Validity of family satisfaction measures: an ongoing process*.
Validity of family satisfaction measures: an ongoing process*.
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家庭满意度衡量标准的有效性：一个持续的过程*。
DOI：
10.1097/pcc.0b013e3182975e4d
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发表时间：
2013
期刊：
影响因子：
--
通讯作者：
Templin,ThomasN
中科院分区：
文献类型：
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作者：
Meert,KathleenL;Templin,ThomasN
PFCC 是一种尊重患者及其家人的偏好、需求和价值观并对其做出回应的护理 (1)。在儿科领域，PFCC 承认家庭是孩子力量和支持的主要来源 (2)。为了推进 PFCC，评估患者和家庭需求和优先事项的工具是必要的。还需要工具来评估患者和家庭的结果，以响应旨在满足这些需求和优先事项的实践变化。重症监护中的家庭满意度是指家庭成员认为医疗保健提供者满足他们的需求和期望的程度 (3)。家庭满意度是与 PFCC 相关的结果，因为随着患者和家庭需求得到满足，满意度预计会增加。已经开发了几种评估家庭满意度的工具用于重症监护环境。然而，专门开发或针对危重儿童家长进行充分测试的工具很少。 在本期《儿科重症监护医学》中，Epstein 等人 (4) 对 50 名入住单一心胸 ICU (CTICU) 的危重儿童家长进行了 ICU 家庭满意度 (FS-ICU) 调查，评估了内部一致性信度和结构效度。 FS-ICU 是一项包含 24 项的调查，最初开发用于危重成人的家庭成员，以评估家庭满意度的两个领域，包括对护理的满意度和对医疗决策的满意度 (5)。 FS-ICU 项目是根据患者满意度和优质临终护理的概念框架、之前对家庭需求和医疗决策满意度的研究、其他经过验证的满意度调查以及试点研究生成的。 FS-ICU 的验证是在 1,038 名年龄为 61±18 岁的患者亲属（46% 的配偶）中进行的 (6)。对于这项研究，Epstein 等人 (4) 稍微修改了 FS-ICU，以反映幼儿的父母是预期的受访者 (pFS-ICU)，而不是危重成人的亲属。分数转换为 1-100 等级（0 = 最低满意度，100 = 最高满意度）。研究结果表明，pFS-ICU 总分为 92.6±8.3，表明儿科 CTICU 的护理和决策过程总体满意度较高。发现 pFS-ICU 具有较高的内部一致性可靠性，Cronbach 的 alpha 值为 0.95。通过 pFS-ICU 评分与 McPherson 等人开发的 23 项满意度调查的相关性来评估结构效度 (7)。麦克弗森调查旨在供危重儿童的家长使用，涵盖对医院环境、患者护理和沟通的满意度。 pFS-ICU 和 McPherson 调查之间的相关性很强 (r= 0.73；p< 0.01)。 pFS-ICU 之间的相关性
PFCC is care that is respectful of and responsive to patient and family preferences, needs, and values (1). In pediatrics, PFCC acknowledges the family as the child’s primary source of strength and support (2). To advance PFCC, tools to assess patient and family needs and priorities are necessary. Tools are also needed to evaluate patient and family outcomes in response to practice changes intended to address these needs and priorities. Family satisfaction in intensive care is the extent to which family members perceive their needs and expectations as fulfilled by healthcare providers (3). Family satisfaction is an outcome relevant to PFCC because satisfaction is expected to increase as patient and family needs are met. Several tools to assess family satisfaction have been developed for use in intensive care settings. However, few tools have been specifically developed or adequately tested with parents of critically ill children.In this issue of Pediatric Critical Care Medicine, Epstein et al (4) evaluate the internal consistency reliability and construct validity of the Family Satisfaction in the ICU (FS-ICU) survey in 50 parents of critically ill children admitted to a single cardiothoracic ICU (CTICU). The FS-ICU is a 24-item survey originally developed for use with family members of critically ill adults to assess two domains of family satisfaction, including satisfaction with care and satisfaction with medical decision making (5). FS-ICU items were generated based on the conceptual frameworks of patient satisfaction and quality end-of-life care, prior research on family needs and satisfaction with medical decision making, other validated satisfaction surveys, and a pilot study. Validation of the FS-ICU was conducted among 1,038 relatives of patients (46% spouses) of age 61±18 years (6). For this study, Epstein et al (4) modified the FS-ICU slightly to reflect that parents of young children are the intended respondents (pFS-ICU) rather than relatives of critically ill adults. Scores were converted to a 1–100 scale (0= lowest satisfaction and 100= highest satisfaction). Findings from the study demonstrate a total pFS-ICU score of 92.6±8.3 suggesting high overall satisfaction with care and decision-making processes in the pediatric CTICU. The pFS-ICU was found to have high internal consistency reliability as reflected by Cronbach’s alpha of 0.95. Construct validity was evaluated by correlation of the pFS-ICU scores with those of a 23-item satisfaction survey developed by McPherson et al (7). The McPherson survey was designed for use with parents of critically ill children and covers satisfaction with the hospital environment, patient care, and communication. Correlation between the pFS-ICU and the McPherson survey was strong (r= 0.73; p< 0.01). Correlation between the pFS-ICU