Child Health Nurs Res.  2015 Apr;21(2):131-140. 10.4094/chnr.2015.21.2.131.

Development of an Instrument to Measure the Quality of Care through Patients' Eyes for Hospitalized Child

Affiliations
  • 1Hallym University, Chunchon, Korea. 20006148@naver.com
  • 2Department of Nursing, Inje University, Busan, Korea.
  • 3Division of Nursing Science, College of Health Sciences, Ewha Womans University, Seoul, Korea.

Abstract

PURPOSE
The purpose of this study was to develop an instrument that evaluated QUality Of care Through patients' Eyes for hospitalized child (QUOTE-Child), and examine the validity and reliability.
METHODS
Preliminary items were reviewed through expert content validity and face validity. To test the validity and reliability of the instrument, the data were collected from 221 care givers of hospitalized children. Data were analyzed using exploratory factor analysis, Pearson correlation coefficient, Cronbach's alpha and Spearman-Brown coefficient.
RESULTS
Factor analysis yielded 19 items in four factors including 1) respect, 2) explanation, 3) kindness, and 4) skillfulness, with a cumulative explanatory variance of 70.68%. For criterion-related validity, a significant positive relationship was found between quality of care and pediatric family satisfaction. For internal consistency reliability, the Cronbach's alpha was .93 (importance) and .95 (performance) for the overall instrument. The half split reliabilities were .86, .95 (importance) and .92, .97 (performance). The Cronbach's alpha of 110 data was .92 (importance) and .94 (performance).
CONCLUSION
Researchers and practitioners can use this instrument to systematically assess quality of care for hospitalized children and identify areas of support for hospitalized children and their family.

Keyword

Hospitalized Child; Quality of health care

MeSH Terms

Caregivers
Child
Child, Hospitalized*
Humans
Quality of Health Care
Reproducibility of Results
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