Development and validation of a neonatal intensive care parent satisfaction instrument
Development and validation of a neonatal intensive care parent satisfaction instrument
复制标题
DOI：
10.1097/pcc.0b013e318238b80a
复制
发表时间：
2012-09-01
影响因子：
4.1
通讯作者：
van Goudoever, Johannes B.
中科院分区：
文献类型：
--
作者：
Latour, Jos M.;Duivenvoorden, Hugo J.;van Goudoever, Johannes B.
目的：开发和测试EMPATHIC-N的心理测量特性（授权的父母在重症监护新生儿）问卷测量父母的满意度。设计：一项心理测量研究测试的可靠性和有效性的父母满意度问卷，通过应用验证性因素分析，包括标准化的因素负荷，随后克朗巴赫的α可靠性估计在整个时间，一致性效度，和非差异性效度测试。设置：一所大学医院的30个床位的新生儿重症监护室。患者：两个队列，共有441名父母，他们的孩子被收进新生儿重症监护室，2009年1月至12月。干预措施：无。测量和主要结果：在第一个队列中，339名父母中有220名（65%）做出了回应;在第二组中，102名家长中有59名（58%）作出了答复。结构方程模型和验证性因素分析导致了足够的模型拟合的57个声明在五个领域：信息，护理和治疗，组织，父母的参与，和专业态度。这些陈述的标准化因子负荷在0.58和0.91之间。可靠性措施，克朗巴赫的a，域的范围从0.82到0.95。跨时间的可靠性表明，没有证据表明统计学显着差异的领域。一致的有效性证实了一个良好的相关性（p = .01）之间的领域和四个一般的满意度问题。无差别效度显示，婴儿的特征和域之间没有显着的效果大小，除了通气婴儿和父母参与的声明和婴儿>= 30 wks胎龄和organizational statements.Conclusions：EMPATHIC-N问卷是一个有效的质量性能指标来衡量所提供的护理，认为由父母。（Pediatr Crit Care Med 2012; 13：554-559）
Objective: To develop and test the psychometric properties of the EMPATHIC-N (EMpowerment of PArents in THe Intensive Care-Neonatology) questionnaire measuring parent satisfaction.Design: A psychometric study testing the reliability and validity of a parent satisfaction questionnaire by applying confirmatory factor analysis including standardized factor loadings and subsequently Cronbach's alpha reliability estimates across time, congruent validity, and nondifferential validity testing.Setting: A 30-bed neonatal intensive care unit in a university hospital.Patients: Two cohorts with a total of 441 parents whose child was admitted to the neonatal intensive care unit, January to December 2009.Interventions: None.Measurements and Main Results: In the first cohort, 220 of 339 (65%) parents responded; in the second cohort, 59 of 102 (58%) parents responded. Structural equation modeling and confirmatory factor analysis resulted in a sufficient model fit of 57 statements within five domains: Information, Care & Treatment, Organization, Parental Participation, and Professional Attitude. Standardized factor loading of these statements were between 0.58 and 0.91. Reliability measures, Cronbach's a, of the domains ranged from 0.82 to 0.95. Reliability across time showed no evidence of statistically significant differences between the domains. Congruent validity was confirmed by a good correlation (p = .01) between the domains and four general satisfaction questions. Nondifferential validity showed no significant effect sizes between the infants' characteristics and the domains, except between ventilated infants and parent participation statements and infants >= 30 wks gestational age and organizational statements.Conclusions: The EMPATHIC-N questionnaire is a valid quality performance indicator to measure the delivered care as perceived by parents. (Pediatr Crit Care Med 2012; 13:554-559)