2023 Volume 27 Issue 1 Pages 171-178
The implicit rationing of nursing care refers to the withholding or failure to conduct the necessary nursing tasks because of inadequate time, staffing level, and/or skill mix, and is measured using the Revised- Basel Extent of Rationing of Nursing Care (BERNCA-R) scale. This study aimed to translate the BERNCA-R scale into Japanese and then assess the translated version's reliability and validity. Standard methodological requirements were followed during the translation and cultural adaptation. This study, conducted in November 2018, recruited 545 nurses working at two acute-care hospitals in Japan. Data from 317 nurses were included in the final analysis. The Cronbach's alpha coefficient of the translated scale's total score was 0.94. According to the principal component analysis, the Japanese version had a one-factor structure, similar to the original version. Meanwhile, the verification of convergent validity revealed a weak correlation between the composite score of the Japanese version of the Practice Environment Scale of the Nursing Work Index and each subscale score (r = -0.14 to -0.22, p <.01). Therefore, the validity of the Japanese version of the BERNCA-R scale remains an issue. Further verification of the reliability and validity using this scale is necessary to increase its value as a quality indicator of nursing care.
