Abstract：
BACKGROUND: Parental satisfaction is rarely measured in the neonatal intensive care unit due to a lack of specific assessment tools. The Empowerment of Parents in The Intensive Care-Neonatology (EMPATHIC-N) questionnaire is an instrument to assess satisfaction in relation to family-centred care that has been validated in several countries, but not Spain.
OBJECTIVE: To perform the translation and cultural adaptation of the EMPATHIC-N to Spanish followed by its validation for the purpose of assessing satisfaction in parents with children admitted to the neonatal intensive care unit.
METHODS: The questionnaire first underwent forward and backward translation and transcultural adaptation by a panel of experts through a standardized process based on the Delphi method, followed by a pilot study in 8 parents and then a cross-sectional study in the neonatal intensive care unit of a tertiary care hospital to assess the reliability and converging validity of the Spanish version.
RESULTS: The study proved the comprehensibility, validity, feasibility, applicability and usefulness of the Spanish version of the EMPATHIC-N in the field of paediatric health after being evaluated by 19 professionals and 60 parents. The content validity was found to be excellent (0.93). The reliability and convergent validity of the Spanish version of the EMPHATIC-N was analysed in a sample of 65 completed questionnaires. The Cronbach α for each domain was greater than 0.7, indicating a high internal consistency. We assessed validity by analysing the correlation of the 5 domains with the with the 4 general satisfaction items. The validity was found to be adequate (rs, 0.4-0.76; P < .01).
CONCLUSIONS: The Spanish version of the EMPATHIC-N questionnaire is a comprehensible, useful, valid and reliable instrument to measure satisfaction in the parents of children admitted to neonatal care units.
OBJECTIVE: To perform the translation and cultural adaptation of the EMPATHIC-N to Spanish followed by its validation for the purpose of assessing satisfaction in parents with children admitted to the neonatal intensive care unit.
METHODS: The questionnaire first underwent forward and backward translation and transcultural adaptation by a panel of experts through a standardized process based on the Delphi method, followed by a pilot study in 8 parents and then a cross-sectional study in the neonatal intensive care unit of a tertiary care hospital to assess the reliability and converging validity of the Spanish version.
RESULTS: The study proved the comprehensibility, validity, feasibility, applicability and usefulness of the Spanish version of the EMPATHIC-N in the field of paediatric health after being evaluated by 19 professionals and 60 parents. The content validity was found to be excellent (0.93). The reliability and convergent validity of the Spanish version of the EMPHATIC-N was analysed in a sample of 65 completed questionnaires. The Cronbach α for each domain was greater than 0.7, indicating a high internal consistency. We assessed validity by analysing the correlation of the 5 domains with the with the 4 general satisfaction items. The validity was found to be adequate (rs, 0.4-0.76; P < .01).
CONCLUSIONS: The Spanish version of the EMPATHIC-N questionnaire is a comprehensible, useful, valid and reliable instrument to measure satisfaction in the parents of children admitted to neonatal care units.
摘要：
背景：由于缺乏特定的评估工具，在新生儿重症监护病房中很少测量父母满意度。重症监护新生儿（EMPATHIC-N）问卷中的父母赋权是一种评估以家庭为中心的护理满意度的工具，该工具已在多个国家得到验证。但不是西班牙。
目的：对EMPATHIC-N进行西班牙语翻译和文化适应，然后进行验证，以评估父母对新生儿重症监护病房儿童的满意度。
方法：问卷首先由专家小组通过基于德尔菲法的标准化过程进行了前后翻译和跨文化适应，随后在8名父母中进行了一项试点研究,然后在三级医院的新生儿重症监护病房进行了一项横断面研究,以评估西班牙语版本的可靠性和收敛有效性.
结果：研究证明了可理解性，有效性，可行性,经19名专业人士和60名家长评估后，EMPATHIC-N西班牙语版在儿科健康领域的适用性和有用性。发现内容有效性是优异的(0.93)。在65份完整问卷的样本中分析了西班牙语版本的EMPHATIC-N的可靠性和收敛效度。每个结构域的Cronbachα大于0.7，表明内部一致性很高。我们通过分析5个领域与4个一般满意度项目的相关性来评估有效性。有效性被发现是足够的(rs，0.4-0.76；P<0.01）。
结论：西班牙语版本的EMPATHIC-N问卷是可以理解的，有用的,有效和可靠的工具来衡量父母的满意度新生儿护理单位的儿童。
目的：对EMPATHIC-N进行西班牙语翻译和文化适应，然后进行验证，以评估父母对新生儿重症监护病房儿童的满意度。
方法：问卷首先由专家小组通过基于德尔菲法的标准化过程进行了前后翻译和跨文化适应，随后在8名父母中进行了一项试点研究,然后在三级医院的新生儿重症监护病房进行了一项横断面研究,以评估西班牙语版本的可靠性和收敛有效性.
结果：研究证明了可理解性，有效性，可行性,经19名专业人士和60名家长评估后，EMPATHIC-N西班牙语版在儿科健康领域的适用性和有用性。发现内容有效性是优异的(0.93)。在65份完整问卷的样本中分析了西班牙语版本的EMPHATIC-N的可靠性和收敛效度。每个结构域的Cronbachα大于0.7，表明内部一致性很高。我们通过分析5个领域与4个一般满意度项目的相关性来评估有效性。有效性被发现是足够的(rs，0.4-0.76；P<0.01）。
结论：西班牙语版本的EMPATHIC-N问卷是可以理解的，有用的,有效和可靠的工具来衡量父母的满意度新生儿护理单位的儿童。
