1
|
Romero-García M, Alcalà-Jimenez I, Martínez-Momblan MA, Laura de la Cueva-Ariza, Cuzco C, Alonso S, Benito-Aracil L, Delgado-Hito P. Psychometric properties of the Nursing Intensive Care Satisfaction Scale: A multicentre cross-sectional study. Aust Crit Care 2022:S1036-7314(22)00044-3. [PMID: 35490108 DOI: 10.1016/j.aucc.2022.03.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2021] [Revised: 02/03/2022] [Accepted: 03/12/2022] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND Patient satisfaction with nursing care is an indicator of patient satisfaction with the hospital stay in general. The Nursing Intensive Care Satisfaction Scale is the only scale about patient satisfaction with nursing care received in an intensive care unit that incorporates the critically ill patient's perspective into its design and validation. We validated the scale nationally, incorporating intensive care units at public and private hospitals of different levels of complexity in Spain. OBJECTIVES The objective of this study was to validate in Spanish intensive care units the Nursing Intensive Care Satisfaction Scale, a patient-centred questionnaire that evaluates recently discharged intensive care patients' satisfaction with the nursing care they received. DESIGN We used a psychometric quantitative methodology and a descriptive cross-sectional design. SETTING AND PARTICIPANTS The study was conducted in intensive care units at level II and III public and private hospitals throughout Spain. The study population was all patients discharged from intensive care units from December 2018 to December 2019 from the 19 participating hospitals. We used consecutive sampling until reaching a sample size of 677 patients. The assessment instruments were given to patients at discharge and 48 h later to measure temporal stability. METHODS The validation process included the analysis of internal consistency (Cronbach's α coefficient), temporal stability (test-retest), construct validity through a confirmatory factor analysis, and criterion validity using the Pearson correlation coefficient and three criterion items that assessed similar constructs. RESULTS The reliability of the scale was 0.97, and the factors obtained values between 0.87 and 0.96. The intraclass correlation coefficient for the total scale was 0.83, indicating good temporal stability. Construct validity showed a good fit and a four-factor structure, in accordance with the theoretical model. Criterion validity presented a correlation that was between moderate and high (range: 0.46 to 0.57). CONCLUSIONS The Nursing Intensive Care Satisfaction Scale has good psychometric properties, demonstrating its ability to accurately measure patient satisfaction across a range of contexts in Spain. Continuous monitoring of satisfaction will allow nurses to identify areas for improvement that can increase the quality of care.
Collapse
Affiliation(s)
- Marta Romero-García
- Department of Fundamental and Medical-Surgical Nursing, School of Nursing. University of Barcelona, L'Hospitalet de Llobregat, Barcelona, Spain; GRIN-IDIBELL, Institute of Biomedical Research, L'Hospitalet de Llobregat, Barcelona, Spain; International Research Project for the Humanization of Health Care, Proyecto HU-CI. Collado Villalba, Madrid, Spain
| | | | - María Antonia Martínez-Momblan
- Department of Fundamental and Medical-Surgical Nursing, School of Nursing. University of Barcelona, L'Hospitalet de Llobregat, Barcelona, Spain; Biomedical Research Networking Centre of Rare Diseases (CIBER-ER), Unit 747 ISCIII, Madrid, Spain
| | - Laura de la Cueva-Ariza
- Department of Fundamental and Medical-Surgical Nursing, School of Nursing. University of Barcelona, L'Hospitalet de Llobregat, Barcelona, Spain; GRIN-IDIBELL, Institute of Biomedical Research, L'Hospitalet de Llobregat, Barcelona, Spain; International Research Project for the Humanization of Health Care, Proyecto HU-CI. Collado Villalba, Madrid, Spain
| | - Cecilia Cuzco
- Department of Fundamental and Medical-Surgical Nursing, School of Nursing. University of Barcelona, L'Hospitalet de Llobregat, Barcelona, Spain
| | - Sergio Alonso
- Department of Fundamental and Medical-Surgical Nursing, School of Nursing. University of Barcelona, L'Hospitalet de Llobregat, Barcelona, Spain; GRIN-IDIBELL, Institute of Biomedical Research, L'Hospitalet de Llobregat, Barcelona, Spain
| | - Llúcia Benito-Aracil
- Department of Fundamental and Medical-Surgical Nursing, School of Nursing. University of Barcelona, L'Hospitalet de Llobregat, Barcelona, Spain; GRIN-IDIBELL, Institute of Biomedical Research, L'Hospitalet de Llobregat, Barcelona, Spain.
| | - Pilar Delgado-Hito
- Department of Fundamental and Medical-Surgical Nursing, School of Nursing. University of Barcelona, L'Hospitalet de Llobregat, Barcelona, Spain; GRIN-IDIBELL, Institute of Biomedical Research, L'Hospitalet de Llobregat, Barcelona, Spain; International Research Project for the Humanization of Health Care, Proyecto HU-CI. Collado Villalba, Madrid, Spain
| |
Collapse
|
2
|
Williams H, Gow J, Rana R, Rouse A, Chinthamuneedi M, Beccaria G, Ralph N. Measuring the intensive care experience: A cross-sectional survey of patient and family experiences of critical care. J Clin Nurs 2021; 30:3623-3633. [PMID: 34096126 DOI: 10.1111/jocn.15884] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/23/2020] [Revised: 03/26/2021] [Accepted: 05/07/2021] [Indexed: 11/28/2022]
Abstract
AIMS AND OBJECTIVES To report patient and family intensive care experiences using the Measuring the Intensive Care Experience (MICE) tool across two intensive care units (ICU). BACKGROUND The patient and family experience of care is an important indicator for quality improvement of ICUs, yet few studies evaluate both patient and family experiences in relation to overall care quality as well as specifically measuring quality of medical care, nursing care and organisational care as well as overall experience of the quality of intensive care. DESIGN A cross-sectional survey. METHODS A 23 item survey was administered to ICU patients and their family members across two ICUs, a regional 189-bed hospital and a metropolitan 227-bed hospital in Queensland, Australia. The response rate was 272 of 394 ICU patients (36.4%). STROBE guidelines were used in reporting this study. RESULTS Findings indicate a highly positive overall experience of ICU care among patients and families. However, patients reported areas of unmet needs following their stay in ICU broadly related to (1) symptom management, education and information support, and (2) improving the incorporation of patient and family care ICU-related shared decision-making. CONCLUSIONS Supportive interventions are needed that target improve symptom management and inform and education ICU patients. RELEVANCE TO CLINICAL PRACTICE The MICE survey facilitated the identification of a range of areas requiring quality improvement. Improving the integration of patients and families into shared decision-making and support is a key aspect for quality improvement.
Collapse
Affiliation(s)
- Helen Williams
- St Vincent's Private Hospital, Toowoomba, Qld, Australia
| | - Jeff Gow
- School of Business, University of Southern Queensland, Toowoomba, Qld, Australia.,School of Accounting, Economics and Finance, University of KwaZulu-Natal, Durban, South Africa.,Centre for Health Research, University of Southern Queensland, Springfield, Qld, Australia
| | - Rezwanul Rana
- School of Business, University of Southern Queensland, Toowoomba, Qld, Australia
| | - Alan Rouse
- St Vincent's Private Hospital, Toowoomba, Qld, Australia
| | | | - Gavin Beccaria
- Centre for Health Research, University of Southern Queensland, Springfield, Qld, Australia.,School of Psychology, University of Southern Queensland, Toowoomba, Qld, Australia
| | - Nicholas Ralph
- Centre for Health Research, University of Southern Queensland, Springfield, Qld, Australia.,School of Nursing and Midwifery, University of Southern Queensland, Toowoomba, Qld, Australia
| |
Collapse
|
3
|
Wahdatin A, Puspita DW, Abdurrouf M. The Implementation of Therapeutic Communications with Postoperative Patient Satisfaction in Islamic Hospital of Sultan Agung Semarang. JURNAL NERS 2020. [DOI: 10.20473/jn.v14i3.17219] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Introduction: Weaknesses in applying therapeutic communication are still a problem for nurses. This affects the quality of nursing services that have an impact on patient satisfaction. The purpose of this study was to identify the relationship between therapeutic communication and postoperative patient satisfaction.Methods: This research method was an analytical survey method used a cross sectional approach. Respondents in this study were postoperative patients who were treated in RSISA inpatient ward with 127 patients. Sampling technique that use was simple random sampling. The data analysis technique in this study used the Spearman test.Results: The results showed that the majority characteristics of respondents had female 61.4%, age 50-64 (33.8%), employment of private employees 24.4%, senior secondary education 37.0%. The results also showed that most therapeutic communication was in the good category (54.3%) and patient satisfaction in the category was very satisfied (52.8%). The results of this research showed that there was significant relationship between therapeutic communication and postoperative patient satisfaction with p-value 0,000 (p-value <0.05).Conclusion: The implications of this research can be a reference in increasing the ability of nurse therapeutic communication so that patient satisfaction with nursing services increases.
Collapse
|
4
|
Psychometric Properties of an Arabic Version of the Patient Satisfaction With Nursing Care Quality Questionnaire. J Nurs Res 2019; 27:1-9. [PMID: 29985822 PMCID: PMC6369869 DOI: 10.1097/jnr.0000000000000273] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
Background: Quality measurements are crucial to healthcare quality improvement, and patient satisfaction with nursing care is widely adopted as a key outcome indicator of the overall quality of healthcare. There is a lack of instruments to measure patient satisfaction with nursing care in an Arabic context. Purpose: The purpose of this study was to develop and validate an Arabic version of the Patient Satisfaction with Nursing Care Quality Questionnaire and to explore patient satisfaction with nursing care across hospital units. Methods: This was a cross-sectional, methodological research study. A forward–backward translation process and face and content validation using a panel of experts and a pilot test were used to produce an Arabic version of the Patient Satisfaction with Nursing Care Quality Questionnaire. A convenience sampling technique was employed to recruit 292 adult patients who were hospitalized for more than 48 hours. Data were collected over the first quarter of 2016 using a secure electronic survey method. Results: The item-level content validity index ranged from .83 to 1, and the scale-level content validity index was .94. Evidence of construct validity was obtained. Exploratory factor analysis revealed a two-factor model that explained 69.3% of the total variance. Confirmatory factor analysis showed that the two-factor model fits the observed data. Internal consistency was satisfactory and similar across different hospital units. Cronbach’s alpha estimates for Factors 1 and 2 were .83 and .96, respectively, with an overall Cronbach’s alpha estimate of .96. Level of patient satisfaction with nursing care was quite high (mean = 4.30/5, SD = 0.74). Conclusions: This study provides a 17-item, Likert-scaled, self-reporting instrument, which is psychometrically sound for its content, comprehension, readability, and practicality, to measure patient satisfaction with nursing care quality in an Arabic context.
Collapse
|
5
|
Romero-García M, de la Cueva-Ariza L, Benito-Aracil L, Lluch-Canut T, Trujols-Albet J, Martínez-Momblan MA, Juvé-Udina ME, Delgado-Hito P. Nursing Intensive-Care Satisfaction Scale [NICSS]: Development and validation of a patient-centred instrument. J Adv Nurs 2018; 74:1423-1435. [PMID: 29444339 DOI: 10.1111/jan.13546] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/30/2018] [Indexed: 01/03/2023]
Abstract
AIM The aim of this study was to develop and validate the Nursing Intensive-Care Satisfaction Scale to measures satisfaction with nursing care from the critical care patient's perspective. BACKGROUND Instruments that measure satisfaction with nursing cares have been designed and validated without taking the patient's perspective into consideration. Despite the benefits and advances in measuring satisfaction with nursing care, none instrument is specifically designed to assess satisfaction in intensive care units. DESIGN Instrument development. METHODS The population were all discharged patients (January 2013 - January 2015) from three Intensive Care Units of a third level hospital (N = 200). All assessment instruments were given to discharged patients and 48 hours later, to analyse the temporal stability, only the questionnaire was given again. The validation process of the scale included the analysis of internal consistency, temporal stability; validity of construct through a confirmatory factor analysis; and criterion validity. RESULTS Reliability was 0.95. The intraclass correlation coefficient for the total scale was 0.83 indicating a good temporal stability. Construct validity showed an acceptable fit and factorial structure with four factors, in accordance with the theoretical model, being Consequences factor the best correlated with other factors. Criterion validity, presented a correlation between low and high (range: 0.42-0.68). CONCLUSIONS The scale has been designed and validated incorporating the perspective of critical care patients. Thanks to its reliability and validity, this questionnaire can be used both in research and in clinical practice. The scale offers a possibility to assess and develop interventions to improve patient satisfaction with nursing care.
Collapse
Affiliation(s)
- Marta Romero-García
- Fundamental Care and Medical-Surgical Nursing Department, Bellvitge Biomedical Research Institute (IDIBELL), HU-CI International Research Project, University of Barcelona, Barcelona, Spain
| | - Laura de la Cueva-Ariza
- Fundamental Care and Medical-Surgical Nursing Department, Bellvitge Biomedical Research Institute (IDIBELL), HU-CI International Research Project, University of Barcelona, Barcelona, Spain
| | - Llucia Benito-Aracil
- Fundamental Care and Medical-Surgical Nursing Department, Bellvitge Biomedical Research Institute (IDIBELL), HU-CI International Research Project, University of Barcelona, Barcelona, Spain
| | - Teresa Lluch-Canut
- Public Health, Mental Health and Perinatal Nursing Department, University of Barcelona, Barcelona, Spain
| | - Joan Trujols-Albet
- Sant Pau Biomedical Research Institute (IIB Sant Pau), Center for Biomedical Research in Mental Health Network (CIBERSAM), Santa Creu i Sant Pau Hospital, Barcelona, Spain
| | | | - Maria-Eulàlia Juvé-Udina
- Fundamental Care and Medical-Surgical Nursing Department, Bellvitge Biomedical Research Institute (IDIBELL), HU-CI International Research Project, University of Barcelona, Barcelona, Spain
| | - Pilar Delgado-Hito
- Fundamental Care and Medical-Surgical Nursing Department, Bellvitge Biomedical Research Institute (IDIBELL), HU-CI International Research Project, University of Barcelona, Barcelona, Spain
| |
Collapse
|
6
|
A professional commitment scale for clinical nurses: A study protoco. Med J Islam Repub Iran 2017; 31:123. [PMID: 29951424 PMCID: PMC6014805 DOI: 10.14196/mjiri.31.123] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2017] [Indexed: 11/18/2022] Open
Abstract
Background: As the largest and most fundamental group targeted by programs developed to improve quality of care, nurses should
be the focus of attention in the management of human resources in the field of health care. A review of literature on this subject revealed
the lack of scales designed for measuring professional commitment in nurses. The present study was designed to develop a
scale to measure professional commitment in clinical nurses and examine its psychometric properties.
Methods: This study will develop a professional commitment scale for clinical nurses within one qualitative and one quantitative
step. The first step of the study will entail a review of the literature on the subject and interviews with clinical nurses so as to develop
the categories and the items. The second step, the quantitative step, will analyze the items extracted in the qualitative step, determining
the features of the topics and factor structure of the scale. The initial scale will be completed by 300 clinical nurses. The correlation
among the topics, the construct validity, and reliability of the scale will also be examined in this step.
Results and Discussion: This study will develop an instrument that can measure professional commitment in clinical nurses. Given
the lack of instruments for measuring professional commitment in clinical nurses, the findings of this study may be of help to nursing
managers, authorities, and the health system in general.
Collapse
|
7
|
Blood Withdrawal from Intravenous Catheters by ED Nurses: Comparison of Two Practices. J Emerg Nurs 2017; 43:322-328. [PMID: 28449945 DOI: 10.1016/j.jen.2017.01.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2016] [Revised: 10/10/2016] [Accepted: 01/11/2017] [Indexed: 10/19/2022]
Abstract
CONTRIBUTION TO EMERGENCY NURSING PRACTICE ABSTRACT PROBLEM: Laboratory tests are essential to diagnosis and treatment in the emergency department, but they can result in prolonged waiting times for patients, multiple needle pricks, and complaints about pain and discomfort. The goal of this project is to assess if a change in the blood collection process will lead to any improvement and benefit in care delivered with regard to time, patient comfort, and cost. METHODS A feasibility study was conducted to evaluate the change in practice from cost, time, and applicability perspectives. Using an observational approach, data were collected about the management of a possible change in practice in the emergency department at American University of Beirut Medical Center. Trials of 2 proposed changes to practice were conducted and compared with the current practice. The nurses were trained in the proper use of blood withdrawal using a Vacutainer Luer adaptor. RESULTS It was shown that intravenous line insertion and blood collection processes using the Vacutainer Luer adaptor were conducted in 46.2 seconds, which is less time spent than the current process but requires a small investment. IMPLICATIONS FOR PRACTICE Allowing registered nurses to withdraw blood with the start of a peripheral intravenous line will significantly reduce length of stay and costs and enhance patient experience in the emergency department at American University of Beirut Medical Center.
Collapse
|
8
|
Patient and family/friend satisfaction in a sample of Jordanian Critical Care Units. Intensive Crit Care Nurs 2015; 31:366-74. [PMID: 26279389 DOI: 10.1016/j.iccn.2015.04.004] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2014] [Revised: 02/13/2015] [Accepted: 04/08/2015] [Indexed: 11/22/2022]
Abstract
AIM The aim of the study was to assess the validity of family members/friends as proxies by comparing perceptions of satisfaction with care and decision making between critically ill patients and their family/friends. DESIGN A comparative, descriptive cross-sectional study. SETTING Seven Critical Care Units across four public and military hospitals in the centre and southern regions of Jordan. METHODS A modified version of the Family Satisfaction-ICU (FS-ICU) questionnaire was distributed to Critical Care Unit (CCU) patients before hospital discharge. In addition, up to two family members/close friends were also asked to complete the questionnaire. RESULTS A total of 213 patients (response rate 72%) and 246 family members/friends (response rate 79%) completed and returned the questionnaire. Although the majority of family members/friends and patients were satisfied with overall care, patients were generally significantly less satisfied (mean (SD) care subscale 75.6 (17.8) and 70.9 (17.3), respectively, (p=0.005). When individual items were examined, significant differences in nursing care (family/friends 80.1 (20.7) versus patient 75.9 (22.2), p=0.038) and inclusion in decision making (family/friends 53.9 (33.2) versus patient 62.0 (34.2), p=0.010) were found. CONCLUSION The study showed a degree of congruence between patients and their family members/friends in relation to their satisfaction with the CCU experience. Thus, views of family/friends may serve as a proxy in assessing care and decision making processes of critically ill patients. RELEVANCE TO CLINICAL PRACTICE Appropriate training of the critical care team and provision of strategies to address the concerns of patients' families are needed to improve overall patient satisfaction.
Collapse
|
9
|
Jover-Sancho C, Romero-García M, Delgado-Hito P, de la Cueva-Ariza L, Solà-Solé N, Acosta-Mejuto B, Ricart-Basagaña MT, Solà-Ribó M, Juandó-Prats CL. [Perception of UCI nurses in relation with satisfactory care: convergences and divergences with the perception of critical patients]. ENFERMERIA INTENSIVA 2015; 26:3-14. [PMID: 25616997 DOI: 10.1016/j.enfi.2014.12.002] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/04/2014] [Revised: 11/12/2014] [Accepted: 12/01/2014] [Indexed: 11/16/2022]
Abstract
OBJECTIVE Explore convergences and divergences between perception of nurses and of critically ill patients, in relation to the satisfactory care given and received. METHODS It is part of a larger qualitative study, according to the Grounded Theory. Carried out in 3 intensive care units with 34 boxes. Sampling theoretical profiles with n=19 patients and n=7 nurses after data saturation. Recruitment of patients included in the profiles of elderly and long-stay got stretched over some time due to the low incidence of cases. Data collection consisted of: in-depth interview to critically ill patients, group discussion of expert nurses in the critical care patient and field diary. Analysis themed on Grounded Theory according Strauss and Corbin: open coding, axial and selective. Analysis followed criteria of Guba and Lincoln rigor, Calderón quality and Gastaldo and McKeever ethical reflexivity. There was a favorable report from the ethical committee of the Hospital and informed consent of the participants. RESULTS Four matching categories were found: professional skills, human, technical and continued care. Combination of these elements creates feelings of security, calmness and feeling like a person, allowing the patient a close and trusting relationship with the nurse who takes individualized care. Not divergent categories were found. CONCLUSIONS Perceptions of nurses in relation to care match perceptions of critically ill patients in both the definition and dimensions upon satisfactory care.
Collapse
Affiliation(s)
| | - M Romero-García
- Departamento de Enfermería Fundamental y Medicoquirúrgica, Escuela Universitaria de Enfermería, Universidad de Barcelona, Barcelona, España; Grupo de Investigación Enfermera del Instituto de Investigación Biomédica de Bellvitge (GRIN-IDIBELL).
| | - P Delgado-Hito
- Departamento de Enfermería Fundamental y Medicoquirúrgica, Escuela Universitaria de Enfermería, Universidad de Barcelona, Barcelona, España; Grupo de Investigación Enfermera del Instituto de Investigación Biomédica de Bellvitge (GRIN-IDIBELL)
| | - L de la Cueva-Ariza
- Departamento de Enfermería Fundamental y Medicoquirúrgica, Escuela Universitaria de Enfermería, Universidad de Barcelona, Barcelona, España; Grupo de Investigación Enfermera del Instituto de Investigación Biomédica de Bellvitge (GRIN-IDIBELL)
| | - N Solà-Solé
- Hospital de la Santa Creu i Sant Pau, Barcelona, España
| | | | | | - M Solà-Ribó
- Hospital de la Santa Creu i Sant Pau, Barcelona, España
| | - C L Juandó-Prats
- Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, and Applied Health Research Centre (AHRC), Keenan Research Centre, Li Ka Shing Knowledge Institute, St. Michaels Hospital, Toronto, Canadá
| |
Collapse
|
10
|
Romero-García M, Trujols-Albet J. Hacia una mayor incorporación de la perspectiva del paciente en el diseño de los instrumentos de evaluación de la efectividad y calidad de los cuidados. ENFERMERIA INTENSIVA 2015; 26:1-2. [DOI: 10.1016/j.enfi.2015.01.001] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2015] [Accepted: 01/22/2015] [Indexed: 11/15/2022]
|