indonesian-speaking country.