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Psychometrics of the “Family-Centred Care Survey – Adult Scale”

Marion Mitchell, Elizabeth Burmeister, Wendy Chaboyer, Linda Shields

Abstract


Background: Family-Centred-Care (FCC) is a model of care used in paediatric and, recently, in adult settings. In order to generate evidence on the effect of interventions to improve family centredness a valid and reliable means of measuring FCC is required.     

Aim: The aim was to test the psychometric properties of an instrument – the “FCC Survey – Adult Scale”, designed to measure family members’ perception of FCC in an adult acute care setting.

Methods: The survey was administered to family members of intensive care patients during their hospital visit. The survey had 20 items divided into 3 sections: Collaboration (9 items); Respect (6 items) and Support (5 items). Exploratory factor analysis was performed using orthogonal rotation.

Results: Responses from 160 participants were analysed. The exploratory factor analysis with 3 factors had a total variance of 46.6%. Factor loadings varied from 0.37 to 0.7. The survey’s total Cronbach’s alpha was 0.81 with Factor 1 at 0.68; Factor 2 and 3 were 0.76 and 0.35 respectively.

Discussion: The overall tool showed internal consistency. Analysis revealed a variance of less than 50% and a number of loadings were low. Factor 1 and 3 were problematic with low variance, loadings and Cronbach’s. 

Conclusion: Preliminary psychometric analyses of the data set indicate that the factor analysis does not support the score interpretation of the “FCC Survey - Adult Scale”. The “FCC Survey - Adult Scale” cannot be recommended as a tool to measure the perceptions of FCC in its current form. Further work is required.


Keywords


Adult acute care, family-centred care, psychometric testing, survey

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References


Shields, L., Pratt, J. & Hunter, J. (2006). Family centred care: a review of qualitative studies. Journal of Clinical Nursing 15 (10) 1317-1323.

Shields, L. (2010). Questioning family-centred care. Journal of Clinical Nursing 19, 2629-2638.

Coyne, I. (2008). Children's participation in consultations and decision-making at health service level: a review of the literature. International Journal of Nursing Studies 45 (11) 1682-1689.

Darbyshire, P. (1994). Living with a Sick Child in Hospital: the Experiences of Parents and Nurses. London: Chapman & Hall.

Jolley, J. & Shields, L. (2009). The evolution of family-centered care. Journal of Pediatric Nursing 24 (2) 164-170.

Shields, L., Pratt, J., Davis, L.M. & Hunter, J. (2007). Family-centred care for children in hospital. Cochrane Database of System Reviews (1) CD004811.

Franck, L.S. & Callery, P. (2004). Re-thinking family-centred care across the continuum of children's healthcare. Child: Care, Health and Development 30 (3) 265-277.

Hutchfield, K. (1999). Family-centred care: a concept analysis. Journal of Advanced Nursing 29 (5) 1178-1187.

Institute for Patient and Family-Centered Care. (2010). Family-centered care: Frequently asked questions. What is patient - and family-centered care? Bethesda, Maryland: Institute of Family-Centered Care. Available at: http://www.ipfcc.org/faq.html (accessed October 26 2011).

Galvin, E., Boyers, L., Schwartz, P. K. & Jones, M.W. (2000). Challenging the precepts of family-centred care: testing a philosophy. Pediatric Nursing 26 (6) 625-632.

Mitchell, M., Chaboyer, W., Burmeister, L. & Foster, M. (2009). The positive effects of a nursing intervention on Family-Centered-Care in adult critical care. American Journal of Critical Care 18 (6) 543-552.

Shields, L. & Tanner, A. (2004). Pilot study of a tool to investigate perceptions of family-centered care in different care settings. Pediatric Nursing 30 (3) 189-197.

Kristensson-Hallstrom, I. & Elander, G. (1997). Parents' experience of hospitalization: different strategies for feeling secure. Pediatric Nursing 23 (4) 361-367.

King, S., Rosenbaum, P. & King, G. (1995). The Measure of Processes of Care MPOC: a means to assess family-centered behaviours of health care providers. Ontario: McMaster University.

Dix, D.B., Klassen, A.F., Papsdorf, M., Klaassen, R.J., Pritchard, S. & Sung, L. (2009). Factors affecting the delivery of family-centered care in pediatric oncology. Pediatric Blood & Cancer 53 (6) 1079-1085.

Moore, M.H., Mah, J.K. & Trute, B. (2009) Family-centred care and health-related quality of life of patients in paediatric neurosciences. Child: Care, Health and Development 35 (4) 454-461.

Aggarwal, S., Chadha, P., Kalia, S., Richardson, S., Winterbottom, L. & Shields, L. (2009). Perceptions of family-centred care: a UK pilot study of the Shields and Tanner questionnaires. Neonatal, Paediatric & Child Health Nursing 12 (2) 25-29.

Aggarwal, S., Chadha, P., Kalia, S., Richardson, S., Winterbottom, L. & Shields, L. (2009). Teaching research in paediatrics: a “hands on” experience for medical students. Focus on Health Professional Education: a multi-disciplinary Journal 10 (3)70-77.

Polit, D.E. & Beck, C.T. (2012). Nursing Research: Generating and Assessing Evidence for Nursing Practice. 9th ed. Philadelphia: Wolters Kluwer/Lippincott Williams & Wilkins.

Mitchell, M.L. & Chaboyer, W. (2010). Family-Centred Care – A Way to Connect Patients, Families and Nurses in Critical Care – a qualitative study using telephone interviews. Intensive and Critical Care Nursing 26, 154-160.

Hutcheson, G. & Sofroniou, N. (1999). The multivariate social scientist: Introductory statistics using generalized linear models. London: Sage.

Lorenzo-Seva, U. & Ferrando, P.J. (2006). Factor: A computer program to fit the exploratory factor analysis model, Behavior Research Methods 38 (1) 88-91.

Pai, A.L., Mullins, L.L., Drotar, D., Burant, C., Wagner, J. & Chaney, J. (2007). Exploratory and confirmatory factor analysis of the child Uncertainty in Illness Scale among children with chronic illness. Journal of Pediatric Psychology 32 (3) 288–296.

George, D. & Mallery, P. (2003). SPSS for Windows step by step: A simple guide and reference. 11.0 update. 4th ed. Boston: Allyn & Bacon.

Field, A.P. (2005). Is the meta-analysis of correlation coefficients accurate when population effect sizes vary? Psychological Methods 10 (4) 444-467.

Costello, A.B. & Osborne, J. (2005) Best practices in exploratory factor analysis: four recommendations for getting the most from your analysis. Practical Assessment, Research & Evaluation 10 (7). http://pareonline.net/getvn.asp?v=10&n=7 (accessed June 28th 2011).

Fabringer, L.R., MacCallum, R.C., Wegener, D.T. & Strahan, E.J. (1999) Evaluating the use of exploratory factor analysis in psychological research. Psychological Methods 4 (3) 272-299.

Mertler, C.A. & Vannatta, R.A. (2005). Advanced and Multivariate Statistical Methods: Practical Application and Interpretation. 3rd ed. Los Angeles: Pyrczak Publishing.




DOI: http://dx.doi.org/10.5750/ijpcm.v2i4.313

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