Development and validation of a neonatal intensive care parent satisfaction instrument

作者：Latour Jos M^*; Duivenvoorden Hugo J; Hazelzet Jan A; van Goudoever Johannes B

来源：Pediatric Critical Care Medicine, 2012, 13(5): 554-559.

DOI：10.1097/PCC.0b013e318238b80a

• neonatology
• parents
• quality of care
• reliability
• satisfaction
• validity

Objective: To develop and test the psychometric properties of the EMPATHIC-N (EMpowerment of PArents in THe Intensive Care-Neonatology) questionnaire measuring parent satisfaction. %26lt;br%26gt;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%26apos;s alpha reliability estimates across time, congruent validity, and nondifferential validity testing. %26lt;br%26gt;Setting: A 30-bed neonatal intensive care unit in a university hospital. %26lt;br%26gt;Patients: Two cohorts with a total of 441 parents whose child was admitted to the neonatal intensive care unit, January to December 2009. %26lt;br%26gt;Interventions: None. %26lt;br%26gt;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 %26 Treatment, Organization, Parental Participation, and Professional Attitude. Standardized factor loading of these statements were between 0.58 and 0.91. Reliability measures, Cronbach%26apos;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%26apos; characteristics and the domains, except between ventilated infants and parent participation statements and infants %26gt;= 30 wks gestational age and organizational statements. %26lt;br%26gt;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)

• 出版日期2012-9