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Factor structure and validity of the Parental Competence Questionnaire in the Paediatric Hospital Emergency Setting

Néstor Montoro-Pérez1, Raimunda Montejano-Lozoya2, Silvia Escribano3

  • 1Department of Nursing, Faculty of Health Sciences, Person-centred Care and Health Outcomes Innovation Group, University of Alicante, San Vicente del Raspeig, Spain; GREIACC Research Group, La Fe Health Research Institute, Valencia, Spain.

Journal of Pediatric Nursing
|October 27, 2023
PubMed

Insights

The Parental Competence Questionnaire in the Paediatric Hospital Emergency Setting (ECP-U) was validated, confirming its structure but showing modest psychometric properties. This tool can help identify families needing support in pediatric emergency departments.

Area of Science:

  • Pediatric Emergency Medicine
  • Psychometrics
  • Parenting Research

Background:

  • Parental competence is crucial for child well-being, particularly in stressful pediatric emergency settings.
  • Accurate assessment tools are needed to identify parental needs and guide interventions.
  • The Parental Competence Questionnaire in the Paediatric Hospital Emergency Setting (ECP-U) was developed to address this need.

Purpose of the Study:

  • To confirm the factor structure of the ECP-U.
  • To evaluate the psychometric properties, including validity and reliability, of the ECP-U.
  • To assess the ECP-U's utility in pediatric hospital emergency departments.

Main Methods:

  • Instrumental validation study design.
  • Psychometric analysis of the ECP-U.
  • Data collected from 260 parents in a Spanish pediatric emergency department.

Main Results:

  • The five-factor structure of the ECP-U was confirmed with excellent statistical fits.
  • A parsimonious four-factor structure was also proposed with adequate fits.
  • Internal consistency was modest (≥ 0.70) for most factors, with notable exceptions.
  • A negative correlation was observed between the Parental Stress Scale and the ECP-U.

Conclusions:

  • The ECP-U demonstrates modest psychometric properties, indicating its potential utility.
  • The questionnaire can be used by researchers to identify varying levels of parental competence.
  • Findings support the use of the ECP-U to aid families with parenting challenges and reduce non-urgent emergency visits.
Abstract

Keywords:
Emergency departmentParental competencePediatricsPsychometric evaluation

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