Design and psychometric obstacles of implementation of family-centered care in Pediatric and Neonate intensive care units from the Nurses' perspective

There are obstacles for the implementation of family-centered care in special care departments for children and infants by nurses. The present study was conducted with the aim of designing and psychometrically evaluating the obstacles to the implementation of family-centered care from the perspective of Nurse of Hamadan, 2023.

After the field study, the face validity of the 36-item questionnaire was conducted with both quantitative and qualitative methods. Quantitative face validity was done by 10 nurses, qualitative face validity by 5 nursing faculty members, and content validity by 10 faculty members. Reliability was carried out in two stages, two weeks apart, by 20 nurses of children's departments. Cronbach's alpha coefficient was calculated for internal consistency. Factor analysis of the questionnaire was done by 95 special care nurses.

The content validity index and content validity ratio of the 25-question questionnaire were calculated as 0.90 and 0.95, respectively, and 11 questions were removed. Cronbach's alpha of the questionnaire was 0.95and intra-cluster correlation was 0.955. KMO equal to 0.859 and Bartlett's sphericity test showed that the correlation matrix is suitable for factor analysis. Factor analysis extracted five factors of parental burdensomeness, high workload, inappropriate executive policy, low self-confidence of parents and provision of adequate care by the nurse with an explanation rate of 75.69% of the total variance.

The questionnaire of obstacles to the implementation of family-centered care from the nurse point of view is a reliable and valid tool to investigate the obstacles to the implementation of family-centered care in Pediatric and neonate intensive care units.