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Construction and Psychometric Testing of the Quality of Developmental Care Scale

Burke, Sara J
http://orcid.org/0000-0001-8980-4600
http://rave.ohiolink.edu/etdc/view?acc_num=ucin1523635991607645

Abstract Details

2018, PhD, University of Cincinnati, Nursing: Nursing - Doctoral Program.
Background: The incidence of poor neurodevelopmental outcomes is rising in children with congenital heart disease as a result of higher risk infants surviving cardiac surgery. Little is known about the reason for variations in neurodevelopment. Notably, there is a gap in the literature addressing the impact of nurse caregiving on the neurodevelopmental outcomes of neonates with congenital heart disease in the cardiac intensive care unit. Research from neonatal intensive care units indicate developmental care is a widely used nursing care intervention that has exhibited a strong relationship with improved neurodevelopment. Although several developmental care measures exist, none of them are specific to nurses caring for neonates in the cardiac intensive care unit and none of the existing self-assessment measurements have been psychometrically tested. Purpose: The purposes of this dissertation study were to develop and psychometrically test the Quality of Developmental Care Scale, which measures the performance of developmental care delivered to neonates with CHD from the perspective of the individual nurse, and to identify variables associated with developmental care performance based on a conceptual model derived from the Theory of Planned Behavior. Methods: Initially, a systematic review was conducted to examine the effects of developmental care interventions on neurodevelopment. Key elements of developmental care programs were identified, as were major study limitations. Based on recommendations from the first study, the second manuscript discussed the results of item pool development and content validity of the Quality of Developmental Care Scale. Results indicated evidence of content validity for use with bedside nurses caring for neonates with congenital heart disease. In the third study, the Quality of Developmental Care Scale was psychometrically tested with 121 cardiac intensive care unit nurses using a cross-sectional, descriptive design. Results: Evidence of internal consistency reliability (a=.89) was established. Multidimensionality was supported by factor analysis, with loadings ranging from .42 to .82 with 51.7% of the variance explained by the first four factors. Model testing through a hierarchical multiple regression equation guided by a conceptual model provided further evidence of construct validity. This dissertation provided a better understanding of the literature regarding developmental care interventions appropriate and feasible for neonates in the cardiac intensive care unit. It also led to the development of a psychometrically sound instrument specific to bedside nurses in the cardiac intensive care unit with great potential for future research.
Elaine Miller, Ph.D. (Committee Chair)
Tamilyn Bakas (Committee Member)
David Cooper (Committee Member)
145 p.
Nursing
Congenital Heart Disease; Neurodevelopment; Developmental Care; Neonates; Nurses

Recommended Citations

Citations

  • Burke, S. J. (2018). Construction and Psychometric Testing of the Quality of Developmental Care Scale [Doctoral dissertation, University of Cincinnati]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1523635991607645

    APA Style (7th edition)

  • Burke, Sara. Construction and Psychometric Testing of the Quality of Developmental Care Scale. 2018. University of Cincinnati, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=ucin1523635991607645.

    MLA Style (8th edition)

  • Burke, Sara. "Construction and Psychometric Testing of the Quality of Developmental Care Scale." Doctoral dissertation, University of Cincinnati, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1523635991607645

    Chicago Manual of Style (17th edition)

ucin1523635991607645
252
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This open access ETD is published by University of Cincinnati and OhioLINK.