A novel questionnaire to measure staff perception of end-of-life decision making in the intensive care unit—Development and psychometric testing
| Autor: | Isabella Westermann, Niels C. Riedemann, Daniel Schwarzkopf, Helga Skupin, Michael Fritzenwanger, Christiane S. Hartog, Konrad Reinhart, Ruediger Pfeifer, Otto W. Witte, Albrecht Günther |
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| Rok vydání: | 2015 |
| Předmět: |
Adult
Male Palliative care Critical Care Psychometrics Decision Making Context (language use) Nursing Staff Hospital Critical Care Nursing Critical Care and Intensive Care Medicine Young Adult Nursing Germany Surveys and Questionnaires Intensive care Medical Staff Hospital Humans Medicine Emotional exhaustion Terminal Care business.industry Item analysis Communication Reproducibility of Results Construct validity Middle Aged humanities Exploratory factor analysis Test (assessment) Occupational Diseases Intensive Care Units Female Patient Participation Factor Analysis Statistical business Stress Psychological |
| Zdroj: | Journal of Critical Care. 30:187-195 |
| ISSN: | 0883-9441 |
| DOI: | 10.1016/j.jcrc.2014.09.015 |
| Popis: | Purpose The aim of this study was to create a questionnaire that measures barriers and facilitators of effective end-of-life (EOL) decision making and communication and associated stress as perceived by intensive care unit (ICU) staff. Methods The questionnaire was developed on the basis of a theoretical framework and discussion with ICU staff. It was pretested among 15 ICU nurses and physicians. A field test was conducted in 4 interdisciplinary ICUs of one university hospital Descriptive item analysis, exploratory factor analysis, and reliability and validity analysis were performed. Results Overall, 174 of 284 ICU staff participated in the field test (61% response). Factor analysis indicated a 7-factor solution: (1) collaboration in the EOL context, (2) role clarity in the EOL context, (3) work-related interruptions of communication with families, (4) emotional support, (5) stress by involvement in EOL decision making and communication with families, (6) stress by work overload, and (7) taking initiative toward EOL decision making. Internal consistency of the scales was acceptable (range, 0.69-0.85). Construct validity was shown by relationships of the scales to several constructs, for example, satisfaction with EOL decision making and emotional exhaustion. Overall, 26 of 31 expected relationships achieved significance. Conclusions The new questionnaire meets psychometric criteria of reliability and validity and promises to be a useful quality measure of EOL decision making in the ICU. |
| Databáze: | OpenAIRE |
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