Family care actions for hospitalized elders: A scale development and initial evaluation

2.50
Hdl Handle:
http://hdl.handle.net/10755/163658
Category:
Abstract
Type:
Presentation
Title:
Family care actions for hospitalized elders: A scale development and initial evaluation
Author(s):
Li, Hong; Stewart, Barbara; Archbold, Patricia G.
Author Details:
Hong Li, Assistant Professor, University of Rochester, School of Nursing, Rochester, New York, USA, email: HongS_Li@urmc.rochester.edu; Barbara Stewart; Patricia G. Archbold
Abstract:
Purpose: (1) To develop a instrument that measures the type of care that family caregivers actually do for their elderly relatives during hospitalization. (2) To do an initial evaluation of the instrument's psychometric properties. Specific Aims: (1) To establish content validity for Family Care Actions Index (FCAI). (2) To examine reliability by calculating Cronbach's alpha. (3) To obtain evidence of construct validity by examining the relationships between FCAI and other relevant variables. Framework: In the framework derived inductively from a series of open-ended interviews with elderly hospitalized patients, their family caregivers and nurses, family preference for participating in the care of hospitalized elders was conceptualized as one of the influencing factors between the antecedent variables and family care actions. One hundred and thirty items were identified from the qualitative data analysis, which covers three categories and eight sub-categories of family care actions: (1) providing care to patients including being there, performing typical family functions in the hospital, providing passage between home and hospital and attending to the patient's personal care; (2) working together with the health care team including exchanging information between family and health care team, collaborating with health care team to provide personal care, participating in therapeutic health care regimens, and making sure the health care team takes care of patient's needs; and (3) taking care of self. Methods: Initial items in the FCAI were derived from the qualitative study. The pool of 130 item was reviewed by a group of experts for content validity, and as a result, 85 item remained in pre-test version of FCAI. Surveys were conducted with two convenience samples with a total of 60 family caregivers of hospitalized elders who provided varying degrees of care to their hospitalized elderly relatives. Results and Conclusions: Internal consistency (Cronbach's alpha) for FCAI on the two samples were .92 and .93, respectively. Evidence of construct validity was obtained in two areas included in the conceptual framework: mutuality between caregiver and care receiver was positively related to FCAI (r=.36, p< .05), and encouragement from staff to participate in the care was also positively related to FCAI (r=.50, p=.05). Implications: These results indicate that the FCAI as a reliable instrument identifying types of care family caregivers actually do for their elderly relatives. By knowing the patterns of family care actions, nurses and health providers will be able to improve the way they work together with families in hospital settings.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2002
Conference Name:
14th Annual Scientific Sessions
Conference Host:
Eastern Nursing Research Society
Conference Location:
University Park, Pennsylvania, USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleFamily care actions for hospitalized elders: A scale development and initial evaluationen_GB
dc.contributor.authorLi, Hongen_US
dc.contributor.authorStewart, Barbaraen_US
dc.contributor.authorArchbold, Patricia G.en_US
dc.author.detailsHong Li, Assistant Professor, University of Rochester, School of Nursing, Rochester, New York, USA, email: HongS_Li@urmc.rochester.edu; Barbara Stewart; Patricia G. Archbolden_US
dc.identifier.urihttp://hdl.handle.net/10755/163658-
dc.description.abstractPurpose: (1) To develop a instrument that measures the type of care that family caregivers actually do for their elderly relatives during hospitalization. (2) To do an initial evaluation of the instrument's psychometric properties. Specific Aims: (1) To establish content validity for Family Care Actions Index (FCAI). (2) To examine reliability by calculating Cronbach's alpha. (3) To obtain evidence of construct validity by examining the relationships between FCAI and other relevant variables. Framework: In the framework derived inductively from a series of open-ended interviews with elderly hospitalized patients, their family caregivers and nurses, family preference for participating in the care of hospitalized elders was conceptualized as one of the influencing factors between the antecedent variables and family care actions. One hundred and thirty items were identified from the qualitative data analysis, which covers three categories and eight sub-categories of family care actions: (1) providing care to patients including being there, performing typical family functions in the hospital, providing passage between home and hospital and attending to the patient's personal care; (2) working together with the health care team including exchanging information between family and health care team, collaborating with health care team to provide personal care, participating in therapeutic health care regimens, and making sure the health care team takes care of patient's needs; and (3) taking care of self. Methods: Initial items in the FCAI were derived from the qualitative study. The pool of 130 item was reviewed by a group of experts for content validity, and as a result, 85 item remained in pre-test version of FCAI. Surveys were conducted with two convenience samples with a total of 60 family caregivers of hospitalized elders who provided varying degrees of care to their hospitalized elderly relatives. Results and Conclusions: Internal consistency (Cronbach's alpha) for FCAI on the two samples were .92 and .93, respectively. Evidence of construct validity was obtained in two areas included in the conceptual framework: mutuality between caregiver and care receiver was positively related to FCAI (r=.36, p< .05), and encouragement from staff to participate in the care was also positively related to FCAI (r=.50, p=.05). Implications: These results indicate that the FCAI as a reliable instrument identifying types of care family caregivers actually do for their elderly relatives. By knowing the patterns of family care actions, nurses and health providers will be able to improve the way they work together with families in hospital settings.en_GB
dc.date.available2011-10-27T11:11:29Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:11:29Z-
dc.conference.date2002en_US
dc.conference.name14th Annual Scientific Sessionsen_US
dc.conference.hostEastern Nursing Research Societyen_US
dc.conference.locationUniversity Park, Pennsylvania, USAen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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