Development of the nursing practice scale for end-of-life family conferences in critical care. (October 2021)

• Record Type: Journal Article
• Authors: Kawashima, Tetsuharu; Kawakami, Aki; Ashida, Kaoru; Tanaka, Makoto
• Is Part Of: Intensive and critical care nursing. Volume 66(2021)
• Publication Date: 2021-10
• Subjects: Critical care -- Cross-sectional studies -- Decision making -- Family nursing -- Intensive care units -- Palliative care; Intensive care nursing -- Periodicals; Critical Illness -- nursing -- Periodicals; Intensive Care -- Periodicals; Nursing Care -- Periodicals; Intensive care nursing; Periodicals; Electronic journals; 616.028
• DOI: 10.1016/j.iccn.2021.103076
• Languages: English
• ISSNs: 0964-3397

Abstract

Abstract: Objectives: This study aimed to develop the Nursing Practice Scale for End-of-life Family conferences in critical care and to clarify the current status of nursing practice regarding family conferences. Research methodology/design: We conducted a cross-sectional, self-administered questionnaire survey with 955 critical care unit nurses in 97 hospitals. Content validity, factor validity and criterion-related validity, known-group validity, internal consistency and test–retest reliability were evaluated. Data were then analysed statistically. Setting: Adult intensive care units or high dependency units in Japan. Results: Three factors with 39 items were extracted through item analysis and confirmatory factor analysis as hypothesised (Factor 1: Preparation, Factor 2: Discussion and Factor 3: Follow-up), and the mean score per item for each factor was 3.57, 3.73 and 3.75, respectively. Nurses who had any certification or had worked in critical care unit for >5 years had a significantly greater score than the others. The Cronbach's α were 0.86–0.96 and the intraclass correlation coefficients were 0.79–0.87. Conclusion: The Nursing Practice Scale for End-of-life Family conferences in critical care is a valid and reliable scale. This study could effectively facilitate communication among patients, their families and healthcare providers.