Relatives' perspectives on the quality of care in an Intensive Care Unit: the theoretical concept of a new tool

Margo M C van Mol*, Esther C Bakker, Marjan D Nijkamp, Erwin J O Kompanje, Jan Bakker, Lisbeth Verharen

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

OBJECTIVE: To examine the potential of a questionnaire (CQI 'R-ICU') to measure the quality of care from the perspective of relatives in the Intensive Care Unit (ICU).

METHODS: A quantitative survey study has been undertaken to explore the psychometric properties of the instrument, which was sent to 282 relatives of ICU patients from the Erasmus MC, an academic hospital in Rotterdam, the Netherlands. Factor-analyses were performed to explore the underlying theoretical structure.

RESULTS: Survey data from 211 relatives (response rate 78%) were used for the analysis. The overall reliability of the questionnaire was sufficiently high; two of the four underlying factors, namely 'Communication' and 'Involvement', were significant predictors. Two specific aspects of care that needed the most improvement were missing information about meals and offering an ICU diary. There is a significant difference in mean communication with nurses among the four wards in Erasmus MC.

CONCLUSIONS: The CQI 'R-ICU' seems to be a valid, reliable and usable instrument. The theoretical fundament appears to be related to communication.

PRACTICE IMPLICATIONS: The newly developed instrument can be used to provide feedback to health care professionals and policy makers in order to evaluate quality improvement projects with regard to relatives in the ICU.

Original languageEnglish
Pages (from-to)406-413
Number of pages8
JournalPatient Education and Counseling
Volume95
Issue number3
Early online date1 Apr 2014
DOIs
Publication statusPublished - Jun 2014

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Quality of Health Care
Intensive Care Units
Communication
Health Policy
Quality Improvement
Administrative Personnel
Psychometrics
Netherlands
Statistical Factor Analysis
Meals
Nurses
Delivery of Health Care
Surveys and Questionnaires

Keywords

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Communication
  • Critical Care
  • Family
  • Female
  • Health Care Surveys
  • Humans
  • Intensive Care Units/standards
  • Male
  • Middle Aged
  • Netherlands
  • Outcome Assessment (Health Care)
  • Patient Satisfaction/statistics & numerical data
  • Psychometrics/instrumentation
  • Quality Assurance, Health Care
  • Quality Indicators, Health Care
  • Reproducibility of Results
  • Surveys and Questionnaires
  • Young Adult
  • Consumer Quality Index
  • CQI
  • Quality of Care
  • Quality assessment
  • Satisfaction
  • Intensive Care Unit
  • Critical care
  • Relatives
  • Family support
  • Health care surveys

Cite this

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title = "Relatives' perspectives on the quality of care in an Intensive Care Unit: the theoretical concept of a new tool",
abstract = "OBJECTIVE: To examine the potential of a questionnaire (CQI 'R-ICU') to measure the quality of care from the perspective of relatives in the Intensive Care Unit (ICU).METHODS: A quantitative survey study has been undertaken to explore the psychometric properties of the instrument, which was sent to 282 relatives of ICU patients from the Erasmus MC, an academic hospital in Rotterdam, the Netherlands. Factor-analyses were performed to explore the underlying theoretical structure.RESULTS: Survey data from 211 relatives (response rate 78{\%}) were used for the analysis. The overall reliability of the questionnaire was sufficiently high; two of the four underlying factors, namely 'Communication' and 'Involvement', were significant predictors. Two specific aspects of care that needed the most improvement were missing information about meals and offering an ICU diary. There is a significant difference in mean communication with nurses among the four wards in Erasmus MC.CONCLUSIONS: The CQI 'R-ICU' seems to be a valid, reliable and usable instrument. The theoretical fundament appears to be related to communication.PRACTICE IMPLICATIONS: The newly developed instrument can be used to provide feedback to health care professionals and policy makers in order to evaluate quality improvement projects with regard to relatives in the ICU.",
keywords = "Adolescent, Adult, Aged, Aged, 80 and over, Communication, Critical Care, Family, Female, Health Care Surveys, Humans, Intensive Care Units/standards, Male, Middle Aged, Netherlands, Outcome Assessment (Health Care), Patient Satisfaction/statistics & numerical data, Psychometrics/instrumentation, Quality Assurance, Health Care, Quality Indicators, Health Care, Reproducibility of Results, Surveys and Questionnaires, Young Adult, Consumer Quality Index, CQI, Quality of Care, Quality assessment, Satisfaction, Intensive Care Unit, Critical care, Relatives, Family support, Health care surveys",
author = "{van Mol}, {Margo M C} and Bakker, {Esther C} and Nijkamp, {Marjan D} and Kompanje, {Erwin J O} and Jan Bakker and Lisbeth Verharen",
note = "Copyright {\circledC} 2014 Elsevier Ireland Ltd. All rights reserved.",
year = "2014",
month = "6",
doi = "10.1016/j.pec.2014.03.019",
language = "English",
volume = "95",
pages = "406--413",
journal = "Patient Education and Counseling",
issn = "0738-3991",
publisher = "Elsevier Ireland Ltd",
number = "3",

}

Relatives' perspectives on the quality of care in an Intensive Care Unit : the theoretical concept of a new tool. / van Mol, Margo M C; Bakker, Esther C; Nijkamp, Marjan D; Kompanje, Erwin J O; Bakker, Jan; Verharen, Lisbeth.

In: Patient Education and Counseling, Vol. 95, No. 3, 06.2014, p. 406-413.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - Relatives' perspectives on the quality of care in an Intensive Care Unit

T2 - the theoretical concept of a new tool

AU - van Mol, Margo M C

AU - Bakker, Esther C

AU - Nijkamp, Marjan D

AU - Kompanje, Erwin J O

AU - Bakker, Jan

AU - Verharen, Lisbeth

N1 - Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

PY - 2014/6

Y1 - 2014/6

N2 - OBJECTIVE: To examine the potential of a questionnaire (CQI 'R-ICU') to measure the quality of care from the perspective of relatives in the Intensive Care Unit (ICU).METHODS: A quantitative survey study has been undertaken to explore the psychometric properties of the instrument, which was sent to 282 relatives of ICU patients from the Erasmus MC, an academic hospital in Rotterdam, the Netherlands. Factor-analyses were performed to explore the underlying theoretical structure.RESULTS: Survey data from 211 relatives (response rate 78%) were used for the analysis. The overall reliability of the questionnaire was sufficiently high; two of the four underlying factors, namely 'Communication' and 'Involvement', were significant predictors. Two specific aspects of care that needed the most improvement were missing information about meals and offering an ICU diary. There is a significant difference in mean communication with nurses among the four wards in Erasmus MC.CONCLUSIONS: The CQI 'R-ICU' seems to be a valid, reliable and usable instrument. The theoretical fundament appears to be related to communication.PRACTICE IMPLICATIONS: The newly developed instrument can be used to provide feedback to health care professionals and policy makers in order to evaluate quality improvement projects with regard to relatives in the ICU.

AB - OBJECTIVE: To examine the potential of a questionnaire (CQI 'R-ICU') to measure the quality of care from the perspective of relatives in the Intensive Care Unit (ICU).METHODS: A quantitative survey study has been undertaken to explore the psychometric properties of the instrument, which was sent to 282 relatives of ICU patients from the Erasmus MC, an academic hospital in Rotterdam, the Netherlands. Factor-analyses were performed to explore the underlying theoretical structure.RESULTS: Survey data from 211 relatives (response rate 78%) were used for the analysis. The overall reliability of the questionnaire was sufficiently high; two of the four underlying factors, namely 'Communication' and 'Involvement', were significant predictors. Two specific aspects of care that needed the most improvement were missing information about meals and offering an ICU diary. There is a significant difference in mean communication with nurses among the four wards in Erasmus MC.CONCLUSIONS: The CQI 'R-ICU' seems to be a valid, reliable and usable instrument. The theoretical fundament appears to be related to communication.PRACTICE IMPLICATIONS: The newly developed instrument can be used to provide feedback to health care professionals and policy makers in order to evaluate quality improvement projects with regard to relatives in the ICU.

KW - Adolescent

KW - Adult

KW - Aged

KW - Aged, 80 and over

KW - Communication

KW - Critical Care

KW - Family

KW - Female

KW - Health Care Surveys

KW - Humans

KW - Intensive Care Units/standards

KW - Male

KW - Middle Aged

KW - Netherlands

KW - Outcome Assessment (Health Care)

KW - Patient Satisfaction/statistics & numerical data

KW - Psychometrics/instrumentation

KW - Quality Assurance, Health Care

KW - Quality Indicators, Health Care

KW - Reproducibility of Results

KW - Surveys and Questionnaires

KW - Young Adult

KW - Consumer Quality Index

KW - CQI

KW - Quality of Care

KW - Quality assessment

KW - Satisfaction

KW - Intensive Care Unit

KW - Critical care

KW - Relatives

KW - Family support

KW - Health care surveys

U2 - 10.1016/j.pec.2014.03.019

DO - 10.1016/j.pec.2014.03.019

M3 - Article

C2 - 24746926

VL - 95

SP - 406

EP - 413

JO - Patient Education and Counseling

JF - Patient Education and Counseling

SN - 0738-3991

IS - 3

ER -