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Psychometric testing of the developmental care scale for neonates with congenital heart disease

Published online by Cambridge University Press:  10 June 2019

Sara Arter Open the ORCID record for Sara Arter [Opens in a new window] ,
Elaine Miller ,
Tamilyn Bakas  and
David S Cooper
Sara Arter*
Affiliation:
College of Nursing, University of Cincinnati, Cincinnati, OH, USA
Elaine Miller
Affiliation:
College of Nursing, University of Cincinnati, Cincinnati, OH, USA
Tamilyn Bakas
Affiliation:
College of Nursing, University of Cincinnati, Cincinnati, OH, USA
David S Cooper
Affiliation:
Heart Institute, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, USA
*
Author for correspondence: S. Arter, College of Nursing, University of Cincinnati, 3110 Vine Street, Cincinnati, OH 45221, USA. Phone: +15135582610; Fax: +15135561105; E-mail: burkesj@ucmail.uc.edu
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Abstract

Purpose:

Developmental care of neonates with CHD is essential for proper neurodevelopment. Measurement of developmental care specific to these neonates is needed to ensure consistent implementation within and across cardiac ICUs. The purpose of this study was to psychometrically test the Developmental Care Scale for Neonates with Congenital Heart Disease, which measures the quality of developmental care provided by bedside nurses to neonates in the cardiac ICU.

Methods:

Psychometric testing was conducted with 119 cardiac ICU nurses to provide evidence of internal consistency reliability and construct validity. Participants were predominantly young (median = 32 years), white (90%) females (93%) with bachelor’s degrees (78%) and a median experience in the cardiac ICU of 7 years.

Results:

Evidence of internal consistency reliability (α =.89) was provided with corrected item-total correlations ranging from .31 to .77. Exploratory factor analysis provided evidence of construct validity as a unidimensional scale, as well as a multidimensional scale consisting of four subscales: creating the external environment, assessment of family well-being, caregiver activities toward the neonate, and basic human needs.

Conclusions:

Evidence of reliability and validity of the 31-item Developmental Care Scale for Neonates with Congenital Heart Disease was established with nurses caring for neonates in the cardiac ICU. This instrument will serve as a valuable outcome measure tasked with improving developmental care performance and makes it possible to identify relationships between developmental care performance and neonatal neurodevelopmental outcomes in future research.

Keywords

Developmental careneonatecongenital heart diseasepsychometrics
Type
Original Article
Information
Cardiology in the Young , Volume 29 , Issue 6 , June 2019 , pp. 749 - 755
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Copyright
© Cambridge University Press 2019 

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References

Center for Disease Control. Congenital Heart Defects: Data and Statistics 2015. Retrieved from http://www.cdc.gov/ncbddd/heartdefects/data.html Google Scholar
Oster, ME, Lee, KA, Honein, MA, et al. Temporal trends in survival among infants with critical congenital heart defects. Pediatrics 2013; 131: e1502–e1508.CrossRefGoogle ScholarPubMed
Stout, KK, Daniels, CJ, Aboulhosn, JA, et al. 2018 AHA/ACC guideline for the management of adults with congenital heart disease. J Am Coll Cardiol 2018; 73: e81–e192.CrossRefGoogle ScholarPubMed
Gaynor, WJ, Stopp, C, Wypij, D, et al. Neurodevelopmental outcomes after cardiac surgery in infancy. Pediatrics 2015; 135: 816–825.CrossRefGoogle ScholarPubMed
National Council on Child Development. National Scientific Council on the Developing Child. Excessive stress disrupts the architecture of the developing brain: Working paper 3. 2014. Retrieved from http://www.developingchild.harvard.edu Google Scholar
Marino, BS, Lipkin, PH, Newburger, JW, et al. Neurodevelopmental outcomes in children with congenital heart disease: evaluation and management. Circulation 2012; 126: 1143–1172.CrossRefGoogle ScholarPubMed
Coughlin, ME. Transformative Nursing in the NICU. Springer Publishing Company, New York, 2014.CrossRefGoogle Scholar
Burke, SJ. Systematic review of developmental care interventions in the Neonatal Intensive Care Unit since 2006. J Child Health Care 2018; 22: 269–286.CrossRefGoogle ScholarPubMed
Sood, E, Berends, WM, Butcher, JL, et al. Developmental care in North American pediatric cardiac intensive care units: survey of current practices. Adv Neo Car 2016; 16: 211–219.CrossRefGoogle ScholarPubMed
National Association of Neonatal Nurses. Self-assessment for the Neonatal Developmental Care Specialist Designation Examination. Retrieved from http://nann.org/uploads/Education/Dev_Care_Specialist_self-assessment_test-FINAL_10-19-10.pdf Google Scholar
Gibbins, S, Coughlin, M, Hoath, S. Quality indicators for developmental care: using the universe of developmental care model as an exemplar for change. In: Kenner, C, McGrath, J (eds.) Developmental Care of Newborns and Infants: A Guide for Health Professionals, 2nd edn. National Association of Neonatal Nurses, Glenview, IL, 2010: 43–59.Google Scholar
Burke, SJ, Miller, E, Bakas, T, et al. Content validity of the developmental care scale for neonates with congenital heart disease. Cardiol Young 2019; 29: 48–53.CrossRefGoogle Scholar
Pannucci, CJ, Wilkins, EG. Identifying and avoiding bias in research. Plast Reconstr Surg 2010; 126: 619–625.CrossRefGoogle ScholarPubMed
Tinsley, HE, Tinsley, DJ. Uses of factor analysis in counseling psychology research. J Counsel Psych 1987; 34: 414–424.CrossRefGoogle Scholar
Tabachnick, BG, Fidell, LS. Using Multivariate Statistics, 6th edn. Pearson, Boston, MA, 2013.Google Scholar
Aita, M, Snider, L. The art of developmental care in the NICU: a concept analysis. J Adv Nurs 2003; 41: 223–232.CrossRefGoogle ScholarPubMed
Smith, K, Buehler, D, Als, H. NIDCAP Nursery Certification Program: Nursery Assessment Manual, 2011. Retrieved from http://nidcap.org/wp-content/uploads/2014/07/NNCP_Nursery_Assessment_Manual_4_8_13.pdf Google Scholar