Oghenetega C O N, Chetty S
Department of Anaesthesiology and Critical Care, Faculty of Medicine and Health Sciences, Stellenbosch University, Tygerberg, Cape Town, South Africa.
South Afr J Crit Care. 2025 May 19;41(1):e2662. doi: 10.7196/SAJCC.2025.v411.2662. eCollection 2025.
The Measures of Process of Care for Service Providers (MPOC-SP(A)) tool, developed by the CanChild Centre for Childhood Disability Research in Canada, assesses service providers' perceptions of family-centred care (FCC) in adult rehabilitation. It consists of 27 items categorised into four domains: 'showing interpersonal sensitivity', 'providing general information', 'communicating specific information', and 'treating people respectfully'. Each domain encompasses a distinct aspect of family-centred care applicable in the intensive care unit (ICU). An earlier version of the tool was previously validated for use in neonatal ICUs. However, this tool has not been validated for use in adult ICUs.
To validate the content validity index of the MPOC-SP(A) tool for healthcare professionals working in adult ICUs in South Africa.
Following approval from the Human Research Ethics Committee, a multidisciplinary group of experienced ICU healthcare professionals was invited to review the MPOC-SP(A) tool, rating each item's relevance on a four-point scale to avoid neutrality. The content validity index (CVI) was calculated for each item (I-CVI) and domain (S-CVI/Ave) using Microsoft Excel. An I-CVI of 0.83 and S-CVI/Ave of 0.9 were deemed acceptable. Items with a CVI below 0.83 were discarded.
The scale-level CVI (S-CVI/Ave) for every domain was 0.9 and above, which is acceptable. Two items in domain A and one item in domain B were deleted owing to low I-CVI values. Two items were revised to improve the item's clarity. Thus, a 24-item MPOC-SP(A) tool applicable to adult ICUs was generated following the content validity analysis.
The content experts' assessment of the instrument's items is essential to ensure its validity. This study has finalised the content validation process of the MPOC-SP(A) tool for use in the adult ICU. The refined tool is now ready for the next phase of validation focusing on construct and internal consistency.
This study contributes to the field of research by providing robust evidence for the content validity of the MPOC-SP(A) tool in adult ICU settings, supporting its relevance, clarity, and comprehensiveness for measuring family-centred care practices. It also offers a framework for future validation studies in similar resource-limited healthcare contexts.
由加拿大CanChild儿童残疾研究中心开发的《服务提供者护理过程测量工具（MPOC-SP(A)）》评估服务提供者对成人康复中以家庭为中心的护理（FCC）的看法。它由27个项目组成，分为四个领域：“表现出人际敏感性”、“提供一般信息”、“传达具体信息”和“尊重他人”。每个领域都涵盖了适用于重症监护病房（ICU）的以家庭为中心的护理的一个独特方面。该工具的早期版本先前已在新生儿重症监护病房得到验证。然而，该工具尚未在成人重症监护病房得到验证。
验证《服务提供者护理过程测量工具（MPOC-SP(A)）》在南非成人重症监护病房工作的医护人员中的内容效度指数。
在获得人类研究伦理委员会批准后，邀请了一组多学科的经验丰富的重症监护病房医护人员对《服务提供者护理过程测量工具（MPOC-SP(A)）》进行审查，以四分制对每个项目的相关性进行评分，以避免中立。使用Microsoft Excel计算每个项目的内容效度指数（I-CVI）和每个领域的内容效度指数（S-CVI/Ave）。I-CVI为0.83且S-CVI/Ave为0.9被认为是可接受的。内容效度指数低于0.83的项目被舍弃。
每个领域的量表级内容效度指数（S-CVI/Ave）均为0.9及以上，这是可接受的。由于I-CVI值较低，领域A中的两个项目和领域B中的一个项目被删除。对两个项目进行了修订以提高项目的清晰度。因此，经过内容效度分析后，生成了一个适用于成人重症监护病房的24项《服务提供者护理过程测量工具（MPOC-SP(A)）》。
内容专家对工具项目的评估对于确保其效度至关重要。本研究完成了《服务提供者护理过程测量工具（MPOC-SP(A)）》在成人重症监护病房使用的内容效度验证过程。经过改进的工具现在已准备好进入下一阶段的验证，重点是结构效度和内部一致性。
本研究通过为《服务提供者护理过程测量工具（MPOC-SP(A)）》在成人重症监护病房环境中的内容效度提供有力证据，为研究领域做出了贡献，支持了其在测量以家庭为中心的护理实践方面的相关性、清晰度和全面性。它还为未来在类似资源有限的医疗环境中的验证研究提供了一个框架。
