Initial Development of the Nurse Perception of Infant Condition (NPIC) Scale.

IF 1.6 4区医学 Q2 NURSING

Advances in Neonatal Care Pub Date : 2024-10-04 DOI:10.1097/ANC.0000000000001210

Christine A Fortney, Nathan P Helsabeck, Kayla Thomsen, Chyongchiou J Lin, Amy E Baughcum, Cynthia A Gerhardt

{"title":"Initial Development of the Nurse Perception of Infant Condition (NPIC) Scale.","authors":"Christine A Fortney, Nathan P Helsabeck, Kayla Thomsen, Chyongchiou J Lin, Amy E Baughcum, Cynthia A Gerhardt","doi":"10.1097/ANC.0000000000001210","DOIUrl":null,"url":null,"abstract":"Background: More than 350,000 U.S. infants are admitted to the neonatal intensive care unit (NICU) annually and likely experience discomfort. Although nurse perceptions of infant symptoms, suffering, and quality of life (QOL) are valuable, the availability of standardized assessment tools to measure these concepts are limited.Purpose: To provide preliminary evidence of the internal structure, reliability, and validity of the Nurse Perception of Infant Condition (NPIC) scale.Methods: Infants were enrolled from a Level IV NICU in the U.S. Midwest. Nurses reported on their perceptions of the infant symptom experience and their expectations for infant survival. Weekly behavioral observations of infants were obtained before and after standard delivery of care to obtain a comfort score.Results: 237 nurses who cared for 73 infants completed 569 surveys over 28 months. All NPIC items were significantly correlated with each other (P < .001). Factor analysis revealed strong evidence of a 2-factor structure (survival and suffering subscales). Both subscales demonstrated good to excellent internal consistency. Together the 2 factors explained 82% of the variability in the scale responses. Limited validity evidence was found.Implications for practice and research: Evidence was found to support the internal structure and reliability of the NPIC scale. However, further item development and refinement is needed to increase the utility NPIC scale in clinical and research settings. The development of improved assessments of the infant NICU experience is warranted. Nurse perceptions of infant suffering or poor QOL may have implications for their expectations for infant survival and possibly care delivery.","PeriodicalId":48862,"journal":{"name":"Advances in Neonatal Care","volume":" ","pages":""},"PeriodicalIF":1.6000,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Advances in Neonatal Care","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/ANC.0000000000001210","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"NURSING","Score":null,"Total":0}

引用次数: 0

Abstract

Background: More than 350,000 U.S. infants are admitted to the neonatal intensive care unit (NICU) annually and likely experience discomfort. Although nurse perceptions of infant symptoms, suffering, and quality of life (QOL) are valuable, the availability of standardized assessment tools to measure these concepts are limited.

Purpose: To provide preliminary evidence of the internal structure, reliability, and validity of the Nurse Perception of Infant Condition (NPIC) scale.

Methods: Infants were enrolled from a Level IV NICU in the U.S. Midwest. Nurses reported on their perceptions of the infant symptom experience and their expectations for infant survival. Weekly behavioral observations of infants were obtained before and after standard delivery of care to obtain a comfort score.

Results: 237 nurses who cared for 73 infants completed 569 surveys over 28 months. All NPIC items were significantly correlated with each other (P < .001). Factor analysis revealed strong evidence of a 2-factor structure (survival and suffering subscales). Both subscales demonstrated good to excellent internal consistency. Together the 2 factors explained 82% of the variability in the scale responses. Limited validity evidence was found.

Implications for practice and research: Evidence was found to support the internal structure and reliability of the NPIC scale. However, further item development and refinement is needed to increase the utility NPIC scale in clinical and research settings. The development of improved assessments of the infant NICU experience is warranted. Nurse perceptions of infant suffering or poor QOL may have implications for their expectations for infant survival and possibly care delivery.

查看原文本刊更多论文

护士对婴儿状况感知量表（NPIC）的初步开发。

背景：每年有超过 35 万名美国婴儿入住新生儿重症监护室 (NICU)，他们很可能会感到不适。尽管护士对婴儿症状、痛苦和生活质量（QOL）的感知很有价值，但测量这些概念的标准化评估工具却很有限。目的：提供护士对婴儿状况感知量表（NPIC）内部结构、可靠性和有效性的初步证据：方法：从美国中西部的一家四级新生儿重症监护室招募婴儿。护士们报告了他们对婴儿症状体验的感知以及对婴儿存活率的预期。在提供标准护理前后，每周对婴儿进行行为观察，以获得舒适度评分。所有 NPIC 项目之间均存在明显的相关性（P 对实践和研究的意义）：有证据支持 NPIC 量表的内部结构和可靠性。然而，要提高 NPIC 量表在临床和研究环境中的实用性，还需要进一步开发和改进项目。有必要对新生儿重症监护室的婴儿体验进行更好的评估。护士对婴儿痛苦或不良 QOL 的感知可能会影响他们对婴儿存活率的期望以及护理服务的提供。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Advances in Neonatal Care NURSING-

CiteScore

2.60

自引率

5.90%

发文量

101

期刊介绍： Advances in Neonatal Care takes a unique and dynamic approach to the original research and clinical practice articles it publishes. Addressing the practice challenges faced every day—caring for the 40,000-plus low-birth-weight infants in Level II and Level III NICUs each year—the journal promotes evidence-based care and improved outcomes for the tiniest patients and their families. Peer-reviewed editorial includes unique and detailed visual and teaching aids, such as Family Teaching Toolbox, Research to Practice, Cultivating Clinical Expertise, and Online Features. Each issue offers Continuing Education (CE) articles in both print and online formats.