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Psychometric testing of the developmental care scale for neonates with congenital heart disease

Published online by Cambridge University Press:  10 June 2019

Sara Arter Open the ORCID record for Sara Arter [Opens in a new window] ,
Elaine Miller ,
Tamilyn Bakas  and
David S Cooper
Sara Arter*
Affiliation:
College of Nursing, University of Cincinnati, Cincinnati, OH, USA
Elaine Miller
Affiliation:
College of Nursing, University of Cincinnati, Cincinnati, OH, USA
Tamilyn Bakas
Affiliation:
College of Nursing, University of Cincinnati, Cincinnati, OH, USA
David S Cooper
Affiliation:
Heart Institute, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, USA
*
Author for correspondence: S. Arter, College of Nursing, University of Cincinnati, 3110 Vine Street, Cincinnati, OH 45221, USA. Phone: +15135582610; Fax: +15135561105; E-mail: burkesj@ucmail.uc.edu
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Abstract

Purpose:

Developmental care of neonates with CHD is essential for proper neurodevelopment. Measurement of developmental care specific to these neonates is needed to ensure consistent implementation within and across cardiac ICUs. The purpose of this study was to psychometrically test the Developmental Care Scale for Neonates with Congenital Heart Disease, which measures the quality of developmental care provided by bedside nurses to neonates in the cardiac ICU.

Methods:

Psychometric testing was conducted with 119 cardiac ICU nurses to provide evidence of internal consistency reliability and construct validity. Participants were predominantly young (median = 32 years), white (90%) females (93%) with bachelor’s degrees (78%) and a median experience in the cardiac ICU of 7 years.

Results:

Evidence of internal consistency reliability (α =.89) was provided with corrected item-total correlations ranging from .31 to .77. Exploratory factor analysis provided evidence of construct validity as a unidimensional scale, as well as a multidimensional scale consisting of four subscales: creating the external environment, assessment of family well-being, caregiver activities toward the neonate, and basic human needs.

Conclusions:

Evidence of reliability and validity of the 31-item Developmental Care Scale for Neonates with Congenital Heart Disease was established with nurses caring for neonates in the cardiac ICU. This instrument will serve as a valuable outcome measure tasked with improving developmental care performance and makes it possible to identify relationships between developmental care performance and neonatal neurodevelopmental outcomes in future research.

Keywords

Developmental careneonatecongenital heart diseasepsychometrics
Type
Original Article
Information
Cardiology in the Young , Volume 29 , Issue 6 , June 2019 , pp. 749 - 755
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Copyright
© Cambridge University Press 2019 

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