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Translation, adaptation and testing of an emergency care satisfaction scale in Swedish pediatric emergency
Anne Wennick1, Dorota Schoug2, Anna Ekwall3
1Department of Care Science, Faculty of Health and Society, Malmö University, Jan Waldenströms gata 25, 205 06, Malmö, Sweden. anne.wennick@mau.se.
Insights
A new Swedish scale effectively measures pediatric patient satisfaction with emergency nursing care. This validated tool, the Pediatric Consumer Emergency Care Satisfaction Scale-Swedish version (p-CECSS-S), ensures reliable assessment of children's experiences.
Area of Science:
- Pediatric Nursing
- Healthcare Consumer Research
- Psychometrics
Background:
- Growing demand for research on children's perspectives in healthcare.
- Need for validated tools to assess patient satisfaction in pediatric emergency settings.
Purpose of the Study:
- To translate and adapt the US-developed Consumer Emergency Care Satisfaction Scale (CECSS) for Swedish pediatric emergency departments.
- To evaluate the psychometric properties of the adapted scale for use with children aged 10-18.
Main Methods:
- Forward-backward translation and expert consensus for the CECSS.
- Pilot testing for face and content validity in children (10-18 years).
- Clinical validation including construct validity, internal consistency, and reliability assessment via telephone interviews.
Main Results:
- The Swedish Pediatric Consumer Emergency Care Satisfaction Scale (p-CECSS-S) was tested on 203 children.
- Factor analysis identified three factors (caring, teaching, clinical competence) explaining 63.1% of the variance.
- High internal consistency (Cronbach's alpha 0.79-0.88) and acceptable reliability (ICC 0.58) were found.
Conclusions:
- The p-CECSS-S is a valid, stable, and user-friendly instrument.
- This scale can reliably assess pediatric patient satisfaction with nursing care in emergency departments.
- The study provides a crucial tool for improving pediatric healthcare quality.
Background:
Pediatric healthcare today shows a rising demand for research focusing on children's perspectives on and consumer satisfaction with the nursing care they receive. Therefore, the purpose of this study was to translate and adapt the Consumer Emergency Care Satisfaction Scale (CECSS), a paper-based, self-administered 19-item questionnaire originally developed in the United States and targeted towards adults, and then test the new version in Swedish pediatric emergency departments.
Methods:
The study was designed with a two-phase approach. Firstly, a forward-backward translation of the CECSS, involving expert consensus, was performed, and then the questionnaire was adapted for children aged 10-18 and assessed for face and content validity. Secondly, the translated and adapted questionnaire was tested with a clinical sample for construct validity, internal consistency, and reliability. This last aspect was assessed using a structured telephone interview 7-10 days after the participant visited a pediatric emergency department. All children participating in this study gave their assent (< 15 years) or consent (≥ 15 years), and their guardian's written informed consent was also obtained.
Results:
The paper-based, self-administered 19-item Swedish version of the CECSS was tested on a clinical sample consisting of 203 nonurgent children (boys: n = 109, 53.7 % and girls: n = 94, 46.3 %) between 10 and 18 years (mean age 13.8, SD 2.29). The factor analysis revealed three factors that explain 63.1 % of the total variation in the 15 items. The Cronbach's alphas for the three dimensions (caring, teaching, and clinical competence) varied between 0.79 and 0.88. The intraclass correlation coefficient (ICC) for the entire Swedish version of the CECSS was 0.58, and the ICCs for the three dimensions varied between 0.56 and 0.71.
Conclusions:
The results show that the developed Swedish Pediatric Consumer Emergency Care Satisfaction Scale (p-CECSS-S) is a valid, stable and easy-to-use-questionnaire that can be used to assess children's satisfaction with nursing care.
