การพัฒนาและตรวจสอบคุณภาพของแบบวัดการดูแลผู้ป่วยเด็กโดยมีครอบครัวเป็นศูนย์กลาง

Somporn  Poolpanitoopatum; Teepatad Chintapanyakun; Numtip  Tongsawang

Authors

Somporn Poolpanitoopatum Faculty of Medicine, Ramathibodi Hospital, Mahidol University
Teepatad Chintapanyakun Faculty of Medicine, Ramathibodi Hospital, Mahidol University
Numtip Tongsawang Faculty of Medicine, Ramathibodi Hospital, Mahidol University

Keywords:

family-centered care for pediatric patients, pediatric patients, confirmatory factor analysis

Abstract

This descriptive research aimed to develop and validate a family-centered care (FCC) measurement form for pediatric patients. The total sample consisted of 319 parents of pediatric patients admitted to the pediatric ward at Ramathibodi hospital, recruited using a purposive selection technique. The research instrument was the FCC measurement with a 5-point rating scale. Data were analyzed using frequency, percentage, mean, standard deviation, Cronbach's alpha coefficient, exploratory factor analysis (EFA), and confirmatory factor analysis (CFA).

Findings demonstrated that the FCC measurement consisted of six components: 1) dignity and respect, 2) communication and information sharing, 3) empowerment, 4) collaboration, 5) equity-oriented care, and 6) developmental and psychosocial needs. The measurement contained 35 items with a content validity index ranging from .87 to 1.00. For reliability testing, each component’s reliability coefficient ranged from .886 to .965, with an overall reliability coefficient of .984. For construct validity testing, the exploratory factor analysis exhibited five components with Eigenvalues greater than 1.0. The measurement explained 82.28% of the total variance for the FCC of pediatric patients. Additionally, the construct validity tested by confirmatory factor analysis revealed empirical data confirming the use of the FCC measurement ( $gif.latex?\chi$ ² (df = 526, N = 319) = 1,316.299, p = .000, $gif.latex?\chi$ ²/df = 2.50, CFI = .931, TLI = .922, RMSEA = .069, SRMR = .046).

This study suggests that the developed FCC measurement instrument is valid and reliable for assessing nursing care with FCC from the perspective of parents.

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References

Bruce, B., Letourneau, N., Ritchie, J., Larocque, S., Dennis, C., & Elliott, M. R. (2002). A multisite study of health professionals' perceptions and practices of family-centered care. Journal of Family Nursing, 8(4), 408-429. https://doi.org/10.1177/107484002237515

Coyne, I., Holmström, I., & Söderbäck, M. (2018). Centeredness in healthcare: A concept synthesis of family-centered care, person-centered care and child-centered care. Journal of Pediatric Nursing, 42, 45-56. https://doi.org/10.1016/j.pedn.2018.07.001

Davidson, J. E., Aslakson, R. A., Long, A. C., Puntillo, K. A., Kross, E. K., Hart, J., . . . Curtis, J. R. (2017). Guidelines for family-centered care in the neonatal, pediatric, and adult ICU. Critical Care Medicine, 45(1), 103-128. https://doi.org/10.1097/CCM.0000000000002169

DeVellis, R. F., & Thorpe, C. T. (2022). Scale development: Theory and applications (5th ed.). Los Angeles, CA: Sage.

Gill, F. J., Pascoe, E., Monterosso, L., Young, J., Burr, C., Tanner, A., & Shields, L. (2014). Parent and staff perceptions of family-centered care in two Australian children’s hospitals. European Journal for Person Centered Healthcare, 1(2), 317-325.

Hair, J., Black, W., Babin, B., & Anderson, R. (2019). Multivariate data analysis (8th ed.). Hampshire, UK: Cengage Learning.

Jain, S., Reno, R., Cohen, A. K., Bassey, H., Master, M., & Nichols, C. R. (2020). A family-centered mixed-methods needs assessment for the system of care for young children with social-emotional and behavioral concerns. Children and Youth Services Review, 117, 105243. https://doi.org/10.1016/j.childyouth.2020.105243

Johnson, B., Abraham, M., Conway, J., Simmons, L., Edgman-Levitan, S., Sodomka, P., . . . Ford, D. (2008). Partnering with patients and families to design a patient-and family-centered health care system: Recommendations and promising practices. Cambridge, MA: California HealthCare Foundation.

Kline, R. B. (2023). Principle and practice of structural equation modeling (5th ed.). New York, NY: Guilford Press.

Kuewong, G., & Wongwanich, S. (2021). Needs identification and analysis in patient-and family-centered care of pediatric nurses and families. Thai Red Cross Nursing Journal, 14(1), 95-108.

Prasopkittikun, T., Srichantaranit, A., & Chunyasing, S. (2020). Thai nurses’ perceptions and practices of family-centered care: The implementation gap. International Journal of Nursing Sciences, 7(1), 74-80.

Queensland Heath. (2021). Child and family centred care: Evidence-based principles for statewide delivery of health services to critically unwell children. The State of Queensland: Queensland Government.

Rattanapibun K., Kongsaktrakul, C., & Patoomwan, A. (2011). Parent participation in the care of hospitalized children. Ramathibodi Nursing Journal, 17(2), 232-247.

Shelton, T. (1999). Family-centered care in pediatric practice: When and how? Development and Behavioral Pediatrics, 20(2), 117-119.

Shoghi, M., Shahbazi, B., & Seyedfatemi, N. (2019). The effect of the Family-Centered Empowerment Model (FCEM) on the care burden of the parents of children diagnosed with cancer. Asian Pacific Journal of Cancer Prevention, 20(6), 1757-1764. https://doi.org/10.31557/APJCP.2019.20.6.1757

Smith, W. (2018). Concept analysis of family-centered care of hospitalized pediatric patients. Journal of Pediatric Nursing, 42, 57-64. https://doi.org/10.1016/j.pedn.2018.06.014

Sobhy El-Said Hussein, A., El-Sayed Abd El-Gileel Ouda, W., & Mohamed Adly, R. (2022). Effect of family-centered care on mothers’ information needs, anxiety and depression level regarding care for their children undergoing heart surgery. Egyptian Journal of Health Care, 13(2), 158-172. https://doi.org/10.21608/ejhc.2022.228545

Somjainuek, J., Prasopkittikun, T., & Srichantaranit, A. (2016). Factors predicting pediatric nurses’ practices of family-centered care. Nursing Science Journal of Thailand, 34(2), 70-79.

Yerum, L., Kheawwan, P., Thanomlikhit, C., & Jaichaiyaphum, O. (2018). Needs of family caregivers of pediatric patients undergoing open heart surgery. Journal of The Police Nurses, 10(2), 370-375.