Several current and potential future practices to reduce MEs in NICUs were identified, highlighting the complexity of MEs. Our findings support an interdisciplinary multifaceted intervention involving both technical and nontechnical elements to improve medication safety in NICUs.
Aim: Investigating parent satisfaction with care is important to guide quality development. In this study we translated and validated a Danish version of the empowerment of parents in the intensive care -neonatology (EMPATHIC-N) questionnaire to determine validity in Danish contexts. Method: A psychometric study design was applied. Translation was performed according to recommended international standards. Confirmatory factor analyses including standardized factor loadings, Cronbach's α reliability estimates, congruent validity, and nondifferential validity testing were applied. The study was performed from June 2017 through November 2019 at a 33-bed level IV neonatal intensive care unit. Results: Participants were 311 parents (response rate = 42,8%). Confirmative factor analyses disclosed a moderate model fit of the instrument with Comparative Fit Index (CFI) values of 0.83 to 0.92. Cronbach's α showed good reliability (0.82 to 0.93). Congruent validity showed good positive correlations (0.48 to 0.71) between the instrument domains and four overall satisfaction indicators. In search of improved model fit, a version including 27 items was tested. This version showed a better model fit with CFI values of 0.92 to 0.99 and satisfactory Cronbach's α values. Conclusions: Model fit for the Danish full EMPATIC-N was moderate. The shorter version showed better psychometric properties.
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