Evaluating the Critical Care Family Satisfaction Survey for Chronic Critical Illness

Abstract

Recognition of the family as a component of patient-centered critical care has shifted our attention to the assessment of family satisfaction in the intensive care unit (ICU). To date, there are no established measures of satisfaction with ICU care for family members of the chronically critically ill (CCI). This study evaluated psychometric properties of the Critical Care Family Satisfaction Survey (CCFSS) in 326 family members of the CCI using exploratory and confirmatory factor analysis (CFA). From the exploratory factor analysis, two unique structural models emerged, each with alpha coefficients of .72 to .91 and discriminant validity among factors (r < .70). The CFA confirmed the best-fitting structural model was a 14-item, three-factor solution (χ2 = 354, df = 148, p < .001, Tucker Lewis Index = .88, Comparative Fit Index = .90, root mean square error of approximation = .06). Thus, the modified 14-item version of the CCFSS is reliable and valid in family members of CCI patients.

Nursing Activities Score as a predictor of family satisfaction in an adult Intensive Care Unit in Greece

“…Therefore, nursing care should be both family and patient centred, adding another quality demand in the evaluation process (Hickman et al . ). Unfortunately, a high incidence of conflicts between patients' relatives and staff members has been documented in previous studies, such as team–family disputes, ineffective or inappropriate communication by the health care team and unclear or insufficient information (Davidson , Roberti & Fitzpatrick ).…”

“…Given the involvement of families as decision makers during hospitalization, family satisfaction should be taken into account when quality of care is assessed in the ICUs (Wall et al 2007a, Gerstel et al 2008). Therefore, nursing care should be both family and patient centred, adding another quality demand in the evaluation process (Hickman et al 2012). Unfortunately, a high incidence of conflicts between patients' relatives and staff members has been documented in previous studies, such as team-family disputes, ineffective or inappropriate communication by the health care team and unclear or insufficient information (Davidson 2009, Roberti & Fitzpatrick 2010.…”

Quality of care in the intensive care unit from the perspective of patient’s relatives: development and psychometric evaluation of the consumer quality index ‘R-ICU’

“…Subsequently, adding ‘questionnaire’ in the title and abstract resulted in 43 articles. To explore relevant topics, we studied the Critical Care Family Needs Inventory (CCFNI) [9, 27], the Family Satisfaction in the Intensive Care Unit (FS-ICU 24/34) [12], the Critical Care Family Satisfaction Survey (CCFSS) [16], the Parent Satisfaction Instrument [28] and the CQI-palliative care relatives [29]. The resulting topic list with relevant quality aspects consisted of: support at first entrance in ICU, information and communication, attitude of the caregivers, (multidisciplinary) support, participation, organization of ICU, discharge to a general ward, and aftercare.…”

“…Because of this conceptual difference, the FS-ICU was not used to translate and adapt the items of the questionnaire. The ‘Critical Care Family Satisfaction Survey’ (CCFSS) was assessed as a reliable and valid tool to measure the satisfaction of relatives as well [16]. Yet, both instruments, the FC-ICU 24 and the CCFSS, have a disadvantage when being implemented in the Netherlands, as they have been developed and used in a non-Dutch situation.…”

Strategies to combat chronic critical illness

“…The ProVent score was developed as a mortality prediction model using four clinical variables (age, platelet count, requirement for vasopressors, and hemodialysis) on day 21 of mechanical ventilation to identify patients at high and low risk of mortality [12 ▪▪ ], and can be used to guide families and the care team in their discussions. Written information regarding CCI is available for families [52], as are tools to evaluate the satisfaction of communication perceived by families [53]. An innovative decision aid to assist with communication of prognosis and goals of care is currently being studied in a multicenter randomized trial [54 ▪ ].…”