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Instruments to Assess Family Focused Care in Nursing Clinical Practice: A Systematic Review of Psychometric
Bilal Benbelkheir1,2, Ana Canga-Armayor1,2, Cristina Alfaro-Diaz1,2
1Department of Nursing Care for Adult Patients, School of Nursing, Universidad de Navarra, Pamplona, Navarra, Spain.
Aims:
To identify, appraise and describe the characteristics and measurement properties of instruments assessing Family Focused Care in nursing clinical practice using COSMIN criteria.
Design:
A systematic review based on COSMIN methodology.
Methods:
Methodological quality was assessed using COSMIN methodology and evidence quality using the GRADE approach modified by COSMIN.
Data Sources:
The databases PubMed, CINAHL, COCHRANE, Web of Science and SCOPUS were systematically searched from inception until September 2024.
Results:
A total of 47 studies and 15 instruments evaluating Family Focused Care were included. Seven were designed for measuring professional's perspective, six for family's and two for both. Three instruments, the Family Nursing Practice Scale (FNPS), the Iceland Family Perceived Support Questionnaire (ICE-FPSQ) and the Perception of Family Centred Care Staff and Parents (PFCC-S/P), exhibited the highest methodological quality and robust psychometric properties, including internal consistency, structural validity, reliability and content validity.
Conclusion:
The FNPS, the ICE-FPSQ and the PFCC-S/P questionnaires were identified as the most suitable instruments to assess Family Focused Care. Future research should rigorously evaluate their psychometric properties.
Implications For The Profession And/Or Patient Care:
This review provides insight into available instruments for measuring Family Focused Care, helping professionals choose the most suitable tools to enhance family involvement, align care with family needs, and improve patient outcomes and family well-being.
Impact:
Given that the psychometric properties of instruments measuring Family Focused Care have not been systematically assessed, the present review utilised comprehensive methods according to COSMIN.
Patient Or Public Contribution:
No Patient or Public Contribution.
Reporting Method:
PRISMA statement and COSMIN reporting guideline for studies on measurement properties of patient-reported outcome measures.
Protocol Registration:
This systematic review has been registered at the International Prospective REGISTER of Systematic Review (PROSPERO: CRD42022315249).
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