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Mehdi Akbari1, Mohammad Taghi Joghataei2, Akram Noorbakht3
1Cellular and Molecular Research Center (CMRC), Iran University of Medical Science (IUMS), Tehran, Iran ; Department of Audiology, Iran University of Medical Science (IUMS), Tehran, Iran.
Insights
This study developed a valid and reliable questionnaire to measure parent satisfaction with developmental care in the neonatal intensive care unit (NICU). The tool assesses satisfaction across five key domains, aiding quality improvement efforts.
Area of Science:
- Neonatal Intensive Care Unit (NICU) care
- Developmental care interventions
- Parental satisfaction measurement
Background:
- Developmental care in the NICU aims to reduce stressors for preterm or ill neonates.
- Patient satisfaction surveys are crucial for quality improvement in healthcare settings.
- A validated tool is needed to assess parent satisfaction with NICU developmental care.
Purpose of the Study:
- To develop and psychometrically test a questionnaire for measuring parent satisfaction with developmental care in the NICU.
- To ensure the tool is valid and reliable for assessing parental experiences.
Main Methods:
- Psychometric methodological study involving literature review and expert consultation.
- Development of an initial 72-item questionnaire, refined through face, content, and construct validity testing.
- Exploratory factor analysis on data from 400 parents in 34 NICUs; reliability assessed using Cronbach's alpha and stability measures.
Main Results:
- A 69-item questionnaire was finalized, with 5 factors extracted: care and treatment, information, hospital facilities, parental education, and parental participation.
- Validity testing yielded acceptable results.
- High internal consistency (Cronbach's alpha = 0.92) and stability confirmed the questionnaire's reliability.
Conclusions:
- The developed questionnaire is a valid and reliable instrument for measuring parent satisfaction with developmental care in the NICU.
- This tool can be utilized for quality improvement initiatives in neonatal care.
- Findings support the use of this questionnaire in clinical and research settings.
Objective:
Developmental 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 &Methods:
In 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.
Results:
The 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).
Conclusion:
This questionnaire could be valid and reliable tool for measuring parents' satisfaction.
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