Scale of perception of family self-efficacy in home care for children on peritoneal dialysis.
Lígia Simões Ferreira, Myriam Aparecida Mandetta, Maria Magda Ferreira Gomes Balieiro and 2 others
PMID 40072981WHAT IT FOUND
A new scale helps nurses check if families feel ready to manage a child's home dialysis.
It covers fears about equipment failure, financial strain, and confusing advice from staff. Families understood every question, and expert nurses agreed the items measure what matters.
Key findings
01The scale measures family confidence across four areas: daily household strain, managing dialysis equipment and health changes, securing resources like money and medication, and navigating relationships with the healthcare team.
02Expert nurses reviewed the draft items, and after three rounds of refinement, the final version achieved an agreement score of 0.86, indicating the questions accurately reflect family self-efficacy.
03Families tested the final questions and reported no difficulty understanding them or the confidence scale, confirming the tool is usable by parents and caregivers.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The families interviewed and tested for the scale all came from a single state in Brazil, so the questions may not capture cultural or logistical challenges faced by families in other regions. This study only checked if the questions make sense to experts and families. It has not yet been tested to see if scores on the scale actually predict health outcomes or if the tool is statistically reliable over time.
Declared interests
The paper does not report any specific funding sources or conflicts of interest.
The easy way to misread this
Do not assume this scale is a validated diagnostic tool that predicts hospital readmission or treatment success. It has only been checked for content validity and clarity. Its ability to measure true self-efficacy or predict clinical outcomes has not yet been established.