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Satisfaction with quality of ICU care for patients and families: the euroQ2 project
- Source :
- Critical care (London, England), 21:239. BMC, Critical Care, Critical Care, Vol 21, Iss 1, Pp 1-10 (2017), Critical care (London, England), 21(1). Springer Science + Business Media, Jensen, H I, Gerritsen, R T, Koopmans, M, Downey, L, Engelberg, R A, Curtis, J R, Spronk, P E, Zijlstra, J G & Ørding, H 2017, ' Satisfaction with quality of ICU care for patients and families : the euroQ2 project ', Critical Care (Online Edition), vol. 21, no. 1, 239 . https://doi.org/10.1186/s13054-017-1826-7
- Publication Year :
- 2017
-
Abstract
- Background Families’ perspectives are of great importance in evaluating quality of care in the intensive care unit (ICU). This Danish-Dutch study tested a European adaptation of the “Family Satisfaction in the ICU” (euroFS-ICU). The aim of the study was to examine assessments of satisfaction with care in a large cohort of Danish and Dutch family members and to examine the measurement characteristics of the euroFS-ICU. Methods Data were from 11 Danish and 10 Dutch ICUs and included family members of patients admitted to the ICU for 48 hours or more. Surveys were mailed 3 weeks after patient discharge from the ICU. Selected patient characteristics were retrieved from hospital records. Results A total of 1077 family members of 920 ICU patients participated. The response rate among family members who were approached was 72%. “Excellent” or “Very good” ratings on all items ranged from 58% to 96%. Items with the highest ratings were concern toward patients, ICU atmosphere, opportunities to be present at the bedside, and ease of getting information. Items with room for improvement were management of patient agitation, emotional support of the family, consistency of information, and inclusion in and support during decision-making processes. Exploratory factor analysis suggested four underlying factors, but confirmatory factor analysis failed to yield a multi-factor model with between-country measurement invariance. A hypothesis that this failure was due to misspecification of causal indicators as reflective indicators was supported by analysis of a factor representing satisfaction with communication, measured with a combination of causal and reflective indicators. Conclusions Most family members were moderately or very satisfied with patient care, family care, information and decision-making, but areas with room for improvement were also identified. Psychometric assessments suggest that composite scores constructed from these items as representations of either overall satisfaction or satisfaction with specific sub-domains do not meet rigorous measurement standards. The euroFS-ICU and other similar instruments may benefit from adding reflective indicators. Electronic supplementary material The online version of this article (doi:10.1186/s13054-017-1826-7) contains supplementary material, which is available to authorized users.
- Subjects :
- Male
Psychometrics
Denmark
Satisfaction
DECISION-MAKING
Critical Care and Intensive Care Medicine
law.invention
0302 clinical medicine
Questionnaire survey
law
Surveys and Questionnaires
Medicine
030212 general & internal medicine
Netherlands
Response rate (survey)
Aged, 80 and over
OUTCOMES
Communication
OF-LIFE
lcsh:Medical emergencies. Critical care. Intensive care. First aid
DEATH
Questionnaire
Middle Aged
Intensive care unit
Exploratory factor analysis
Confirmatory factor analysis
EXPERIENCES
Intensive Care Units
Patient Satisfaction
FS-ICU
Female
MEMBERS
Adult
VALIDATION
03 medical and health sciences
Patient satisfaction
Nursing
Journal Article
Humans
Measurement invariance
Family
Aged
Quality of Health Care
business.industry
Research
Quality of care
030208 emergency & critical care medicine
lcsh:RC86-88.9
UNIT
ICU
ADULT ICU
business
Nurse-Patient Relations
Subjects
Details
- Language :
- English
- ISSN :
- 1466609X and 13648535
- Database :
- OpenAIRE
- Journal :
- Critical care (London, England), 21:239. BMC, Critical Care, Critical Care, Vol 21, Iss 1, Pp 1-10 (2017), Critical care (London, England), 21(1). Springer Science + Business Media, Jensen, H I, Gerritsen, R T, Koopmans, M, Downey, L, Engelberg, R A, Curtis, J R, Spronk, P E, Zijlstra, J G & Ørding, H 2017, ' Satisfaction with quality of ICU care for patients and families : the euroQ2 project ', Critical Care (Online Edition), vol. 21, no. 1, 239 . https://doi.org/10.1186/s13054-017-1826-7
- Accession number :
- edsair.doi.dedup.....6201f4b33b666b24be37b57e11c34277