RNOtherInvestigacion y educacion en enfermeria2024

Development and Validation of the Companion's Satisfaction Questionnaire of Patient's Hospitalized in Intensive Care Units.

Ali Dehghani

PMID 39083821

WHAT IT FOUND

Iranian ICU companions described satisfaction with nurse communication, nursing care, and decision making.

A 22-item questionnaire asks families about these nursing experiences and can help nurses assess family satisfaction.

Key findings

01The final CS-ICU questionnaire has 22 items grouped into satisfaction with nursing staff communication, satisfaction with nursing care, and satisfaction with decision making.

02The scale was developed from interviews with 25 ICU companions and then tested with 301 companions completing a 43-item version.

03The 22-item scale had Cronbach's alpha 0.94 and test-retest ICC 0.95.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

The questionnaire was developed and tested only with companions of ICU patients at educational hospitals in Jahrom, Iran, so its wording, items and factor structure may not fit other countries or ICU settings. The main factor-analysis sample was recruited by convenience sampling, not random sampling. Satisfaction was self-reported by companions, and the authors note the limitations of self-report scales. The authors note they do not know the views of families and companions who did not participate. The study evaluates a measurement tool; it does not test whether using the questionnaire improves ICU care, patient outcomes, or family outcomes. The final scale did not retain the initial 'satisfaction with medical team personnel' dimension, so it focuses on nursing-related domains rather than medical team performance.

Declared interests

The study was financially supported by the Research Department at Jahrom University of Medical Sciences. No commercial sponsor, company involvement, or author conflicts of interest are reported.

The easy way to misread this

Do not read the questionnaire's good consistency scores as proof that ICU nursing care is good or that the questionnaire can be used anywhere. The study only developed and tested a self-report satisfaction scale with Iranian ICU companions. It did not measure patient outcomes or test an intervention.

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