title: Development, reliability and validity of a tool, to measure emergency department clinicians' attitudes towards family presence (FP) during acute deterioration in adult patients.
abstract: Despite many studies of family presence during resuscitation, no validated tool exploring the attitudes and beliefs of healthcare staff towards family presence has been published. The aim of this paper is to describe the development of a tool to accurately measure the attitudes and beliefs of emergency department staff towards family presence in the deteriorating adult patient, present the results of validity and reliability testing, and present the final validated tool. Twenty-nine items were developed, informed by themes from the literature and unvalidated published tools related to family presence during resuscitation. The tool was piloted on a sample of 68 emergency nursing and medical staff. Content validity and face validity were established using feedback from participants. Reliability was established by unidimensionality, exploratory factor analysis and internal consistency. Sixteen items were deleted from the original tool due to low item-to-total correlations and low communalities. Exploratory factor analysis of the remaining items revealed four factors with acceptable correlation coefficients and appropriate explanation of variance. Cronbach's alpha for each factor was >0.7 indicating a high degree of internal consistency. The four factors were labelled and arranged in a logical order to form the final tool, the Emergency Department Family Presence Survey.
authors: Master of Nursing Practice candidate, School of Nursing and Midwifery, Deakin University, 221 Burwood Highway, Burwood, VIC 3125, Australia; Clinical Nurse Specialist, Northern Health Emergency Department, Northern Hospital, 185 Cooper Street, Epping, VIC 3076, Australia. Electronic address: myoungso@deakin.edu.au.
authors: Megan J
authors: MJ
authors: Youngson
authors: School of Nursing and Midwifery/Centre for Quality and Patient Safety Research, Deakin University, 221 Burwood Highway, Burwood, VIC 3125, Australia; Eastern Health - Deakin University Nursing and Midwifery Research Centre, Level 2, 5 Arnold Street, Box Hill, VIC 3128, Australia.
authors: Julie
authors: J
authors: Considine
authors: School of Nursing and Midwifery/Centre for Quality and Patient Safety Research, Deakin University, 221 Burwood Highway, Burwood, VIC 3125, Australia.
authors: Judy
authors: J
authors: Currey
mesh_terms: D000208:Acute Disease; D000328:Adult; D001291:Attitude of Health Personnel; D004635:Emergency Medicine; D004636:Emergency Service, Hospital; D005190:Family; D006801:Humans; D009726:Nurses / Q000523:psychology*; D010820:Physicians / Q000523:psychology*; D015203:Reproducibility of Results
keywords: Clinical deterioration; Emergency medicine; Emergency nursing; Healthcare survey; Rapid response team; Resuscitation