Psychometric properties of the Persian version of the Critical Care Family Needs Inventory.
BACKGROUND
Life-threatening illnesses and subsequent hospitalization in the intensive care unit (ICU) often occur unexpectedly. In many cases, this event is devastating for families and may lead to emotional stress, anxiety, and fear. To offer comprehensive and high-quality nursing care, critical care nurses not only provide critical care to patients but also attend to the psychological and social needs of patients and their families.


OBJECTIVE
The purpose of this study was to assess the psychometric properties of the Persian version of the Critical Care Family Needs Inventory (CCFNI-P).


METHODS
This was a cross-sectional methodological research study. Forward-backward translation was used to develop the instrument. The first version was pretested with 10 families to assess face validity. The main sample consisted of 720 family members of hospitalized patients, composed of 360 admitted to ICUs and 360 admitted to general wards of hospitals in Tehran, Iran. Participants were selected randomly to evaluate the instrument in terms of known-groups, construct, and convergent validities. The internal consistency of the translated instrument was assessed using Cronbach's alpha coefficient.


RESULTS
A significant difference was found between the scores of participants with patients in ICUs and participants with patients in the general wards (p < .001). In agreement with the original instrument, five distinct components were extracted from the CCFNI-P, which accounted for more than 52% of the total variance. The correlation between the total score for the instrument and the State-Trait Anxiety Inventory criterion was positive and significant (r = .23, p < .04). The Cronbach's alpha coefficient for the entire instrument was .89 and more than .70 for all dimensions.


CONCLUSIONS
This study confirmed the validity of the CCFNI-P in terms of face, construct, convergent, and known groups and showed acceptable internal consistency. The CCFNI-P is valid for investigating the needs of Iranians who have a family member hospitalized in an ICU.
1MScN, Research Center for Social Determinants of Health, Semnan University of Medical Sciences, Semnan, Iran 2PhD, Associate Professor, Elderly Care Research Center, Shahed University, Tehran, Iran 3PhD, Associate Professor, Elderly Care Research Center, Shahed University, Tehran, Iran 4PhD, Professor, Mental Health Research Group, Health Metrics Research Centre, Iranian Institute for Health Sciences Research, ACECR, Tehran, Iran 5PhD, Associate Professor, Faculty of Paramedical Sciences, Department of Biostatistics, Shahid Beheshti University of Medical Sciences, Tehran, Iran 6PhD, MD, Assistant Professor, Research Center for Social Determinants of Health, Department of Community Medicine, School of Medicine, Semnan University of Medical Sciences, Semnan, Iran 7PhD, Honorary Research Associate, College of Human and Health Sciences, Swansea University, Wales, United Kingdom.
Razieh
R
Bandari
Majideh
M
Heravi-Karimooi
Nahid
N
Rejeh
Ali
A
Montazeri
Farid
F
Zayeri
Majid
M
Mirmohammadkhani
Mojtaba
M
Vaismoradi
D000328:Adult; D064648:Critical Care Nursing; D003430:Cross-Sectional Studies; D005192:Family Health; D005260:Female; D006301:Health Services Needs and Demand; D006801:Humans; D007362:Intensive Care Units; D007492:Iran; D008297:Male; D008875:Middle Aged; D020380:Needs Assessment; D015404:Nursing Methodology Research; D011594:Psychometrics