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Original article
Available online 4 September 2022
Cultural adaptation and psychometric properties of the Chilean-Spanish version of the Family Satisfaction in the Intensive Care Unit - 24 questionnaire
Adaptación cultural y propiedades psicométricas de la versión en español-chileno del cuestionario Family Satisfaction in the Intensive Care Unit – 24
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Cristobal Padilla-Fortunattia,
Corresponding author
cfpadill@uc.cl

Corresponding author.
, Noelia Rojas-Silvaa, Yerko Molina-Muñozb, Stefany Avendaño-Jaraa
a Escuela de Enfermería, Pontificia Universidad Católica de Chile, Macul, Santiago, Chile
b Escuela de Psicología, Universidad Adolfo Ibáñez, Peñalolén, Santiago, Chile
Received 07 December 2021. Accepted 03 February 2022
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Abstract
Objective

To adapt and validate the Spanish version of the Family Satisfaction in the Intensive Care Unit - 24 (FS ICU-24) questionnaire among relatives of critically ill patients in a teaching hospital in Chile.

Design

Prospective observational study aimed to validate a measuring instrument.

Setting

Medical-surgical intensive care unit (ICU) of a teaching hospital in Chile.

Patients or participants

Two hundred and forty relatives of critically ill patients with at least48 h in the ICU, older than 18 years, and with at least one visit to the patient.

Interventions

None.

Main variables of interest

Content validity, construct validity, and reliability analysis of the Spanish version of the FS ICU-24 were evaluated.

Results

The Spanish version of the FS ICU-24 was adapted, improving its understanding and clarity. The factor analysis showed an optimal solution of 3 factors for the Chilean-Spanish version of the FS ICU-24, which explain 51% of the total variance. Reliability was adequate for the global scale (α = 0.93) and the dimensions of satisfaction with patient and family care (α = 0.82), satisfaction with communication (α = 0.91) and satisfaction with decision-making (α = 0.71).

Conclusions

The Chilean-Spanish version of the FS ICU-24 proved to be valid and reliable for the evaluation of family satisfaction in the ICU. Having a valid instrument will allow health institutions to accurately identify areas for improvement in the care of the family members and the critically ill patient.

Keywords:
Intensive Care Units
Adults
Family
Quality of health care
Nursing
Surveys and questionnaires
Patient satisfaction
Resumen
Objetivo

Adaptar y validar la versión en español del cuestionario Family Satisfaction in the Intensive Care Unit - 24 (FS ICU-24) en familiares de pacientes críticos en un hospital universitario en Chile.

Diseño

Estudio observacional, prospectivo, de adaptación y validación de un instrumento de medición.

Ámbito

Unidad de Cuidados Intensivos (UCI) medico-quirúrgica de un hospital universitario en Chile.

Pacientes o participantes

Doscientos cuarenta familiares de pacientes críticos con estadía superior a 48 h, mayores de 18 años y con al menos una visita al paciente.

Intervenciones

Ninguna.

Variables de interés principales

Se evaluó la validez de contenido, validez de constructo, y análisis de confiabilidad de la versión en español del FS ICU-24.

Resultados

La versión en español del FS ICU-24 fue adaptada, mejorando su comprensión y claridad. El análisis factorial de la versión español-chilena del FS ICU-24 mostró una solución óptima de 3 factores, los cuales explican un 51% de la varianza total. La confiabilidad fue adecuada para la escala global (α = 0.93) y las dimensiones de satisfacción con el cuidado del paciente y familia (α = 0.82), satisfacción con la comunicación (α = 0.91) y satisfacción con toma de decisiones (α = 0.71).

Conclusiones

La versión español-chilena del FS ICU-24 demostró ser válida y confiable para la evaluación de la satisfacción familiar en UCI. El contar con un instrumento válido permitirá a las instituciones de salud objetivar e identificar posibles áreas de mejora en el cuidado de la familia y el paciente crítico.

Palabras clave:
Unidades de Cuidados Intensivos
Adultos
Familia
Calidad en salud
Enfermería
Encuestas y cuestionarios
Satisfacción usuaria

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