Department of Intensive Care Medicine, University Clinic Hospital of Santiago de Compostela (CHUS), Galician Public Health System (SERGAS), Santiago de Compostela, Spain.
Simulation, Life Support & Intensive Care Research Unit of Santiago de Compostela (SICRUS), Health Research Institute of Santiago de Compostela (IDIS), Santiago de Compostela, Spain.
Nurs Crit Care. 2022 May;27(3):375-383. doi: 10.1111/nicc.12670. Epub 2021 Jun 19.
Engaging relatives in the care of critically ill patients is associated with better outcomes. It is crucial to empower relatives to provide feedback. Valid satisfaction instruments are essential to identify best practices and areas for improvement.
The aim of the study was to adapt the Spanish version of the EMpowerment of PArents in The Intensive Care-30 (EMPATHIC-30) questionnaire in adult intensive care units (ICUs) and psychometrically test the EMpowerment of PAtients in The Intensive Care-Family (EMPATHIC-F) questionnaire to measure family satisfaction.
This is a cross-sectional, prospective study conducted in two adult ICUs. Participants were relatives of patients who were discharged alive from the ICUs with an ICU length-of-stay >24 hours. The EMPATHIC-F questionnaire is divided into five domains that are related to the family-centred care principles. Responses are provided on a 6-point ordinal Likert scale, a score of >5 is considered acceptable.
Patients' relatives confirmed the adaptation of the instrument. A total of 262 relatives responded to the EMPATHIC-F questionnaire (97% response rate). The empirical structure of the instrument was established by confirmatory factor analysis confirming 30 statements within five theoretically conceptualized domains: information, care and treatment, family participation, organization, and professional attitude. On item level, two statements scored a mean below 5.0. Cronbach's α at the domain level was between .64 and .75. Congruent validity was adequate between the five domains and four general satisfaction items (r's .26-.54). The non-differential validity was confirmed with no significant effect size between three patients' demographic characteristics and the domains.
The EMPATHIC-F questionnaire is a reliable and valid quality performance indicator to measure the perceptions of family members in adult ICU settings.
The EMPATHIC-F questionnaire can be used to benchmark and provides a framework for standardized quality improvement towards the development of a family-centred care philosophy within adult ICUs.
让亲属参与危重症患者的护理与更好的治疗结果相关。让亲属有能力提供反馈至关重要。有效的满意度工具对于确定最佳实践和改进领域至关重要。
本研究旨在将成人重症监护病房（ICU）中父母赋权量表-30（EMPATHIC-30）的西班牙语版本进行改编，并对患者赋权量表-家庭版（EMPATHIC-F）进行心理测量学测试，以衡量家庭满意度。
这是一项在两家成人 ICU 中进行的横断面前瞻性研究。参与者为 ICU 住院时间>24 小时并存活出院的患者的亲属。EMPATHIC-F 问卷分为五个与以家庭为中心的护理原则相关的领域。回答是在 6 点有序 Likert 量表上提供的，得分>5 被认为是可接受的。
患者亲属确认了工具的改编。共有 262 名亲属回答了 EMPATHIC-F 问卷（应答率 97%）。通过验证性因子分析，确定了 30 个条目在五个理论概念化的领域内的仪器实证结构：信息、护理和治疗、家庭参与、组织和专业态度。在项目层面上，有两个陈述的平均分低于 5.0。领域层面的克朗巴赫 α 值在.64 到.75 之间。五个领域和四个一般满意度项目之间的一致性效度适当（r 值为.26-.54）。通过三个患者人口统计学特征与领域之间没有显著的效应大小，确认了非差异性有效性。
EMPATHIC-F 问卷是一种可靠有效的质量绩效指标，可用于衡量成人 ICU 环境中家庭成员的感知。
EMPATHIC-F 问卷可用于基准测试，并为成人 ICU 中以家庭为中心的护理理念的标准化质量改进提供框架。
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