Development of the nursing practice scale for end-of-life family conferences in critical care

被引：2

作者：

Kawashima, Tetsuharu ^{[1
]}

Kawakami, Aki ^{[1
]}

Ashida, Kaoru ^{[1
]}

Tanaka, Makoto ^{[1
]}

机构：

[1] Tokyo Med & Dent Univ TMDU, Bunkyo Ku, 1-5-45 Yushima, Tokyo 1138510, Japan

来源：

INTENSIVE AND CRITICAL CARE NURSING | 2021年 / 66卷

关键词：

Critical care; Cross-sectional studies; Decision making; Family nursing; Intensive care units; Palliative care; POSTTRAUMATIC-STRESS-DISORDER; ETHICS CONSULTATIONS; UNIT PATIENTS; MEMBERS; SYMPTOMS; COMMUNICATION; DEPRESSION; DISCHARGE; RELATIVES; OUTCOMES;

D O I：

10.1016/j.iccn.2021.103076

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Objectives: This study aimed to develop the Nursing Practice Scale for End-of-life Family conferences in critical care and to clarify the current status of nursing practice regarding family conferences. Research methodology/design: We conducted a cross-sectional, self-administered questionnaire survey with 955 critical care unit nurses in 97 hospitals. Content validity, factor validity and criterion-related validity, known-group validity, internal consistency and test-retest reliability were evaluated. Data were then analysed statistically. Setting: Adult intensive care units or high dependency units in Japan. Results: Three factors with 39 items were extracted through item analysis and confirmatory factor analysis as hypothesised (Factor 1: Preparation, Factor 2: Discussion and Factor 3: Follow-up), and the mean score per item for each factor was 3.57, 3.73 and 3.75, respectively. Nurses who had any certification or had worked in critical care unit for >5 years had a significantly greater score than the others. The Cronbach's alpha were 0.86-0.96 and the intraclass correlation coefficients were 0.79-0.87. Conclusion: The Nursing Practice Scale for End-of-life Family conferences in critical care is a valid and reliable scale. This study could effectively facilitate communication among patients, their families and healthcare providers. (C) 2021 Elsevier Ltd. All rights reserved.

引用

页数：8

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