The Reasons for Implicit Rationing of the Nursing Care Scale: Development, Testing Validity, and Reliability.

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. [ABSTRACT FROM AUTHOR]