Korean J Crit Care Med.  2017 Feb;32(1):60-69. 10.4266/kjccm.2016.00962.

Transcultural Adaptation and Validation of the Family Satisfaction in the Intensive Care Unit Questionnaire in a Korean Sample

Affiliations
  • 1Department of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Korea. yjlee1117@snubh.org
  • 2Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea.
  • 3Department of Internal Medicine, Metropolitan Government Seoul National University Boramae Medical Center, Seoul, Korea.
  • 4Department of Anesthesiology, Seoul National University College of Medicine, Seoul, Korea.
  • 5Department of Emergency Medicine, Seoul National University College of Medicine, Seoul, Korea.
  • 6Department of Emergency Medicine, Seoul National University Bundang Hospital, Seongnam, Korea.

Abstract

BACKGROUND
A number of questionnaires designed for analyzing family members' inconvenience and demands in intensive care unit (ICU) care have been developed and validated in North America. The family satisfaction in the intensive care Unit-24 (FS-ICU-24) questionnaire is one of the most widely used of these instruments. This study aimed to translate the FS-ICU-24 questionnaire into Korean and validate the Korean version of the questionnaire.
METHODS
The study was conducted in the medical, surgical, and emergency ICUs at three tertiary hospitals. Relatives of all patients hospitalized for at least 48 hours were enrolled for this study participants. The validation process included the measurement of construct validity, internal consistency, and interrater reliability. The questionnaire consists of 24 items divided between two subscales: satisfaction with care (14 items) and satisfaction with decision making (10 items).
RESULTS
In total, 200 family members of 176 patients from three hospitals completed the FS-ICU-24 questionnaire. Construct validity for the questionnaire was superior to that observed for a visual analog scale (Spearman's r = 0.84, p < 0.001). Cronbach's αs were 0.83 and 0.80 for the satisfaction with care and satisfaction with decision making subscales, respectively. The mean (± standard deviation) total FS-ICU-24 score was 75.44 ± 17.70, and participants were most satisfied with consideration of their needs (82.13 ± 21.03) and least satisfied with the atmosphere in the ICU waiting room (35.38 ± 34.84).
CONCLUSIONS
The Korean version of the FS-ICU-24 questionnaire demonstrated good validity and could be a useful instrument with which to measure family members' satisfaction about ICU care.

Keyword

family; intensive care units; satisfaction; validation studies

MeSH Terms

Atmosphere
Critical Care*
Decision Making
Emergencies
Humans
Intensive Care Units*
North America
Tertiary Care Centers
Visual Analog Scale

Figure

  • Figure 1. (A) Reliability of satisfaction with care. (B) Reliability of satisfaction with decision making. VAS: visual analog scale; ICC: intraclass correlation coefficient.


Reference

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