Family satisfaction in the intensive care unit: cross-cultural adaptation of a questionnaire

Abstract Purpose Family needs and expectations are often unmet in the intensive care unit (ICU), leading to dissatisfaction. This study assesses cross-cultural adaptability of an instrument evaluating family satisfaction in the ICU. Materials and Methods A Canadian instrument on family satisfaction...

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Bibliographic Details
Published in:Journal of critical care 2007-09, Vol.22 (3), p.204-211
Main Authors: Stricker, Kay H., MD, Niemann, Steffen, MA, Bugnon, Sophie, Wurz, Jeannie, BA, Rohrer, Ottilia, RN, Rothen, Hans U., MD, PhD
Format: Article
Language:English
Subjects:
Adult
Consumer Behavior
Critical Care
Cross-cultural adaptation
Cultural Characteristics
Decision making
Europe
Family satisfaction
Feasibility Studies
Female
Germany
Humans
ICU
Intensive care
Intensive Care Units
Male
Middle Aged
Mortality
Observer Variation
Professional-Family Relations
Quality Assurance, Health Care - methods
Questionnaires
Reproducibility of Results
Surveys and Questionnaires
Translating
Translations
Validity
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Summary:Abstract Purpose Family needs and expectations are often unmet in the intensive care unit (ICU), leading to dissatisfaction. This study assesses cross-cultural adaptability of an instrument evaluating family satisfaction in the ICU. Materials and Methods A Canadian instrument on family satisfaction was adapted for German language and central European culture and then validated for feasibility, validity, internal consistency, reliability, and sensitivity. Results Content validity of a preliminary translated version was assessed by staff, patients, and next of kin. After adaptation, content and comprehensibility were considered good. The adapted translation was then distributed to 160 family members. The return rate was 71.8%, and 94.4% of questions in returned forms were clearly answered. In comparison with a Visual Analogue Scale, construct validity was good for overall satisfaction with care (Spearman ρ = 0.60) and overall satisfaction with decision making ( ρ = 0.65). Cronbach α was .95 for satisfaction with care and .87 for decision-making. Only minor differences on repeated measurements were found for interrater and intrarater reliability. There was no floor or ceiling effect. Conclusions A cross-cultural adaptation of a questionnaire on family satisfaction in the ICU can be feasible, valid, internally consistent, reliable, and sensitive.
ISSN:0883-9441
1557-8615
DOI:10.1016/j.jcrc.2006.12.008