Department of Nursing, Faculty of Health Sciences, Person-centred Care and Health Outcomes Innovation Group, University of Alicante, San Vicente del Raspeig, Spain; GREIACC Research Group, La Fe Health Research Institute, Valencia, Spain.
GREIACC Research Group, La Fe Health Research Institute, Valencia, Spain.
J Pediatr Nurs. 2023 Nov-Dec;73:e484-e493. doi: 10.1016/j.pedn.2023.10.019. Epub 2023 Oct 26.
To confirm the structure and examine the psychometric properties of the Parental Competence Questionnaire in the Paediatric Hospital Emergency Setting (ECP-U).
An instrumental validation study of the ECP-U questionnaire and an examination of its psychometric properties were carried out.
The participants were 260 mothers and fathers seeking care in the paediatric emergency department of a hospital in Valencia (Spain) with children aged 0 to 14 years old. The five-factor structure of the ECP-U was confirmed with excellent statistical fits. Second-order models and a more parsimonious four-factor structure with adequate but marginal fits are proposed. With the exception of the "parental agency" factor (in both models examined) and the "active social support" factor (in the original five-factor structure), the internal consistency of the different factors was modest (≥ 0.70). A negative correlation was found between the Parental Stress Scale and the ECP-U for most factors.
Validity and reliability analyses indicate that the ECP-U is an instrument with modest psychometric properties.
The ECP-U is an instrument that can be used by future researchers to identify different levels of parental competence in paediatric hospital emergency departments. This will enable help to be given to families with parenting issues and problems. The underlying concern is to reduce the number of frequent users and "Non-Urgent Presentations" to paediatric emergency departments due to low parental competence.
确认儿科医院急诊环境下父母能力问卷（ECP-U）的结构并检验其心理测量学特性。
对 ECP-U 问卷进行了仪器验证研究，并对其心理测量学特性进行了检验。
参与者为 260 名在西班牙瓦伦西亚一家医院儿科急诊就诊的 0 至 14 岁儿童的母亲和父亲。ECP-U 的五因素结构得到了很好的统计学拟合。提出了二阶模型和更简约的四因素结构，拟合效果尚可。除了“父母效能”因素（在两种模型中）和“积极的社会支持”因素（在原始的五因素结构中）外，不同因素的内部一致性适中（≥0.70）。在大多数因素中，父母应激量表与 ECP-U 呈负相关。
效度和信度分析表明，ECP-U 是一种具有适度心理测量学特性的工具。
ECP-U 是一种工具，未来的研究人员可以用它来识别儿科医院急诊部门中不同水平的父母能力。这将有助于帮助有育儿问题和困难的家庭。其根本目的是减少因父母能力低而导致的儿科急诊部门的频繁就诊者和“非紧急就诊”数量。
