April A Braswell, Richard S Pond, Diane Parker, Julia McLaughlin, Anthony Austin B Horn, Pelagia G Martin
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Abstract
Background and Purpose: In this article, we present the psychometrics of the Pediatric Procedural Holistic Comfort Assessment-Revised (PPHCA-R). The PPHCA-R is a storybook instrument for children of diverse backgrounds aged 4-8 years. Methods: We recruited 196 children undergoing a nonurgent needle procedure in a pediatric multispecialty care center. Exploratory factor analysis and Pearson's correlations were used to determine evidence of reliability and validity. Results: Thirteen items loaded uniquely on one of three factors: (a) body and surroundings comfort, (b) cognitive and emotional comfort, and (c) comfort play. The PPHCA-R demonstrated acceptable to good internal consistency across factors, as well as evidence of construct validity. Conclusions: The PPHCA-R is a novel measure with implications for the holistic management, measurement, and investigation of pediatric invasive procedures.
期刊介绍：
The Journal of Nursing Measurement specifically addresses instrumentation in nursing. It serves as a prime forum for disseminating information on instruments, tools, approaches, and procedures developed or utilized for measuring variables in nursing research, practice, and education. Particular emphasis is placed on evidence for the reliability and validity or sensitivity and specificity of such instruments. The journal includes innovative discussions of theories, principles, practices, and issues relevant to nursing measurement.
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