Development and validation of the needs of children questionnaire: An instrument to measure children's self-reported needs in hospital.
Mandie Foster, Lisa Whitehead, Diana Arabiat
PMID 31197863WHAT IT FOUND
Children aged 5-16 in hospital said they understood the needs questionnaire and most liked using the iPad, but the final 16-item tool had inconsistent scores in three sections and the whole tool and needs more testing before use.
Key findings
01In the first pilot, 18 children said they understood the questions, and 17 liked using the iPad.
02In the second pilot, 69 children said they understood the questions, and 65 liked using the iPad.
03The final 16-item NCQ had consistency scores below the recommended minimum of 0.70 for three domains and the total scale.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The sample was small for factor analysis, and the authors did not perform confirmatory factor analysis, convergent validity, discriminant validity or test-retest testing. Three domains and the total scale had consistency scores below the recommended minimum of 0.70. The 3-point response scale may limit variability and sensitivity to change. Most children had acute admissions and short stays, so the tool was not tested in longer admissions or younger children under 5 years. Parent, staff and broader cultural or healthcare setting perspectives were not tested.
Declared interests
The authors declared no conflicts of interest. Funding was from the University of Otago, Christchurch, New Zealand and Edith Cowan University, School of Nursing and Midwifery, Australia.
The easy way to misread this
Do not conclude that the NCQ is ready for routine clinical use. The final 16-item version had consistency scores below the recommended minimum of 0.70 for three domains and the total scale, and confirmatory testing was not done.