Danielis Matteo, Zanotti Renzo, Rosset Marika, Giorgino Serena, Gentilini Sara, Molaro Dina, Qualizza Anna, Garau Alessandro
Laboratory of Studies and Evidence Based Nursing, Department of Medicine, University of Padua, 35131 Padua, Italy.
Department of Anaesthesia and Intensive Care, Academic Hospital of Udine, 33100 Udine, Italy.
Healthcare (Basel). 2023 Jul 11;11(14):1997. doi: 10.3390/healthcare11141997.
Quality measurement of the intensive care unit (ICU) should include families' perspectives, their satisfaction with the care process and outcomes, and the evaluation of actions to improve their psychological health and wellbeing. The current study was designed to validate the Italian version of the Family Satisfaction in the Intensive Care Unit (FS-ICU) using the Rasch model. Results included reliability and separation for items and persons, item fit statistics, unidimensionality, and item characteristic curve. The study was conducted between August 2022 and February 2023. A total of 108 family members (mean age 54.9 years) completed the FS-ICU questionnaire. The instrument had a moderate discrimination ability and only five items (#21, #23, #10, #22, and #24) exhibited a misfit. The Rasch dimension explained 52.1% of the variance in the data, while the unexplained variance in the first contrast is 7.2%, which indicates a possible second dimension. FS-ICU was shown to be beneficial as an assessment instrument for family member satisfaction in the ICU, despite some flaws that need to further be addressed to improve the scale.
重症监护病房（ICU）的质量评估应纳入家属的观点、他们对护理过程及结果的满意度，以及对改善其心理健康和幸福感的措施的评估。本研究旨在使用拉施模型验证意大利语版的重症监护病房家属满意度量表（FS-ICU）。结果包括项目及人员的信度和区分度、项目拟合统计量、单维度性和项目特征曲线。该研究于2022年8月至2023年2月进行。共有108名家属（平均年龄54.9岁）完成了FS-ICU问卷。该工具具有中等区分能力，只有五个项目（#21、#23、#10、#22和#24）显示拟合不佳。拉施维度解释了数据中52.1%的方差，而第一个对比中的未解释方差为7.2%，这表明可能存在第二个维度。尽管存在一些需要进一步解决以改进该量表的缺陷，但FS-ICU被证明是评估ICU家属满意度的有益工具。
