Psychometric testing of the developmental care scale for neonates with congenital heart disease
Psychometric testing of the developmental care scale for neonates with congenital heart disease
复制标题
先天性心脏病新生儿发育护理量表的心理测试
DOI：
10.1017/s1047951119000337
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发表时间：
2019
影响因子：
1
通讯作者：
D. Cooper
中科院分区：
文献类型：
--
作者：
Sara Arter;E. Miller;T. Bakas;D. Cooper
摘要目的：对先天性心脏病新生儿进行发育护理是保证其神经正常发育的关键。需要衡量针对这些新生儿的发育护理，以确保在心脏ICU内和跨心脏ICU的一致实施。本研究的目的是对先天性心脏病新生儿发展护理量表进行心理测量学测试，该量表衡量了床边护士对心脏重症监护病房新生儿的发展护理质量。方法：对119名心脏ICU护士进行心理测量学测试，以提供内部一致性、信度和结构效度的证据。参与者主要是年轻(中位数为32岁)、白人(90%)、女性(93%)、学士学位(78%)和在心脏ICU工作过7年的中位数。结果：提供了内部一致性的证据(α=.89)，校正后的条目-总相关范围为.31至.77。探索性因素分析提供了结构效度的证据，作为一个单维量表，以及一个由四个子量表组成的多维度量表：创造外部环境，评估家庭幸福，照顾者对新生儿的活动，和基本的人类需求。结论：由31个条目组成的先天性心脏病新生儿发展性关怀量表具有较好的信度和效度，护士在心脏重症监护室护理新生儿时使用了该量表。该仪器将作为一种有价值的结果衡量标准，任务是改善发育护理绩效，并使在未来的研究中确定发育护理绩效与新生儿神经发育结果之间的关系成为可能。
Abstract Purpose: Developmental care of neonates with CHD is essential for proper neurodevelopment. Measurement of developmental care specific to these neonates is needed to ensure consistent implementation within and across cardiac ICUs. The purpose of this study was to psychometrically test the Developmental Care Scale for Neonates with Congenital Heart Disease, which measures the quality of developmental care provided by bedside nurses to neonates in the cardiac ICU. Methods: Psychometric testing was conducted with 119 cardiac ICU nurses to provide evidence of internal consistency reliability and construct validity. Participants were predominantly young (median = 32 years), white (90%) females (93%) with bachelor’s degrees (78%) and a median experience in the cardiac ICU of 7 years. Results: Evidence of internal consistency reliability (α =.89) was provided with corrected item-total correlations ranging from .31 to .77. Exploratory factor analysis provided evidence of construct validity as a unidimensional scale, as well as a multidimensional scale consisting of four subscales: creating the external environment, assessment of family well-being, caregiver activities toward the neonate, and basic human needs. Conclusions: Evidence of reliability and validity of the 31-item Developmental Care Scale for Neonates with Congenital Heart Disease was established with nurses caring for neonates in the cardiac ICU. This instrument will serve as a valuable outcome measure tasked with improving developmental care performance and makes it possible to identify relationships between developmental care performance and neonatal neurodevelopmental outcomes in future research.