背景:早期动员有利于支持危重患者的康复。文献强调了家庭参与早期动员的好处,然而,这种做法仍然没有得到充分利用。有效的实施取决于了解影响家庭参与早期动员的关键先决条件,特别是家庭知识,沉思,信心和准备。然而,目前没有测量工具来评估这些。因此,开发一种心理测量支持的工具对于理解和增强影响家庭参与早期动员的因素至关重要。
目的:开发和评估用于评估家庭知识的工具的心理测量特性,沉思,有信心和准备参与早期动员。
方法:多部位横断面调查设计。
方法:基于既定的心理学理论(社会认知理论和行为改变理论),开发了一个项目池来评估家庭知识,沉思,有信心和准备参加早期动员。从心理上评估新工具,我们于2020年5月至2022年6月对澳大利亚的5个重症监护病房进行了多地点横断面调查.来自370个危重病人家庭的数据被用来评估结构,新工具的收敛效度和判别效度以及可靠性。
结果:验证性因素分析表明模型拟合良好,支持拟议的结构。除一项外,所有项目均显示高标准化因子载荷,它在释放误差协方差时得到了改进。正的因素间相关性中等到强,并且大大低于提取的平均方差的平方根,支持收敛效度和判别效度,分别。此外,所有分量表都表现出良好的可靠性。
结论:这些发现为多种类型的有效性证据和工具的可靠性提供了初步支持。这种新仪器适用于临床和研究应用,以评估家庭知识,沉思,对他们参与早期动员的信心和准备。
结论:家庭参与早期动员活动可能有多种益处,但在ICU中并不常见。影响家庭参与早期动员的因素知之甚少。有影响力的心理学理论强调了知识的可能重要性,沉思,信心和准备。需要一种易于使用的工具来评估家庭成员之间的这些结构,以加深对研究的理解并指导临床实践。拟议的工具旨在衡量影响家庭参与早期动员的因素,这可能支持医疗保健专业人员和卫生服务部门确定和调整策略,以支持家庭参与早期动员。
■报告仪器和秤开发和测试研究结果的建议被遵循以报告本研究。
■成人危重患者的家庭成员参与了这项研究,他们通过调查提供了数据。
BACKGROUND: Early mobilisation is beneficial to support recovery among critically ill patients. The literature highlights the benefits of family engagement in early mobilisation, yet this practice remains underutilised. Effective implementation depends on understanding the key antecedents that influence family engagement in early mobilisation, specifically families\' knowledge, contemplation, confidence and readiness. However, no measurement tools currently exist to assess these. Therefore, developing a psychometrically supported instrument is essential to understanding and enhancing families\' factors influencing their engagement in early mobilisation.
OBJECTIVE: To develop and evaluate the psychometric properties of an instrument to assess families\' knowledge, contemplation, confidence and readiness to engage in early mobilisation.
METHODS: A multi-site cross-sectional survey design.
METHODS: Based on established psychological theory (Social Cognitive Theories and Behaviour Change Theories), an item pool was developed to assess families\' knowledge, contemplation, confidence and readiness to participate in early mobilisation. To psychometrically evaluate the new tool, a multi-site cross-sectional survey was undertaken from May 2020 to June 2022 across five intensive care units in Australia. Data from 370 families of critically ill patients were used to evaluate the structural, convergent and discriminant validity as well as the reliability of the new instrument.
RESULTS: Confirmatory factor analysis indicated good model fit, supporting the proposed structure. All items displayed high standardised factor loadings except one, which improved upon freeing an error covariance. Positive inter-factor correlations were moderate to strong and were substantially lower than the square root of the average variance extracted, supporting both convergent and discriminant validity, respectively. Additionally, all subscales demonstrated well to excellent reliability.
CONCLUSIONS: The findings provide preliminary support for the multiple types of validity evidence and the reliability of the instrument. This new instrument is suitable for use in clinical and research applications to assess families\' knowledge, contemplation, confidence and readiness for their engagement in early mobilisation.
CONCLUSIONS: Family engagement in early mobilisation activities may have multiple benefits but it is not commonly implemented in the ICU. Factors influencing family engagement in early mobilisation are poorly understood. Influential psychological theories highlight the likely importance of knowledge, contemplation, confidence and readiness. A readily available instrument designed to assess these constructs among family members is needed to deepen research understanding and guide clinical practice. The proposed instrument is designed to measure factors influencing family engagement in early mobilisation, which may support healthcare professionals and health services to identify and tailor strategies to support family engagement in early mobilisation.
UNASSIGNED: Recommendations for reporting the results of studies of instrument and scale development and testing was followed to report this study.
UNASSIGNED: Family members of adult critically ill patients participated in this study, and they provided the data through the survey.