Adaptation, modification, and psychometric assessment of a Norwegian version of the Basel extent of rationing of nursing care for nursing homes instrument (BERNCA-NH)

Table 4 BERNCA-NH subscales, Mean and SD, internal consistency measures and factor loadings

	Mean (SD)	Cronbach’s α	Item-total correlations	Factor Loadings^c
Overall scale	39.85 (21.75)	0.933
Routine care	35.62 (23.93)	0.833
1. Sponge bath/partial sponge bath/skin care			0.697	0.693
2. Oral hygiene			0.691	0.663
3. Assist food/drink intake			0.695	0.878
5. Mobilization/ change of the position			0.709	0.931
^a 10. Allow necessary time for patients to perform care themselves when possible			0.395	0.617
’When required’ care	32.27 (22.47)	0.821
^a 4. Provide food other than regular meals			0.584	0.790
6. Leave a patient in urine/stool longer than 30 min			0.619	0.774
^a 9. Assist to the toilet when needed			0.663	0.766
11. Monitoring patients as care workers felt necessary			0.604	0.788
13. Keep residents waiting who rung			0.593	0.719
Psychosocial care	48.98 (27.08)	0.854
7. Emotional support			0.714	0.873
8. Necessary conversation with patient or family			0.698	0.858
17. Activity that she/he wanted			0.662	0.818
^a 18. Experiencing community and meaning			0.706	0.841
Documentation	50.24 (28.67)	0.674
14. Study care plans at the beginning of a shift			0.508	0.703
16. Documentation of care			0.508	0.798

CFA fit statistics: (N = 697) χ² = 276.549, df = 97, p < 0.001, CFI: 0.996, TLI: 0.995, RMSEA: 0.052 (90% CI: 0.044–0.059), SRMR: 0.042
^a New/adapted question
^b High scores represent negative descriptions; range 0–100 for scales
^c Factor loadings (standardised) derived from the CFA model (N = 697)

ISSN: 1472-6963