Developing scales to measure nurse perception of ICU design: Patient safety, family integration with patient care, and supportive staff working conditions
General Material Designation
[Thesis]
First Statement of Responsibility
Faria Tasnin Islam
Subsequent Statement of Responsibility
Rashid, Mahbub
.PUBLICATION, DISTRIBUTION, ETC
Name of Publisher, Distributor, etc.
University of Kansas
Date of Publication, Distribution, etc.
2016
PHYSICAL DESCRIPTION
Specific Material Designation and Extent of Item
258
GENERAL NOTES
Text of Note
Committee members: Cai, Hui; Cramer, Emily; Ekerdt, David; Kim, ChangHwan; Zilm, Frank
NOTES PERTAINING TO PUBLICATION, DISTRIBUTION, ETC.
Text of Note
Place of publication: United States, Ann Arbor; ISBN=978-1-369-24414-4
DISSERTATION (THESIS) NOTE
Dissertation or thesis details and type of degree
Ph.D.
Discipline of degree
Architecture
Body granting the degree
University of Kansas
Text preceding or following the note
2016
SUMMARY OR ABSTRACT
Text of Note
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.
TOPICAL NAME USED AS SUBJECT
Nursing; Architecture; Health care management
UNCONTROLLED SUBJECT TERMS
Subject Term
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