Please cite this article as: Yuwanto M.A, Putra K.R, Windarwati H.D. Perceived implicit rationing of nursing care: Psychometric assessment in the Indonesian context. Nursing Practice Today. 2023; 10(1):23-31 This work is licensed under a Creative Commons Attribution-Noncommercial 4.0 International license (https:/creativecommons.org/licenses/by-nc/4.0/) Noncommercial uses of the work are permitted, provided the original work is properly Cited Nursing Practice Today Original Article Perceived implicit rationing of nursing care: Psychometric assessment in the Indonesian context Mahmud Ady Yuwanto 1,2 *, Kuswantoro Rusca Putra 1 , Heni Dwi Windarwati 1 1 Nursing School, Universitas Brawijaya, Malang, Indonesia 2 Nursing School, Universitas dr. Soebandi, Jember, Indonesia ARTICLE INFO ABSTRACT Received 25 July 2022 Accepted 30 October 2022 Available online at: http://npt.tums.ac.ir 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 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. Keywords: psychometric properties; rationing of care; nursing care; nurses *Corresponding Author: Mahmud Ady Yuwanto, Nursing School, Universitas Brawijaya, Malang, Indonesia; Nursing School, Universitas dr. Soebandi, Jember, Indonesia. E-mail: ashadanh@gmail.com Introduction In the past few decades, healthcare systems across the globe have endeavored to reduce costs and expand services (1). ‘Rationing of care’ or ‘rationed care’ is a health care term that is often used in various countries, where during the implementation of nursing care, there are actions that are left behind (2). This leads to neglect, which results in missing nursing care, delays in providing nursing care, or failure to provide nursing care altogether for various reasons (3). Patient/family education and emotional support were the most frequently neglected nursing duties (4). The most commonly neglected nursing practice is a prompt answer to a patient’s request (5). The Perceived Implicit Rationing of Nursing Care (PIRNCA) of patient care. Many nurses feel that they are overworked, thus showing problematic conditions during the process of providing nursing care (6). PIRNCA also affects nursing staff performance outcomes (4). The imbalance in the performance of nurses in carrying out their duties can be mitigated by providing thorough nursing care. Hospital Tehran University of Medical Sciences 2023; Volume 10, No 1, pp. 23-31 Copyright © 2023 Tehran University of Medical Sciences. Published by Tehran University of Medical Sciences. DOI: leadership and nurses in acute care settings is an important factor influencing the quality 10.18502/npt.v10i1.12254 assistance with physical care= 0.964; monitoring-safety-support= 0.980;