title: Psychometric evaluation of the family-centered care scale for pediatric acute care nursing.
abstract: BACKGROUND
  Caring for families is fundamental to pediatric nursing. However, existing measures do not capture parents' experiences with family-centered nursing care.
  
  
  OBJECTIVE
  The aim of this study was to describe the development and initial psychometric testing of the Family-Centered Care Scale, a seven-item instrument designed to measure a parent's experience of nursing care that embodies core principles of family-centered care.
  
  
  METHODS
  In Phase 1, 18 items describing what nurses do to engage parents of hospitalized children were derived from the literature describing mutuality. After establishing face validity, pretesting, and revision for clarity, the scale was administered to a convenience sample of 91 parents of hospitalized patients. In Phase 2, two items on parents' perceptions of being well-cared-for were added. The 20-item scale was administered to 564 parents of children recruited from all inpatient units in a children's hospital. In Phase 3, the scale was shortened to seven items and retested for validity among 454 additional parents.
  
  
  RESULTS
  Internal consistency reliability was high across all versions and testing phases. Confirmatory factor analysis with data from a subsequent sample supported the final factor structure, regardless of patient type and race. There was a linear association between the scale consistency scores and overall quality of care ratings, supporting predictive validity of the scale.
  
  
  CONCLUSIONS
  The Family-Centered Care Scale showed initial evidence of reliability and validity among parents with hospitalized children.
authors: School of Nursing, Anesthesia and Critical Care Medicine, University of Pennsylvania, Philadelphia, PA 19104-4217, USA. curley@nursing.upenn.edu
authors: Martha A Q
authors: MA
authors: Curley
authors: Mabel
authors: M
authors: Hunsberger
authors: Sion Kim
authors: SK
authors: Harris
mesh_terms: D000208:Acute Disease / Q000451:nursing / Q000523:psychology; D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D022143:Family Nursing / Q000523:psychology*; D005260:Female; D006801:Humans; D007223:Infant; D007398:Interpersonal Relations; D008297:Male; D009740:Nursing Staff / Q000523:psychology*; D010290:Parents / Q000523:psychology*; D010371:Pediatric Nursing; D011594:Psychometrics / Q000295:instrumentation*; D016032:Randomized Controlled Trials as Topic