Developing the Scale of Parental Participation in Care: Neonatal Intensive Care Unit and Examining the Scale's

Sibel Serap Ceylan1, Züleyha Keskin2, Zekiye Yavaş1

  • 1Department of Pediatric Nursing, Pamukkale University Faculty of Health Sciences, Denizli, Turkey.

Insights

This study developed and validated the Parental Participation in Care Scale: Neonatal Intensive Care Unit. The scale is a reliable tool for assessing parental involvement in neonatal intensive care.

Area of Science:

  • Pediatric Nursing
  • Healthcare Quality Improvement
  • Parent-Infant Bonding

Background:

  • Parental involvement is crucial for infant well-being in the Neonatal Intensive Care Unit (NICU).
  • Standardized tools are needed to measure parental participation in NICU care.
  • Existing measures may not fully capture the nuances of parental engagement in this critical setting.

Purpose of the Study:

  • To develop the Scale of Parental Participation in Care: Neonatal Intensive Care Unit (SPPC-NICU).
  • To evaluate the psychometric properties of the SPPC-NICU.
  • To provide a reliable and valid instrument for assessing parental engagement in the NICU.

Main Methods:

  • Scale items were developed through literature reviews, focus groups with nurses, and expert content validity evaluations.
  • Data were collected from 205 parents with infants in a Turkish NICU (June 2019-February 2020).
  • Content validity, construct validity, Cronbach's alpha, item-total correlations, and intraclass correlation were used to assess validity and reliability.

Main Results:

  • The final scale comprises 18 items with a content validity index ranging from 0.93 to 1.00.
  • Exploratory factor analysis revealed a single-factor structure explaining 51.92% of the variance.
  • Reliability was confirmed with a Cronbach's alpha of 0.93, item-total correlations between 0.48-0.78, and an intraclass correlation of 1.000.

Conclusions:

  • The developed Parental Participation in Care Scale: Neonatal Intensive Care Unit is a valid and reliable instrument.
  • This scale can be effectively used to measure parental participation in NICU settings.
  • Findings support the use of the SPPC-NICU for research and clinical practice.
Abstract

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