Development and validation of the PACPN: Parents' Attitudes Towards Crying Pediatricians and pediatric Nurses questionnaire.

IF 2.6 3区医学 Q1 PEDIATRICS European Journal of Pediatrics Pub Date : 2025-02-17 DOI:10.1007/s00431-025-06030-x

M Foijer, B Spek, M A de Vos, A A E Verhagen, J L Aris-Meijer

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Abstract

Crying by healthcare professionals in the medical setting is a common but understudied phenomenon. We aimed to develop a questionnaire which measures the attitudes of parent towards crying pediatricians and pediatric nurses. We assessed reliability and validity in a group of parents of children who are living with, have died from or survived a life-limiting or life-threatening-condition. The development of the PACPN was based on modification of an existing questionnaire and expert input. In a cross-sectional-design, we assessed reliability and validity for both pediatricians and pediatric nurses. Dimensionality was assessed using principal component analysis (PCA). Cronbach's alphas were calculated for each subscale. For construct validity, participants were asked to rate an additional question regarding the goal to measure parents' attitudes towards crying pediatricians/pediatric nurses. We hypothesized that a higher score would have a strong positive correlation with the total score of the PACPN. At the end of the questionnaire, participants were asked to rate and comment the completeness. The developed 25-item questionnaire was completed by 116 parents. The PCA revealed two dimensions: (1) family's circumstances; (2) personal circumstances of the pediatrician/pediatric nurse. Internal consistency was good (pediatricians, .81-.93; pediatric nurses, .83-.93). The hypothesis regarding construct validity was confirmed (Spearman's rho = .71-.75). The completeness score was 7.7 (min-max 1-10, SD = 1.51).

Conclusion: The PACPN showed good internal consistency and some degree of construct validity. We assume that by adding some items with nuance to the situation and the degree of crying the completeness of the questionnaire will improve.

What is known: • Crying by HCPs in the medical setting, such as the hospital is common but HCPs have different attitudes towards this. • A questionnaire on crying physicians and nurses is available for assessing HCPs attitudes.

What is new: • The PACPN questionnaire is a simple tool for assessing parents' attitudes towards crying pediatricians and pediatric nurses. • The PACPN showed good internal consistency and some degree of construct validity.

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“家长对哭闹儿科医生和儿科护士的态度问卷”的编制与验证。

医疗保健专业人员在医疗环境中哭泣是一种常见但尚未得到充分研究的现象。我们的目的是制定一份问卷，以衡量家长对哭泣儿科医生和儿科护士的态度。我们对一组孩子的父母进行了信度和效度评估，这些孩子的父母生活在限制生命或威胁生命的疾病中，或死于这种疾病，或幸存下来。PACPN的制定是根据对现有调查表的修改和专家的投入。在横断面设计中，我们评估了儿科医生和儿科护士的信度和效度。使用主成分分析（PCA）评估维度。计算每个子量表的Cronbach's alpha。为了构建效度，参与者被要求对一个关于衡量父母对哭泣儿科医生/儿科护士的态度的目标的附加问题进行评分。我们假设较高的得分与PACPN总分有很强的正相关关系。在问卷的最后，参与者被要求对完整性进行评分和评论。116名家长完成了25项调查问卷。PCA揭示了两个维度：(1)家庭环境；(2)儿科医生/儿科护士的个人情况。内部一致性较好(儿科，0.81 - 0.93；儿科护士，0.83 - 0.93)。关于构式效度的假设得到证实（Spearman’s rho = 0.71 - 0.75）。完全性评分为7.7分（min-max 1-10, SD = 1.51）。结论：PACPN具有良好的内部一致性和一定的构念效度。我们认为，通过增加一些有细微差别的项目，情况和哭的程度，将提高问卷的完整性。•医务人员在医疗环境（如医院）中哭泣是常见的，但医务人员对此有不同的态度。•一份关于哭泣医生和护士的调查问卷可用于评估医护人员的态度。新发现：•PACPN问卷是一个简单的工具，用于评估家长对哭泣儿科医生和儿科护士的态度。•PACPN具有良好的内部一致性和一定程度的构念效度。

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来源期刊

European Journal of Pediatrics 医学-小儿科

CiteScore

5.90

自引率

2.80%

发文量

367

审稿时长

3-6 weeks

期刊介绍： The European Journal of Pediatrics (EJPE) is a leading peer-reviewed medical journal which covers the entire field of pediatrics. The editors encourage authors to submit original articles, reviews, short communications, and correspondence on all relevant themes and topics. EJPE is particularly committed to the publication of articles on important new clinical research that will have an immediate impact on clinical pediatric practice. The editorial office very much welcomes ideas for publications, whether individual articles or article series, that fit this goal and is always willing to address inquiries from authors regarding potential submissions. Invited review articles on clinical pediatrics that provide comprehensive coverage of a subject of importance are also regularly commissioned. The short publication time reflects both the commitment of the editors and publishers and their passion for new developments in the field of pediatrics. EJPE is active on social media (@EurJPediatrics) and we invite you to participate. EJPE is the official journal of the European Academy of Paediatrics (EAP) and publishes guidelines and statements in cooperation with the EAP.