Volume 8, Issue 4 (5-2023)                   SJNMP 2023, 8(4): 24-33 | Back to browse issues page

XML Persian Abstract Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Rezaei M, Aghaei S, Ramezany F, kuchaki Z. Design and psychometric Questionnaire of obstacles in implementation of family-centered care in Pediatric and Neonate intensive care units from the Parents' perspective. SJNMP 2023; 8 (4) :24-33
URL: http://sjnmp.muk.ac.ir/article-1-540-en.html
1- Department of Pediatric Nursing, Hamadan University of Medical Sciences, Hamadan, Iran
2- Department of Pediatric Nursing, Ilam University of Medical Sciences, Ilam, Iran
3- Hamadan University of Medical Sciences, Hamadan, Iran
4- Department of critical care Nursing, Ilam University of Medical Sciences, Ilam, Iran , arash5920@yahoo.com
Abstract:   (1040 Views)
Background & Aim: Patients of special care units for children and infants are separated from their families with restrictive policies. The present study was conducted with the aim of Design and psychometric Questionnaire of obstacles in implementation of family-centered care in Pediatric and Neonate intensive care units from the Parents' perspective.
Materials & Methods: After the field study, the face validity of the 36-item questionnaire was conducted using both quantitative and qualitative methods. Quantitative face validity of the questionnaire was done by 10 parents, qualitative face validity by 5 pediatric faculty members, and content validity by 10 nursing faculty members. Two-stage reliability was performed two weeks apart by 20 parents of patients hospitalized in special departments for children and infants. Cronbach's alpha coefficient was used for internal consistency. The factor analysis of the questionnaire was done by 150 parents with children and infants hospitalized in special care units.
Results: 14 questions were removed and the CVI and CVR of the 22-question questionnaire were calculated as 0.95 and 0.93, respectively. Cronbach's alpha of the questionnaire was 0.91 and intra-cluster correlation was 0.93. Factor analysis with principal component analysis extracted four factors of being cumbersome to parents' presence, inappropriate organizational structure, nurses' fear of insufficient knowledge of parents and fear of harming the patient with an explanatory rate of 61.65% of the total variance.
Conclusion: The 4-dimensional questionnaire of barriers to the implementation of family-centered care from the perspective of parents is a reliable and valid tool to investigate the barriers to the implementation of family-centered care in special care departments for children and infants.

 
Full-Text [PDF 649 kb]   (364 Downloads)    
Type of Study: Research | Subject: Special
Received: 2023/04/15 | Revised: 2023/06/19 | Accepted: 2023/05/31 | Published: 2023/05/31 | ePublished: 2023/05/31

References
1. Hill C, Knafl KA, Santacroce SJ. Family-Centered Care From the Perspective of Parents of Children Cared for in a Pediatric Intensive Care Unit: An Integrative Review. J Pediatr Nurs. 2018;41(1):22-33. [DOI:10.1016/j.pedn.2017.11.007]
2. Al-Motlaq MA, Abuidhail J, Salameh T, Awwad W. Development and validation of an instrument to assess the implementation of family-centred care in traditional open bay Neonatal Intensive Care Units. Early Child Development and Care. 2017;187(1):168-77. [DOI:10.1080/03004430.2016.1154050]
3. Abukari AS, Schmollgruber S. Concepts of family-centered care at the neonatal and paediatric intensive care unit: A scoping review. Journal of Pediatric Nursing. 2023. [DOI:10.1016/j.pedn.2023.04.005]
4. Abukari AS, Acheampong AK, Aziato L. Experiences and contextual practices of family-centered care in Ghanaian nicus: a qualitative study of families and clinicians. BMC Health Services Research. 2022;22(1):1051. [DOI:10.1186/s12913-022-08425-0]
5. Avçin E, Can Ş, Yeşil F. Parents' Family-Centered Care Perception and Investigating Factors Affecting Such Perception. The Anatolian Journal of Family Medicine. 2021;4(2):128-33.
6. Foster M, Whitehead L, Arabiat D, Frost L. Parents' and staff perceptions of parental needs during a child's hospital admission: An Australian study. Journal of Pediatric Nursing. 2018;43(1):2-9. [DOI:10.1016/j.pedn.2018.06.013]
7. Phiri PG, Chan CW, Wong C. The scope of family-centred care practices, and the facilitators and barriers to implementation of family-centred care for hospitalised children and their families in developing countries: an integrative review. Journal of Pediatric Nursing. 2020;55(1):10-28. [DOI:10.1016/j.pedn.2020.05.018]
8. Franck LS, Bisgaard R, Cormier DM, Hutchison J, Moore D, Gay C, et al. Improving family-centered care for infants in neonatal intensive care units: Recommendations from frontline healthcare professionals. Advances in Neonatal Care. 2022;22(1):79-86. [DOI:10.1097/ANC.0000000000000854]
9. Kainiemi E, Flacking R, Lehtonen L, Pasanen M, Axelin A. Psychometric Properties of an Instrument to Measure the Quality of Family-Centered Care in NICUs. Journal of Obstetric, Gynecologic & Neonatal Nursing. 2022;51(4):461-72. [DOI:10.1016/j.jogn.2022.04.004]
10. Jafarpoor H, Vasli P, Manoochehri H, Zayeri F. Measuring family-centered care in intensive care units: developing and testing psychometric properties. Signa Vitae. 2020;16(2):82-91.
11. (IPFCC). IfP-aF-CC. Advancing the practice of patient- and family- centered care in hospitals How to get started. Institute for Patient-and Family-Centered Care. 2017.
12. Davidson JE, Aslakson RA, Long AC, Puntillo KA, Kross EK, Hart J, et al. Guidelines for family-centered care in the neonatal, pediatric, and adult ICU. Critical care medicine. 2017;45(1):103-28. [DOI:10.1097/CCM.0000000000002169]
13. Polit D, Beck C. Essentials of nursing research: Appraising evidence for nursing practice: Lippincott Williams & Wilkins; 2020.
14. Lawshe CH. A quantitative approach to content validity. Personnel psychology. 1975;28(4):563-75. [DOI:10.1111/j.1744-6570.1975.tb01393.x]
15. Gerritsen RT, Hartog CS, Curtis JR. New developments in the provision of family-centered care in the intensive care unit. Intensive care medicine. 2017;43(4):550-53. [DOI:10.1007/s00134-017-4684-5]
16. Hansson J, Hörnfeldt A, Björling G, Mattsson J. The healthcare staffs' perception of parents' participation in critical incidents at the picu, a qualitative study. Nursing Reports. 2021;11(3):680-89. [DOI:10.3390/nursrep11030064]
17. Richards CA, Starks H, O'Connor MR, Doorenbos AZ. Elements of family-centered care in the pediatric intensive care unit: an integrative review. Journal of hospice and palliative nursing: JHPN: the official journal of the Hospice and Palliative Nurses Association. 2017;19(3):238-46. [DOI:10.1097/NJH.0000000000000335]
18. Lemmon ME, Glass HC, Shellhaas RA, Barks MC, Bansal S, Annis D, et al. Family-centered care for children and families impacted by neonatal seizures: advice from parents. Pediatric Neurology. 2021;124:26-32. [DOI:10.1016/j.pediatrneurol.2021.07.013]
19. Prasopkittikun T, Srichantaranit A, Chunyasing S. Thai nurses' perceptions and practices of family-centered care: The implementation gap. International Journal of Nursing Sciences. 2020;7(1):74-80. [DOI:10.1016/j.ijnss.2019.09.013]
20. Paraszczuk AM, Feeg VD, Betz CL, Mannino JE. Psychometric Testing of Family Centered Care (FCC) Instrument: A Mixed Methods Analysis of Pediatric Nurses and Their Workplace Perceptions of FCC. Journal of Pediatric Nursing. 2021;61:75-83. [DOI:10.1016/j.pedn.2021.03.015]

Add your comments about this article : Your username or Email:
CAPTCHA

Send email to the article author


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2024 CC BY-NC 4.0 | Scientific Journal of Nursing, Midwifery and Paramedical Faculty

Designed & Developed by : Yektaweb