Hostname: page-component-586b7cd67f-t7czq Total loading time: 0 Render date: 2024-11-28T06:06:55.896Z Has data issue: false hasContentIssue false
  • English
  • Français

Content validity of the developmental care scale for neonates with CHD

Published online by Cambridge University Press:  24 October 2018

Sara Burke Open the ORCID record for Sara Burke [Opens in a new window] ,
Elaine Miller ,
Tamilyn Bakas  and
David Cooper
Sara Burke*
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 Cooper
Affiliation:
Cardiac Intensive Care Unit, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, USA
*
Author for correspondence: S. J. Burke, PhD, RN, College of Nursing, University of Cincinnati, 3110 Vine Street, Cincinnati, OH 45221, USA. Tel: 513 558 5500; Fax: 513 558 5647; E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Purpose

Neuroprotective developmental care is paramount for neonates with CHD. Although several developmental care scales exist, either they have not been psychometrically tested or were not designed for the needs of neonates with CHD. The purpose of this study is to describe item development and content validity testing of the developmental care scale for neonates with CHD, which measures five domains of the developmental care provided by bedside nurses to neonates in the cardiac ICU: sleep, pain and stress management, activities of daily living, family-centred care, and environment.

Methods

For this cross-sectional study, items were developed based on clinical expertise and the core measures for developmental care. In this study, seven experts provided content validity ratings of items for total scale and subscale fit and relevance. A content validity index was used to determine item retention. Item modifications and additions were based on expert feedback.

Results

Expert ratings provided evidence of content validity on 24 of 53 items within the five domains of developmental care. A total of 24 items were deleted, and five items with low content validity ratings were retained, because of conceptual importance, and revised. An additional 11 items were added based on expert qualitative feedback.

Conclusions

This study provided evidence of content validity of the developmental care scale for neonates with CHD by researchers and bedside nurses caring for these neonates. Further psychometric testing is warranted to provide evidence of internal consistency reliability, construct validity, and to identify variables that influence quality of the developmental care.

Keywords

Developmental careneonatesCHD
Type
Original Article
Information
Cardiology in the Young , Volume 29 , Issue 1 , January 2019 , pp. 48 - 53
Copyright
© Cambridge University Press 2018 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Cite this article: Burke S, Miller E, Bakas T, Cooper D. (2018) Content validity of the developmental care scale for neonates with CHD. Cardiology in the Young29: 48–53. doi: 10.1017/S1047951118001786

References

1. Oster, ME, Lee, KA, Honein, MA, et al. Temporal trends in survival among infants with critical congenital heart defects. Pediatrics 2013; 131: e1502–1508.Google Scholar
2. Gaynor, WJ, Stopp, C, Wypij, D, et al. Neurodevelopmental outcomes after cardiac surgery in infancy. Pediatrics 2015; 135: 816–825.Google Scholar
3. Marino, BS, Lipkin, PH, Newburger, JW, et al. Neurodevelopmental outcomes in children with congenital heart disease: evaluation and management. Circulation 2012; 126: 1143–1172.Google Scholar
4. Symington, AJ, Pinelli, J. Developmental care for promoting development and preventing morbidity in preterm infants. Cochrane Database Syst Rev 2006: 1–74.Google Scholar
5. Smith, GC, Gutovich, J, Smyser, C, et al. Neonatal intensive care unit stress is associated with brain development in preterm infants. Ann Neurol 2011; 70: 541–549.Google Scholar
6. Montirosso, R, Del Prete, A, Bellù, R, et al. Level of NICU quality of developmental care and neurobehavioral performance in very preterm infants. Pediatrics 2012; 129: 1129–1137.Google Scholar
7. Wernovsky, G, Ghanayem, N, Ohye, RG, et al. Hypoplastic left heart syndrome: consensus and controversies in 2007. Cardiol Young 2007; 2: 75–86.Google Scholar
8. Licht, DJ, Shera, DM, Clancy, RR, et al. Brain maturation is delayed in infants with complex congenital heart defects. J Thorac Cardiovasc Surg 2009; 137: 529–536.Google Scholar
9. Donofrio, MT, Massaro, AN. Impact of congenital heart disease on brain development and neurodevelopmental outcome. Int J Pediatr 2010; 2010: 1–13.Google Scholar
10. Lisanti, AJ, Cribben, J, McManus Connock, E, et al. Developmental care rounds: an interdisciplinary approach to support developmentally appropriate care of infants born with complex congenital heart disease. Clin Perinatol 2016; 43: 147–156.Google Scholar
11. Torowicz, D, Lisanti, AJ, Rim, JS, Medoff-Cooper, B. Developmental care framework for a cardiac intensive care unit: a paradigm shift. Adv Neonatal Care 2012; 12: S28–32.Google Scholar
12. Sood, E, Berends, WM, Butcher, JL, et al. Developmental care in North American pediatric cardiac intensive care units: survey of current practices. Adv Neonatal Care 2016; 16: 211–219.Google Scholar
13. 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
14. 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
15. 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 ed. National Association of Neonatal Nurses, Glenview, 2014: 43–59.Google Scholar
16. Coughlin, ME. Transformative Nursing in the NICU. Springer Publishing Company, New York 2014.Google Scholar
17. Coughlin, ME. Personal communication. April 21, 2016.Google Scholar
18. Lynn, MR. Determination and quantification of content validity. Nurs Res 1986; 35: 382–385.Google Scholar
19. Parmelee, AH, Wenner, WH, Schulz, HR. Infant sleep patterns: from birth to 16 weeks of age. J Pediatr 1964; 65: 576–582.Google Scholar
20. Aita, M, Snider, L. The art of developmental care in the NICU: a concept analysis. J Adv Nurs 2003; 41: 223–232.Google Scholar
21. Netemeyer, RG, Bearden, WO, Sharma, S. Scaling Procedures: Issues and Applications. Sage, Thousand Oaks, CA, 2003.Google Scholar
22. Ajzen, I. The theory of planned behavior. Organ Behav Hum Decis Process 1991; 50: 179–211.Google Scholar