Cargando…

Satisfaction with quality of ICU care for patients and families: the euroQ2 project

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 c...

Descripción completa

Detalles Bibliográficos
Autores principales: Jensen, Hanne Irene, Gerritsen, Rik T., Koopmans, Matty, Downey, Lois, Engelberg, Ruth A., Curtis, J. Randall, Spronk, Peter E., Zijlstra, Jan G., Ørding, Helle
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5590143/
https://www.ncbi.nlm.nih.gov/pubmed/28882192
http://dx.doi.org/10.1186/s13054-017-1826-7
_version_ 1783262476678201344
author Jensen, Hanne Irene
Gerritsen, Rik T.
Koopmans, Matty
Downey, Lois
Engelberg, Ruth A.
Curtis, J. Randall
Spronk, Peter E.
Zijlstra, Jan G.
Ørding, Helle
author_facet Jensen, Hanne Irene
Gerritsen, Rik T.
Koopmans, Matty
Downey, Lois
Engelberg, Ruth A.
Curtis, J. Randall
Spronk, Peter E.
Zijlstra, Jan G.
Ørding, Helle
author_sort Jensen, Hanne Irene
collection PubMed
description 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.
format Online
Article
Text
id pubmed-5590143
institution National Center for Biotechnology Information
language English
publishDate 2017
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-55901432017-09-14 Satisfaction with quality of ICU care for patients and families: the euroQ2 project Jensen, Hanne Irene Gerritsen, Rik T. Koopmans, Matty Downey, Lois Engelberg, Ruth A. Curtis, J. Randall Spronk, Peter E. Zijlstra, Jan G. Ørding, Helle Crit Care Research 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. BioMed Central 2017-09-07 /pmc/articles/PMC5590143/ /pubmed/28882192 http://dx.doi.org/10.1186/s13054-017-1826-7 Text en © The Author(s). 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research
Jensen, Hanne Irene
Gerritsen, Rik T.
Koopmans, Matty
Downey, Lois
Engelberg, Ruth A.
Curtis, J. Randall
Spronk, Peter E.
Zijlstra, Jan G.
Ørding, Helle
Satisfaction with quality of ICU care for patients and families: the euroQ2 project
title Satisfaction with quality of ICU care for patients and families: the euroQ2 project
title_full Satisfaction with quality of ICU care for patients and families: the euroQ2 project
title_fullStr Satisfaction with quality of ICU care for patients and families: the euroQ2 project
title_full_unstemmed Satisfaction with quality of ICU care for patients and families: the euroQ2 project
title_short Satisfaction with quality of ICU care for patients and families: the euroQ2 project
title_sort satisfaction with quality of icu care for patients and families: the euroq2 project
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5590143/
https://www.ncbi.nlm.nih.gov/pubmed/28882192
http://dx.doi.org/10.1186/s13054-017-1826-7
work_keys_str_mv AT jensenhanneirene satisfactionwithqualityoficucareforpatientsandfamiliestheeuroq2project
AT gerritsenrikt satisfactionwithqualityoficucareforpatientsandfamiliestheeuroq2project
AT koopmansmatty satisfactionwithqualityoficucareforpatientsandfamiliestheeuroq2project
AT downeylois satisfactionwithqualityoficucareforpatientsandfamiliestheeuroq2project
AT engelbergrutha satisfactionwithqualityoficucareforpatientsandfamiliestheeuroq2project
AT curtisjrandall satisfactionwithqualityoficucareforpatientsandfamiliestheeuroq2project
AT spronkpetere satisfactionwithqualityoficucareforpatientsandfamiliestheeuroq2project
AT zijlstrajang satisfactionwithqualityoficucareforpatientsandfamiliestheeuroq2project
AT ørdinghelle satisfactionwithqualityoficucareforpatientsandfamiliestheeuroq2project