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Reliability and validity of the training satisfaction questionnaire for family members (TSQ-FM) entering the ICU during an isolation disease outbreak
Heart & Lung ( IF 2.8 ) Pub Date : 2024-04-03 , DOI: 10.1016/j.hrtlng.2024.03.004
Francesca Trotta , Francesco Petrosino , Gianluca Pucciarelli , Rosaria Alvaro , Ercole Vellone , Davide Bartoli

The presence of family members in an isolated ICU during an isolation disease outbreak is restricted by hospital policies because of the infectious risk. This can be overcome by conferring to family members the skill and the ability to safely don and doff the personal protective equipment (PPE) through a nurse-led training intervention and assess their satisfaction, to respond to the need to define a safe, effective and quality care pathway focused on Family-Centered Care (FCC) principles. the study aimed to build a valid and reliable instrument for clinical practice to assess family members’ satisfaction to allow ICU nurses to restore family integrity in any case of infectious disease outbreak that requires isolation. A cross-sectional study was conducted to test the psychometric properties. The questionnaire was constructed based on a literature review on the needs of family members in the ICU. 76 family members were admitted to a COVID-ICU. Cronbach's coefficient, Geomin rotated loading, and EFA were applied to assess the reliability and validity of the instrument. The Kaiser-Mayer-Olkin (KMO) measure was 0.662, the Bartlett sphericity test showed a significant (χ²=448.33; df=45; < 0.01), Cronbach's alpha coefficient was.896. A further CFA analysis confirmed that all fit indices were acceptable. The results showed satisfactory validity and reliability, which could be generalized and extended to any outbreak of isolation disease. This study provides a valid and reliable instrument for clinical practice to maintain family integrity in the dyadic relationship between the patient and the family member, even during an emergency infectious disease outbreak that requires isolation.

中文翻译:

隔离病疫情期间进入ICU的家属培训满意度调查问卷(TSQ-FM)的信度和效度

由于存在传染风险,在隔离疾病爆发期间,家属入住隔离 ICU 的情况受到医院政策的限制。通过护士主导的培训干预,向家庭成员授予安全穿戴和脱下个人防护装备 (PPE) 的技能和能力,并评估他们的满意度,以满足定义安全、有效和安全的需求,可以克服这一问题。优质护理途径侧重于以家庭为中心的护理 (FCC) 原则。该研究旨在为临床实践建立一个有效且可靠的工具来评估家庭成员的满意度,使 ICU 护士能够在任何需要隔离的传染病爆发的情况下恢复家庭的完整性。进行了一项横断面研究来测试心理测量特性。该调查问卷是根据有关 ICU 家庭成员需求的文献综述构建的。 76 名家庭成员被送入新冠重症监护室。应用 Cronbach 系数、Geomin 旋转载荷和 EFA 来评估仪器的可靠性和有效性。 Kaiser-Mayer-Olkin (KMO) 测量值为 0.662,Bartlett 球形检验显示显着性(χ2=448.33;df=45;< 0.01),Cronbach's α 系数为.896。进一步的 CFA 分析证实所有拟合指数均可接受。结果显示出令人满意的有效性和可靠性,可以推广并扩展到任何隔离疾病的爆发。这项研究为临床实践提供了一种有效且可靠的工具,即使在需要隔离的紧急传染病爆发期间,也能维持患者与家庭成员之间的家庭完整性。
更新日期:2024-04-03
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