عنوان

Developing scales to measure nurse perception of ICU design: Patient safety, family integration with patient care, and supportive staff working conditions

TL48982

انگلیسی

Developing scales to measure nurse perception of ICU design: Patient safety, family integration with patient care, and supportive staff working conditions

[Thesis]

Faria Tasnin Islam

Rashid, Mahbub

University of Kansas

2016

258

Committee members: Cai, Hui; Cramer, Emily; Ekerdt, David; Kim, ChangHwan; Zilm, Frank

Place of publication: United States, Ann Arbor; ISBN=978-1-369-24414-4

Ph.D.

Architecture

University of Kansas

2016

The patient safety (PS) scale, the family integration with patient care (FIPC) scale, and supportive staff working conditions scale (SSWC) was developed by Rashid (2007) as an assessment tool for ICU design features. The psychometric properties of the three scales have not been determined adequately. Therefore, exploratory and confirmatory factor analysis was undertaken to examine the underlying dimensions of the items on these three scales. A methodological study was conducted to evaluate construct validity and reliability of the tools. The study also sought to know whether nurse perception of ICU design features was influenced by hospital types, unit characteristics, and nurse characteristics. This was done by one-way ANOVA and bivariate correlation and regression. A web-based questionnaire was developed using Qualtrics software and a link to the survey was posted on the e-newsletter in American Association of Critical-Care Nurses (AACN). The sample size consisted of 654 responses. Factor solution for each scale was determined by scree plot, simple structure, goodness-of-fit, and conceptual clarity. Interpretation and labeling of factors were done by the researcher. The Patient Safety (PS) scale resulted in a four-factor solution and was labeled as efficient work process, patient room, accessibility, and visibility, and maintain sterility. There were 21 items in the scale, and two items were eliminated for lack of salient loading (>0.30). The correlation between the factors ranged between 0.614 and0.843 which suggested that the factors underlying the instrument were relatively distinct dimensions. The Family Integration with Patient Care (FIPC) scale (14 items) resulted in a four-factor solution and were labeled as comfort and privacy, information and communication, support and convenient amenities. The factor correlation ranged between 0.614 and 0.843. The Supportive Staff Working Conditions (SSWC) scale had 36 items, and one item was eliminated for lack of salient loading. The factor analysis revealed a three-factor solution and was labeled as staff support, supportive workstation, and functional efficiency and support. The study finds that nurse perception on the subscales was influenced by unit characteristics and nurse characteristics.

Nursing; Architecture; Health care management

Communication and the arts;Health and environmental sciences;Adult intensive care;Family integration with patient care;Measurement scales;Nurse perception;Patient safety;Staff working conditions

Alluhaibi, Maha

Rashid, Mahbub

Architecture

University of Kansas

1832957569; 10170320

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[Thesis]

276903

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