Scale Development and Psychometrics for Parents’ Satisfaction with Developmental Care in Neonatal Intensive Care Unit

Abstract

How to Cite This Article: Rafiey H, Soleimani F, Torkzahrani Sh, Salavati M, NASIRI M. Scale Development and Psychometrics for Parents’Satisfaction with Developmental Care in Neonatal Intensive Care Unit. Iran J Child Neurol. Autumn 2016; 10(4):16-24.AbstractObjectiveDevelopmental care comprises a wide range of medical and nursing interventions used in the neonatal intensive care unit (NICU) to mitigate and reduce stressors affecting preterm or ill neonates. Because patient satisfaction survey is a valuable quality improvement tool, we aimed to develop and test the psychometric properties of a tool for measuring parent satisfaction of developmental care in the NICU. Materials &MethodsIn this psychometric methodological study, the item pool and initial questionnaire were designed based on a comprehensive literature review and exploring NICU parent satisfaction questionnaires. The validity of the designed questionnaire was determined using face, content (qualitative and quantitative), and construct validity. Exploratory factor analysis was performed using responses from 400 parents of infants hospitalized in the NICUs of 34 hospitals in 2015 in Tehran, Iran. The reliability of the questionnaire was identified using Cronbach’s alpha and stability measures. ResultsThe initial questionnaire was designed with 72 items in five domains. After testing the face validity, 3 items were omitted. The results of validity testing were acceptable. The exploratory factor analysis was performed on 69 items, and 5 factors (care and treatment with 20 items, information with 15 items, hospital facilities with 9 items, parental education with 7 items, and parental participation with 8 items) were extracted. The reliability was supported by high internal consistency (α = 0.92). ConclusionThis questionnaire could be valid and reliable tool for measuring parents’ satisfaction. References1. Prakash B. Patient satisfaction. J Cutan Aesthet Surg 2010;3(3):151-5.2. Ware JE, Snyder MK, Wright WR, Davies AR. Defining and measuring patient satisfaction with medical care. Eval Program Plann 1983;6(3):247-63.3. Miles MS, Burchinal P, Holditch-Davis D, Brunssen S, Wilson SM. Perceptions of stress, worry, and support in Black and White mothers of hospitalized, medically fragile infants.J Pediatr Nurs 2002;17(2):82-8.4. Pinelli J. Effects of family coping and resources on family adjustment and parental stress in the acute phase of the NICU experience. Neonatal Netw 2000;19(6):27-37.5. Butt ML, McGrath JM, Samra HA, Gupta R. An integrative review of parent satisfaction with care provided in the neonatal intensive care unit. J Obstet Gynecol Neonatal Nurs 2013;42(1):105-20.6. 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