Psychometric Evaluation of the Family-Centered Care Scale for Pediatric Acute Care Nursing
ABSTRACT BACKGROUND:: Caring for families is fundamental to pediatric nursing. However, existing measures do not capture parents' experiences with family-centered nursing care. OBJECTIVE:: The aim of this study was to describe the development and initial psychometric testing of the Family-Centered Care Scale, a seven-item instrument designed to measure a parent's experience of nursing care that embodies core principles of family-centered care. METHODS:: In Phase 1, 18 items describing what nurses do to engage parents of hospitalized children were derived from the literature describing mutuality. After establishing face validity, pretesting, and revision for clarity, the scale was administered to a convenience sample of 91 parents of hospitalized patients. In Phase 2, two items on parents' perceptions of being well-cared-for were added. The 20-item scale was administered to 564 parents of children recruited from all inpatient units in a children's hospital. In Phase 3, the scale was shortened to seven items and retested for validity among 454 additional parents. RESULTS:: Internal consistency reliability was high across all versions and testing phases. Confirmatory factor analysis with data from a subsequent sample supported the final factor structure, regardless of patient type and race. There was a linear association between the scale consistency scores and overall quality of care ratings, supporting predictive validity of the scale. DISCUSSION:: The Family-Centered Care Scale showed initial evidence of reliability and validity among parents with hospitalized children.
Medical Care 12/1997; 35(11 Suppl):NS1-5. DOI:10.1097/00005650-199711001-00001 · 2.94 Impact Factor
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ABSTRACT: Nursing exists in the details of relationships. One crucial element of therapeutic nurse-patient/parent relationships is the attribute of mutuality. Mutuality not only embodies the philosophy of family-centered-care, it acknowledges and supports the evolution of parents and nurses toward greater competency in their role. Using concept analysis, this article explores the phenomenon of mutuality. The desired outcome is to provide a theoretical and operational definition of mutuality that will help guide practice and direct future research in the area of therapeutic nurse-parent relationships.Journal of Pediatric Nursing 09/1997; 12(4):208-13. DOI:10.1016/S0882-5963(97)80003-6 · 0.92 Impact Factor
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ABSTRACT: Nurses can play an important role as effective change agents in helping health care agencies and institutions recognize the need to move to more family-centered models, understand the benefits of a family-centered approach, and develop strategies for implementing family-centered care. The Institute for Family-Centered Care has identified a number of areas in which many institutions wish to make changes and has been developing guidance materials that explore possibilities, highlight hospitals that have incorporated changes, and provide practical strategies and useful materials to facilitate change. Topics covered in these guidance resources include the following: Developing Family-Centered Vision, Mission, and Philosophy of Care Statements; Developing and Sustaining a Patient and Family Advisory Council; Collaborative Design Planning; Creating Children's Advisory Councils; Creating and Enhancing Patient and Family Resource Centers; Creating Patient and Family Faculty Programs; Working with Seniors and their Families to Enhance Geriatric Care; and Changing Visiting Practices--Families as Partners.Pediatric nursing 01/2001; 27(2):173-5.