Abstract:Aim
To analyze the concept of maternal caring ability for a preterm infant to develop an operational definition.
Background
Each year, many newborns are born preterm and admitted to the neonatal intensive care unit (NICU). Although their mothers are prepared for discharge home by the staff, it is difficult to identify an operational definition of their maternal caring ability for the preterm infant.
Design
Concept analysis.
Data sources
Searches used PubMed, as the primary health‐related literature, ProQuest, … Show more
“…We explored attribute of take caring ability concept. Findings showed a mother with optimal caring ability has sufficient knowledge, high skills, a sense of sufficient self-efficacy [ 17 ]. This step resulted in 69 initial items generation.…”
Section: Resultsmentioning
confidence: 99%
“…The purpose of this step was to explain the concept of caring ability in the mothers of preterm infants, and to create a set of items to design the target scale. This step involved the identification of concepts through literature review published from 1995 to 2020 [ 17 ] .…”
Section: Methodsmentioning
confidence: 99%
“…These scales aim to provide a means of measuring the caregiver's expectations regarding the outcomes of their caregiving efforts. Although our previous study show a mother with optimal caring ability has sufficient cognitive ability, technical ability, and psychological ability [ 17 ]. This is a clear gap in the designed scale that could be overcome by a new scale that focuses take caring ability of mother with preterm infants.…”
Background
Caring ability is one of the most important indicators regarding care outcomes. A valid and reliable scale for the evaluation of caring ability in mothers with preterm infants is lacking.
Objective
The present study was conducted with the aim of designing and psychometric evaluation of the tool for assessing caring ability in mothers with preterm infants.
Method
A mixed-method exploratory design was conducted from 2021 to 2023. First the concept of caring ability of mothers with preterm infants was clarified using literature review and comparative content analysis, and a pool of items was created. Then, in the quantitative study, the psychometric properties of the scale were evaluated using validity and reliability tests. A maximum likelihood extraction with promax rotation was performed on 401 mothers with the mean age of 31.67 ± 6.14 years to assess the construct validity.
Result
Initial caring ability of mother with preterm infant scale (CAMPIS) was developed with 64 items by findings of the literature review, comparative content analysis, and other related questionnaire items, on a 5-point Likert scale to be psychometrically evaluated. Face, content, and construct validity, as well as reliability, were measured to evaluate the psychometric properties of CAMPIS. So, the initial survey yielded 201 valid responses. The three components: 'cognitive ability'; knowledge and skills abilities'; and 'psychological ability'; explained 47.44% of the total observed variance for CAMPIS with 21 items. A subsequent survey garnered 200 valid responses. The confirmatory factor analysis results indicated: χ2/df = 1.972, comparative fit index (CFI) = 0.933, and incremental fit index (IFI) = 0.933. These results demonstrate good structural, convergent, discriminant validity and reliability. OMEGA, average inter-item correlation (AIC), intraclass correlation coefficients (ICC) for the entire scale were at 0.900, 0.27 and 0.91 respectively.
Conclusion
Based on the results of the psychometric evaluation of CAMPIS, it was found that the concept of caring ability in the Iranian mothers with preterm infants is a multi-dimensional concept, which mainly focuses on cognitive ability, technical ability, and psychological ability. The designed scale has acceptable validity and reliability characteristics that can be used in future studies to assess this concept in the mothers of preterm infants.
“…We explored attribute of take caring ability concept. Findings showed a mother with optimal caring ability has sufficient knowledge, high skills, a sense of sufficient self-efficacy [ 17 ]. This step resulted in 69 initial items generation.…”
Section: Resultsmentioning
confidence: 99%
“…The purpose of this step was to explain the concept of caring ability in the mothers of preterm infants, and to create a set of items to design the target scale. This step involved the identification of concepts through literature review published from 1995 to 2020 [ 17 ] .…”
Section: Methodsmentioning
confidence: 99%
“…These scales aim to provide a means of measuring the caregiver's expectations regarding the outcomes of their caregiving efforts. Although our previous study show a mother with optimal caring ability has sufficient cognitive ability, technical ability, and psychological ability [ 17 ]. This is a clear gap in the designed scale that could be overcome by a new scale that focuses take caring ability of mother with preterm infants.…”
Background
Caring ability is one of the most important indicators regarding care outcomes. A valid and reliable scale for the evaluation of caring ability in mothers with preterm infants is lacking.
Objective
The present study was conducted with the aim of designing and psychometric evaluation of the tool for assessing caring ability in mothers with preterm infants.
Method
A mixed-method exploratory design was conducted from 2021 to 2023. First the concept of caring ability of mothers with preterm infants was clarified using literature review and comparative content analysis, and a pool of items was created. Then, in the quantitative study, the psychometric properties of the scale were evaluated using validity and reliability tests. A maximum likelihood extraction with promax rotation was performed on 401 mothers with the mean age of 31.67 ± 6.14 years to assess the construct validity.
Result
Initial caring ability of mother with preterm infant scale (CAMPIS) was developed with 64 items by findings of the literature review, comparative content analysis, and other related questionnaire items, on a 5-point Likert scale to be psychometrically evaluated. Face, content, and construct validity, as well as reliability, were measured to evaluate the psychometric properties of CAMPIS. So, the initial survey yielded 201 valid responses. The three components: 'cognitive ability'; knowledge and skills abilities'; and 'psychological ability'; explained 47.44% of the total observed variance for CAMPIS with 21 items. A subsequent survey garnered 200 valid responses. The confirmatory factor analysis results indicated: χ2/df = 1.972, comparative fit index (CFI) = 0.933, and incremental fit index (IFI) = 0.933. These results demonstrate good structural, convergent, discriminant validity and reliability. OMEGA, average inter-item correlation (AIC), intraclass correlation coefficients (ICC) for the entire scale were at 0.900, 0.27 and 0.91 respectively.
Conclusion
Based on the results of the psychometric evaluation of CAMPIS, it was found that the concept of caring ability in the Iranian mothers with preterm infants is a multi-dimensional concept, which mainly focuses on cognitive ability, technical ability, and psychological ability. The designed scale has acceptable validity and reliability characteristics that can be used in future studies to assess this concept in the mothers of preterm infants.
Giriş: Yenidoğan Yoğun Bakım Ünitesinde (YYBÜ) preterm bebeği yatan ebeveynler için hastanedeki yatış
ve eve geçiş dönemi kritik bir zamandır.
Amaç: Bu çalışma yenidoğan yoğun bakım ünitesinde preterm bebeği yatan annelerin memnuniyetleri ile
hastaneden eve geçişte yaşadıkları sorunlar arasındaki ilişkiyi belirlemek amacıyla yapılmıştır.
Yöntem: Tanımlayıcı, kesitsel ve ilişki arayıcı olarak planlanan araştırma, İstanbul ilinde bir eğitim ve
araştırma hastanesinin YYBÜ’nde preterm bebeği yatan 200 anne ile yapılmıştır. Veriler Nisan 2021- Nisan
2022 tarihleri arasında “Tanıtıcı Bilgi Formu”, “Preterm Yenidoğan Tanıtıcı Bilgi Formu”, “Yenidoğanda
Ebeveynlerin Güçlendirilmesi (EMpowerment of PArents in THe Intensive Care/ EMPATHIC-30)” anketi
ve “Eve Geçiş: Preterm Ebeveyn Ölçeği (EG: PEÖ)” kullanılarak toplanmıştır. Veriler, SPSS programı
kullanılarak yüzdeler, ortalamalar, bağımsız t-testi, ANOVA, pearson korelasyon analizi ile değerlendirilmiştir.
Bulgular: Annelerin EMPATIC-30 ölçek toplam puan ortalaması 5.41±.34, EG: PEÖ toplam puan ortalaması
73.82±8.31’dir. EMPATHIC-30 ölçeği ile EG: PEÖ arasında anlamlı bir ilişki bulunmamıştır (r=-.06; p=.331).
EMPATHIC-30 ölçeği bakım-tedavi alt boyutu ile EG: PEÖ endişe ve izolasyon boyutu arasında istatistiksel
olarak anlamlı ve negatif yönlü bir ilişki olduğu saptanmıştır (r=-.156; p=.028).
Sonuç: Yenidoğan yoğun bakım ünitesinde preterm bebeği yatan annelerin memnuniyetleri ile hastanedeneve geçişte yaşadıkları sorunlar arasında herhangi ilişki bulunmamıştır.
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