Papamichael Elena, Ioannou Myria, A Talias Michael
Neonatal Intensive Care Unit, Arch. Makarios III Hospital, 6 Koritsas street, 1474, Strovolos, Nicosia, Cyprus.
Health Management Unit, Open University of Cyprus, Nicosia, Cyprus.
BMC Health Serv Res. 2018 Dec 14;18(1):968. doi: 10.1186/s12913-018-3793-3.
Family-centered care has been receiving increased attention during the last decades and health professionals recognize family satisfaction with care as an important health indicator. The Empowerment of Parents in The Intensive Care-Neonatology (EMPATHIC-N) is a newly developed, yet empirically reliable and valid measure for the assessment of parental satisfaction with the care provided by Neonatal Intensive Care Units (NICU). The present study aims to present the Greek version of the EMPATHIC-N and to confirm its factorial structure.
The EMPATHIC-N was translated in Greek using a forward-backward translation and was piloted before use. A sample of 256 families receiving intensive care at the NICU of Archbishop Makarios III Public Hospital in Cyprus which is the only NICU in Cyprus, participated in the validation study of the EMPATHIC-N. Confirmatory factor analyses were performed using SPSS and AMOS 24.0.
The Greek version of the EMPATHIC-N had good psychometric characteristics (Cronbach's alpha = .87). The CFAs for the separate subscales of professionalism, organization, information, parental involvement and intervention for the EMPATHIC-N showed that all five subscales represented five distinct components of parental satisfaction with care. The CFA of the general instrument supported that a second-order model with a higher-order factor reflecting the organizational structure (professionalism, intervention and organization loaded on this factor) fitted the data best [χ2 (259) = 405.332, p < .001, ΤLI = .887, CFI = .903, RMSEA = .065 (90% CI .058, .073), SRMR = .0597].
EMPATHIC-N is a valid and reliable measure for the assessment of parental satisfaction with neonatal care in a Greek-Cypriot context. The organizational dimension of the NICUs is an important component with specific research and clinical implications for the enhancement of parental satisfaction with care.
在过去几十年中，以家庭为中心的护理受到了越来越多的关注，卫生专业人员将家庭对护理的满意度视为一项重要的健康指标。重症监护 - 新生儿科家长赋权量表（EMPATHIC - N）是一种新开发的、经实证可靠且有效的工具，用于评估家长对新生儿重症监护病房（NICU）提供的护理的满意度。本研究旨在呈现EMPATHIC - N的希腊语版本并确认其因子结构。
采用正向 - 反向翻译法将EMPATHIC - N翻译成希腊语，并在使用前进行预试验。塞浦路斯大主教马卡里奥斯三世公立医院的新生儿重症监护病房是塞浦路斯唯一的新生儿重症监护病房，256个在此接受重症监护的家庭样本参与了EMPATHIC - N的验证研究。使用SPSS和AMOS 24.0进行验证性因子分析。
EMPATHIC - N的希腊语版本具有良好的心理测量学特征（克朗巴哈α系数 = 0.87）。对EMPATHIC - N的专业性、组织性、信息、家长参与和干预等单独子量表进行的验证性因子分析表明，所有五个子量表代表了家长对护理满意度的五个不同组成部分。总体工具的验证性因子分析支持一个二阶模型，其中一个高阶因子反映组织结构（专业性、干预和组织性加载在该因子上）最适合数据[χ2（259）= 405.332，p <.001，TLI = 0.887，CFI = 0.903，RMSEA = 0.065（90% CI 0.058，0.073），SRMR = 0.0597]。
在希族塞浦路斯背景下，EMPATHIC - N是评估家长对新生儿护理满意度的有效且可靠的工具。新生儿重症监护病房的组织维度是一个重要组成部分，对提高家长对护理的满意度具有特定的研究和临床意义。
