Chinese Journal of Emergency and Critical Care Nursing >
Development and psychometric evaluation of the Perceived Nursing Needs Scale for Parents of Neonates in the Neonatal Intensive Care Unit
Received date: 2025-01-04
Online published: 2025-09-25
Objective To develop and validate a scale for assessing the perceived nursing care needs of parents of neonates in the neonatal intensive care unit（NICU）. Methods An initial draft of the scale was constructed through literature review，semi-structured interviews，and brainstorming techniques. After two rounds of Delphi expert consultation，a pilot version was finalized. From April to November 2024，convenience sampling was used to survey 367 parents of NICU patients across three tertiary Grade-A hospitals in Anhui Province to evaluate the scale’s reliability and validity. Results The Perceived Nursing Needs Scale for Parents of Neonates in NICU included four dimensions：perceived effective communication，perceived psychological support，perceived extended care，and perceived professional competence，with a total of 32 items. The overall Cronbach’s α coefficient of the scale was 0.948，the split-half reliability was 0.850，and the test-retest reliability was 0.879，the content validity index reached 0.875. Exploratory factor analysis extracted four principal factors with strong construct validity，accounting for 63.438% of the total variance. Confirmatory factor analysis showed that composite reliability （CR） of each dimension ranging from 0.898 to 0.933，average variance extracted（AVE） from 0.542 to 0.604，and AVE square roots between 0.736 and 0.777，indicating stable factor structure of the scale. Conclusion The Perceived Nursing Needs Scale for Parents of Neonates in NICU has good reliability and validity，which can be used to assess the actual nursing care needs perceived by parents of NICU neonates.
Key words： Neonatal Intensive Care Unit; Family-Perceived Nursing; Needs; Scale; Reliability; Validity
WU Yuyan , TANG Chaoliang . Development and psychometric evaluation of the Perceived Nursing Needs Scale for Parents of Neonates in the Neonatal Intensive Care Unit[J]. Chinese Journal of Emergency and Critical Care Nursing, 2025 , 6(10) : 1201 -1207 . DOI: 10.3761/j.issn.2096-7446.2025.10.008
| [1] | 唐洪涛, 于夕丽, 董玲玲, 等. 家庭参与式过渡期护理在新生儿重症监护照护中的应用[J]. 护士进修杂志, 2023, 38(23):2171-2175. |
| Tang HT, Yu XL, Dong LL, et al. Application of family integrated transitional care in intensive caring for newborn[J]. J Nurses Train, 2023, 38(23):2171-2175. | |
| [2] | 祝晓涵, 张晴晴, 王汝霞, 等. 新生儿重症监护室住院患儿母亲个人掌控感现状及影响因素分析[J]. 广西医学, 2024, 46(5):680-686. |
| Zhu XH, Zhang QQ, Wang RX, et al. Current status and influencing factors for personal mastery of mothers of hospitalized neonates in the neonatal intensive care unit:an analytic study[J]. Guangxi Med J, 2024, 46(5):680-686. | |
| [3] | Shetty AP, Halemani K, Issac A, et al. Prevalence of anxiety,de-pression,and stress among parents of neonates admitted to neonatal intensive care unit:a systematic review and meta-analysis[J]. Clin Exp Pediatr, 2024, 67(2):104-115. |
| [4] | 凌雅, 王婷婷, 章新琼, 等. NICU早产儿住院期间父母体验与需求质性研究的Meta整合[J]. 护士进修杂志, 2022, 37(11):1025-1030,1038. |
| Ling Y, Wang TT, Zhang XQ, et al. Meta-synthesis of qualitative research on parental experience and needs of premature infants in NICU during hospitalization[J]. J Nurses Train, 2022, 37(11):1025-1030,1038. | |
| [5] | 杨东东, 许娜娜, 韩淑华. NICU早产儿父母不同阶段护理需求调查[J]. 齐鲁护理杂志, 2020, 26(14):52-54. |
| Yang DD, Xu NN, Han SH. Investigation on nursing needs of parents of premature infants in NICU at different stages[J]. J Qilu Nurs, 2020, 26(14):52-54. | |
| [6] | Kohi TW, Obogo MW, Mselle LT. Perceived needs and level of satisfaction with care by family members of critically ill patients at Muhimbili National hospital intensive care units,Tanzania[J]. BMC Nurs, 2016,15:18. |
| [7] | 刘莹, 徐燕, 任学芳. NICU危重患者家属需求与护士对家属需求的认知差异分析[J]. 上海护理, 2023, 23(7):54-58. |
| Liu Y, Xu Y, Ren XF. Analysis of difference between the needs of families of critically ill patients in NICU and nurses’ cognition of their needs[J]. Shanghai Nurs, 2023, 23(7):54-58. | |
| [8] | 万学英, 刘化侠, 徐迎春, 等. 护士对患儿家属支持情况的调查研究[J]. 中华护理杂志, 2005, 40(3):166-168. |
| Wan XY, Liu HX, Xu YC, et al. Investigation on the support provided by nurses to families of pediatric patients[J]. Chin J Nurs, 2005, 40(3):166-168. | |
| [9] | Miles MS, Carlson J, Brunssen S. The nurse parent support tool[J]. J Pediatr Nurs, 1999, 14(1):44-50. |
| [10] | 李相满, 乔子桐, 刘袁秀. 新生儿重症监护室患儿家长需求、感知护士支持与家长焦虑的关系研究[J]. 中国实用护理杂志, 2019, 35(24):1888-1893. |
| Li XM, Qiao ZT, Liu YX. Anxiety,family need and perceived nurse support among parents of infants admitted to neonatal intensive care unit[J]. Chin J Pract Nurs, 2019, 35(24):1888-1893. | |
| [11] | Carducci BJ. Maslow’s hierarchy of needs[J]. The Wiley encyclopedia of personality and individual differences:Models and theories,2020:269-273. |
| [12] | Gonzalo A. Sister Callista Roy:Adaptation model of nursing[EB/OL]. [2025-07-29]. https://nurseslabs.com/sister-callista-roys-adaptation-model/. |
| [13] | Maslow AH. Humanistic theory[EB/OL]. [2025-07-29]. https://books.google.com/books?hl=zh-CN&lr=&id=qiCgDwAAQBAJ&oi=fnd&pg=PA1&dq=Maslow+A+H.+Humanistic+Theory&ots=7PqOkHlY-f&sig=pSj-UTwICPjJcQuGZf98DdAsZjQ#v=onepage&q&f=false. |
| [14] | 德威利斯RF. 量表编制理论与应用[M]. 3版. 重庆: 重庆大学出社,2016:61,167. |
| DeVellis RF. Scale development:theory and applications[M]. 3rd ed. Chongqing: Chongqing University Press,2016:61,167. | |
| [15] | 吴明隆. 结构方程模型:AMOS的操作与应用[M]. 重庆: 重庆大学出版社, 2009. |
| Wu ML. Structural equation model:operation and application of AMOS[M]. Chongqing: Chongqing University Press, 2009. | |
| [16] | 史静琤, 莫显昆, 孙振球. 量表编制中内容效度指数的应用[J]. 中南大学学报(医学版), 2012, 37(2):49-52. |
| Shi JC, Mo XK, Sun ZQ. Content validity index in scale development[J]. J Cent South Univ Med Sci, 2012, 37(2):49-52. | |
| [17] | 陈维, 黄程琰, 毛天欣, 等. 多维测评工具聚敛和区分效度的SEM分析:以领悟社会支持量表为例[J]. 西南师范大学学报(自然科学版), 2016, 41(2):136-140. |
| Chen W, Huang CY, Mao TX, et al. On analysis of convergent and discriminant validity of multidimensional measurement tools with the perceived social support scale as an example[J]. J Southwest China Norm Univ Nat Sci Ed, 2016, 41(2):136-140. | |
| [18] | 孙振球, 徐勇勇. 医学统计学[M]. 4版. 北京: 人民卫生出版社, 2014. |
| Sun ZQ, Xu YY. Medical statistics[M]. 4th ed. Beijing: People’s Medical Publishing House, 2014. | |
| [19] | 郑平靖, 黄显雄, 杜果果, 等. 公众实施心肺复苏行为意向量表的编制及信效度检验[J]. 中华急危重症护理杂志, 2024, 5(7):611-618. |
| Zheng PJ, Huang XX, Du GG, et al. Development and psychometric test of the public behavior intention scale for performing cardiopulmonary resuscitation[J]. Chin J Emerg Crit Care Nurs, 2024, 5(7):611-618. | |
| [20] | 张艺, 李丽玲, 吕天婵, 等. 新生儿重症监护室家庭参与式照护现况调查[J]. 护理学杂志, 2023, 38(4):28-32. |
| Zhang Y, Li LL, Lü TC, et al. Current status of family integrated care in neonatal intensive care units[J]. J Nurs Sci, 2023, 38(4):28-32. | |
| [21] | 廖慧玲, 肖艾青. 新生儿重症监护病房患儿父母延续性护理需求状况及影响因素[J]. 国际护理学杂志, 2024, 43(15):2841-2844. |
| Liao HL, Xiao AQ. Continuous nursing needs of parents of infants in neonatal intensive care units and influencing factors[J]. Int J Nurs, 2024, 43(15):2841-2844. |
/
| 〈 |
|
〉 |