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Turkish Validity and Reliability Study of the Scale on Factors Influencing Family Engagement in Acute Care Environments

Year 2026, Volume: 13 Issue: 1 , 127 - 142 , 30.04.2026
https://doi.org/10.21020/husbfd.1529370
https://izlik.org/JA62ZY27DH

Abstract

Objectives: The study aimed to adapt the Scale on Factors Affecting Family Engagement in Acute Care Environments to Turkish culture and to conduct a validity-reliability study in Turkish.
Materials and Methods: This methodological study included a sample of 282 nurses working in acute care environments. Data were collected between March-June, 2024. The Descriptive Data Form and TheScale on Factors Affecting Family Participation in Acute Care Environments were used for data collection. Language, content validity were assessed, and Exploratory Factor Analysis(EFA), and Confirmatory Factor Analysis (CFA) were conducted. Cronbach’s alpha and item-total score correlation values were checked for reliability.
Results: The Kaiser-Meyer-Olkin(KMO) value was 0.732 and the Bartlett Sphericity Test result was significant (χ2 =1225.920 p<0.001), indicating that the data were suitable for EFA. In repeated factor analysis, the explained total variance was 58.467%. After Split-Half Reliability Coefficient Analysis, the Spearman-Brown Correlation (r = 0.520) and the Guttmann Split-Half Coefficient value (r = 0.589), and the Cronbach Alpha Reliability Coefficients were adequate. CFA fit indices were at an acceptable level (CMIN/DF=3.162, RMSEA= 0.067, CFI= 0.90, TLI= 0.87, NFI=0.95, AGFI=0.94). The selected fit indices showed a good fit of the factor model and confirmed the results of the EFA.
Conclusion: It was concluded that the scale on Factors Affecting Family Engagement in Acute Care Environments is a valid and reliable measurement tool.

Project Number

-

References

  • Andrew, D. P., Pedersen, P. M., & McEvoy, C. D. (2019). Research methods and design in sport management: Analyses of structure. Human Kinetics, 211–220.
  • Boateng, G. O., Neilands, T. B., Frongillo, E. A., Melgar-Quiñonez, H. R., & Young, S. L. (2018). Best practices for developing and validating scales for health, social, and behavioral research: a primer. Frontiers in Public Health, 6, 149. https://doi.org/10.3389/fpubh.2018.00149
  • Burns, K. E. A., Devlin, J. W., & Hill, N. S. (2017). Patient and Family Engagement in Designing and Implementing a Weaning Trial: A Novel Research Paradigm in Critical Care. Chest, 152(4), 707–711. https://doi.org/10.1016/j.chest.2017.06.028
  • Burns, K. E. A., Misak, C., Herridge, M., Meade, M. O., & Oczkowski, S., (2018). Patient and Family Partnership Committee of the Canadian Critical Care Trials Group. Patient and family engagement in the ICU. Untapped opportunities and underrecognized challenges. American Journal of Respiratory and Critical Care Medicine, 198, 310–319. https://doi.org/10.1164/rccm.201710-2032CI
  • Büyüköztürk, S. (2014). Sosyal Bilimler Için Veri Analizi El Kitabi: İstatistik. Araştırma Deseni, SPSS Uygulamalari ve Yorum, 16th ed., Ankara: Pegem Akademi.
  • Carpenter, S. (2018). Ten Steps in Scale Development and Reporting: A Guide for Researchers. Communication Methods and Measures, 12(1), 25–44. https://doi.org/10.1080/19312458.2017.1396583
  • Chung, E., Chung, K. S., Leem, A. Y., Woo, A., Park, M. S., Kim, Y. S., & Lee, S. H. (2023). Impact of age on mortality and transfer to long-term care in patients in an intensive care unit. BMC Geriatrics, 23(1), 839. https://doi.org/10.1186/s12877-023-04526-5
  • Çokluk, Ö, Şekercioğlu, G., & Büyüköztürk, Ş. (2010). Multivariate statistics SPSS and Lisrel applications for social sciences. Pegem, Ankara.
  • Davis, L. L. (1992). Instrument review: Getting the most from a panel of experts. Applied Nursing Research, 5(4), 194-197.
  • Davidson, J. E., Aslakson, R. A., Long, A. C., Puntillo, K. A., Kross, E. K., Hart, J., Cox, C. E., Wunsch, H., Wickline, M. A., Nunnally, M. E., Netzer, G., Kentish-Barnes, N., Sprung, C. L., Hartog, C. S., Coombs, M., Gerritsen, R. T., Hopkins, R. O., Franck, L. S., Skrobik, Y., Kon, A. A., … Curtis, J. R. (2017). Guidelines for Family-Centered Care in the Neonatal, Pediatric, and Adult ICU. Critical Care Medicine, 45(1), 103–128. https://doi.org/10.1097/CCM.0000000000002169
  • Eghbali-Babadi, M., Shokrollahi, N., & Mehrabi, T. (2017). Effect of Family-Patient Communication on the Incidence of Delirium in Hospitalized Patients in Cardiovascular Surgery ICU. Iranian Journal of Nursing and Midwifery Research, 22(4), 327–331. https://doi.org/10.4103/1735-9066.212985
  • Fuchs, L., Chronaki, C. E., Park, S., Novack, V., Baumfeld, Y., Scott, D., McLennan, S., Talmor, D., & Celi, L. (2012). ICU admission characteristics and mortality rates among elderly and very elderly patients. Intensive Care Medicine, 38(10), 1654–1661. https://doi.org/10.1007/s00134-012-2629-6
  • Groß, T. (2021). Validity and reliability internet users’ information privacy concerns (IUIPC) Proceedings on Privacy Enhancing Technologies, (2) (2021), pp. 235-258. https://doi.org/10.2478/popets-2021-0026
  • Gungor, D. (2016). Guide to the development and adaptation of measurement tools in psychology. Turkish Psychological Articles, 19(38), pp. 104-112.
  • Gwaza, E., & Msiska, G. (2022). Family Involvement in Caring for Inpatients in Acute Care Hospital Settings: A Systematic Review of Literature. SAGE Open Nursing, 8, 23779608221089541. https://doi.org/10.1177/23779608221089541
  • Hetland, B., McAndrew, N., Perazzo, J., & Hickman, R. (2018). A qualitative study of factors Affecting active family involvement with patient care in the ICU: Survey of critical care nurses. Intensive and Critical Care Nursing, 44, 67–75. https://doi.org/10.1016/j.iccn.2017.08.008
  • Inoue, S., Hatakeyama, J., Kondo, Y., Hifumi, T., Sakuramoto, H., Kawasaki, T., Taito, S., Nakamura, K., Unoki, T., Kawai, Y., Kenmotsu, Y., Saito, M., Yamakawa, K., & Nishida, O. (2019). Post-intensive care syndrome: its pathophysiology, prevention, and future directions. Acute Medicine & Surgery, 6(3), 233–246. https://doi.org/10.1002/ams2.415
  • Jones, A., Toft-Petersen, A. P., Shankar-Hari, M., Harrison, D. A., & Rowan, K. M. (2020). Demographic Shifts, Case Mix, Activity, and Outcome for Elderly Patients Admitted to Adult General ICUs in England, Wales, and Northern Ireland. Critical Care Medicine, 48(4), 466–474. https://doi.org/10.1097/CCM.0000000000004211
  • Karaman, H., Atar, B., & Aktan, D. Ç. (2017). Açımlayıcı faktör analizinde kullanılan faktör çıkartma yöntemlerinin karşılaştırılması. Gazi Üniversitesi Gazi Eğitim Fakültesi Dergisi, 37(3):1173-1193.
  • Kilic, S. (2016). Cronbach's alpha reliability coefficient. Psychiatry and Behavioral Sciences, 6(1): 47.
  • Kline, R.B. (2023). Principles and practice of structural equation modeling. Guilford Publications.
  • Mitchell, M., Gill, F.J., & Greenwood, M. (2015). Partnering with Families in Critical Care; ACCCN: Surrey Hills, Australia.
  • Nolen, K. B., & Warren, N. A. (2014). Meeting the needs of family members of ICU patients. Critical Care Nursing Quarterly, 37(4), 393–406. https://doi.org/10.1097/CNQ.0000000000000040
  • Nora, C. R. D., Zoboli, E., & Vieira, M. M. (2017). Validação por peritos: importância na tradução e adaptação de instrumentos. Revista Gaúcha de Enfermagem, 38 (3). https://doi.org/10.1590/1983-1447.2017.03.64851.
  • Shrestha, N. (2021). Factor analysis as a tool for survey analysis. American Journal of Applied Mathematics and Statistics, 9(1), 4-11.
  • Tsukuda, M., Ito, Y., Kakazu, S., Sakamoto, K., & Honda, J. (2023). Development and Validity of the Japanese Version on Factors Affecting Family Engagement in Acute Care Settings. Nursing Reports, 13, 601–611. https://doi.org/10.3390/nursrep13020053
  • United, N. (2022). World Population prospects: Summary of results. New York: United Nations.
  • Wong, P., Liamputtong, P., Koch, S., & Rawson, H. (2017). Barriers to regaining control within a constructivist grounded theory of family resilience in ICU: Living with uncertainty. Journal of Clinical Nursing, 26(23-24), 4390–4403. https://doi.org/10.1111/jocn.13768
  • Yende, S., Austin, S., Rhodes, A., Finfer, S., Opal, S., Thompson, T., Bozza, F. A., LaRosa, S. P., Ranieri, V. M., & Angus, D. C. (2016). Long-Term Quality of Life Among Survivors of Severe Sepsis: Analyses of Two International Trials. Critical Care Medicine, 44(8), 1461–1467. https://doi.org/10.1097/CCM.0000000000001658.

Akut Bakım Ortamlarında Aile Katılımını Etkileyen Faktörler Ölçeği'nin Türkçe Geçerlik ve Güvenirlik Çalışması

Year 2026, Volume: 13 Issue: 1 , 127 - 142 , 30.04.2026
https://doi.org/10.21020/husbfd.1529370
https://izlik.org/JA62ZY27DH

Abstract

Amaç: Çalışmanın amacı Akut Bakım Ortamlarında Aile Katılımını Etkileyen Faktörler Ölçeği'ni Türk kültürüne uyarlamak ve Türkçe geçerlik ve güvenirlik çalışması yapmaktır.
Gereç ve Yöntem: Çalışma metodolojik bir tasarım kullanılarak yürütüldü. Örneklem, akut bakım ortamlarında çalışan 282 hemşireden oluşturdu. Çalışmanın verileri Mart-Haziran 2024 tarihleri arasında toplandı. Veri toplamada Tanımlayıcı Bilgi Formu ve Akut Bakım Ortamlarında Aile Katılımını Etkileyen Faktörler Ölçeği kullanıldı. Ölçeğin dil eşdeğerliği, içerik geçerliği, Açımlayıcı Faktör Analizi (AFA) ve Doğrulayıcı Faktör Analizi (DFA) yapıldı. Ölçeğin güvenirliğini belirlemek için Cronbach α Katsayısı ve madde-toplam puan korelasyon değerleri değerlendirildi.
Bulgular: Ölçeğin Kaiser-Meyer-Olkin değeri 0,732, Bartlett Küresellik Testi sonucu ise anlamlı bulunmuş (χ2=1225,920 p<0,001), bu da verilerin AFA için uygun olduğunu göstermektedir. Tekrarlanan faktör analizi sonucunda açıklanan toplam varyans %58,467 olarak bulundu. Yarı-Bölmeli Güvenirlik Katsayısı Analizi sonucunda Spearman-Brown Korelasyon değeri (r=0,520) ve Guttmann Yarı-Bölmeli Güvenirlik Katsayısı değeri (r=0,589) ile iki yarının Cronbach Alfa Güvenirlik Katsayıları yeterli bulundu. DFA uyum indekslerinin kabul edilebilir düzeyde olduğu bulundu (CMIN/DF=3.162, RMSEA= 0,067, CFI= 0,90, TLI= 0,87, NFI=0,95, AGFI=0,94). Seçilen uyum indeksleri faktör modelinin iyi bir uyumunu gösterdi ve AFA sonuçlarını doğruladı.
Sonuç: Akut Bakım Ortamlarında Aile Katılımını Etkileyen Faktörler ölçeğinin geçerli ve güvenilir bir ölçüm aracı olduğu saptandı.

Project Number

-

References

  • Andrew, D. P., Pedersen, P. M., & McEvoy, C. D. (2019). Research methods and design in sport management: Analyses of structure. Human Kinetics, 211–220.
  • Boateng, G. O., Neilands, T. B., Frongillo, E. A., Melgar-Quiñonez, H. R., & Young, S. L. (2018). Best practices for developing and validating scales for health, social, and behavioral research: a primer. Frontiers in Public Health, 6, 149. https://doi.org/10.3389/fpubh.2018.00149
  • Burns, K. E. A., Devlin, J. W., & Hill, N. S. (2017). Patient and Family Engagement in Designing and Implementing a Weaning Trial: A Novel Research Paradigm in Critical Care. Chest, 152(4), 707–711. https://doi.org/10.1016/j.chest.2017.06.028
  • Burns, K. E. A., Misak, C., Herridge, M., Meade, M. O., & Oczkowski, S., (2018). Patient and Family Partnership Committee of the Canadian Critical Care Trials Group. Patient and family engagement in the ICU. Untapped opportunities and underrecognized challenges. American Journal of Respiratory and Critical Care Medicine, 198, 310–319. https://doi.org/10.1164/rccm.201710-2032CI
  • Büyüköztürk, S. (2014). Sosyal Bilimler Için Veri Analizi El Kitabi: İstatistik. Araştırma Deseni, SPSS Uygulamalari ve Yorum, 16th ed., Ankara: Pegem Akademi.
  • Carpenter, S. (2018). Ten Steps in Scale Development and Reporting: A Guide for Researchers. Communication Methods and Measures, 12(1), 25–44. https://doi.org/10.1080/19312458.2017.1396583
  • Chung, E., Chung, K. S., Leem, A. Y., Woo, A., Park, M. S., Kim, Y. S., & Lee, S. H. (2023). Impact of age on mortality and transfer to long-term care in patients in an intensive care unit. BMC Geriatrics, 23(1), 839. https://doi.org/10.1186/s12877-023-04526-5
  • Çokluk, Ö, Şekercioğlu, G., & Büyüköztürk, Ş. (2010). Multivariate statistics SPSS and Lisrel applications for social sciences. Pegem, Ankara.
  • Davis, L. L. (1992). Instrument review: Getting the most from a panel of experts. Applied Nursing Research, 5(4), 194-197.
  • Davidson, J. E., Aslakson, R. A., Long, A. C., Puntillo, K. A., Kross, E. K., Hart, J., Cox, C. E., Wunsch, H., Wickline, M. A., Nunnally, M. E., Netzer, G., Kentish-Barnes, N., Sprung, C. L., Hartog, C. S., Coombs, M., Gerritsen, R. T., Hopkins, R. O., Franck, L. S., Skrobik, Y., Kon, A. A., … Curtis, J. R. (2017). Guidelines for Family-Centered Care in the Neonatal, Pediatric, and Adult ICU. Critical Care Medicine, 45(1), 103–128. https://doi.org/10.1097/CCM.0000000000002169
  • Eghbali-Babadi, M., Shokrollahi, N., & Mehrabi, T. (2017). Effect of Family-Patient Communication on the Incidence of Delirium in Hospitalized Patients in Cardiovascular Surgery ICU. Iranian Journal of Nursing and Midwifery Research, 22(4), 327–331. https://doi.org/10.4103/1735-9066.212985
  • Fuchs, L., Chronaki, C. E., Park, S., Novack, V., Baumfeld, Y., Scott, D., McLennan, S., Talmor, D., & Celi, L. (2012). ICU admission characteristics and mortality rates among elderly and very elderly patients. Intensive Care Medicine, 38(10), 1654–1661. https://doi.org/10.1007/s00134-012-2629-6
  • Groß, T. (2021). Validity and reliability internet users’ information privacy concerns (IUIPC) Proceedings on Privacy Enhancing Technologies, (2) (2021), pp. 235-258. https://doi.org/10.2478/popets-2021-0026
  • Gungor, D. (2016). Guide to the development and adaptation of measurement tools in psychology. Turkish Psychological Articles, 19(38), pp. 104-112.
  • Gwaza, E., & Msiska, G. (2022). Family Involvement in Caring for Inpatients in Acute Care Hospital Settings: A Systematic Review of Literature. SAGE Open Nursing, 8, 23779608221089541. https://doi.org/10.1177/23779608221089541
  • Hetland, B., McAndrew, N., Perazzo, J., & Hickman, R. (2018). A qualitative study of factors Affecting active family involvement with patient care in the ICU: Survey of critical care nurses. Intensive and Critical Care Nursing, 44, 67–75. https://doi.org/10.1016/j.iccn.2017.08.008
  • Inoue, S., Hatakeyama, J., Kondo, Y., Hifumi, T., Sakuramoto, H., Kawasaki, T., Taito, S., Nakamura, K., Unoki, T., Kawai, Y., Kenmotsu, Y., Saito, M., Yamakawa, K., & Nishida, O. (2019). Post-intensive care syndrome: its pathophysiology, prevention, and future directions. Acute Medicine & Surgery, 6(3), 233–246. https://doi.org/10.1002/ams2.415
  • Jones, A., Toft-Petersen, A. P., Shankar-Hari, M., Harrison, D. A., & Rowan, K. M. (2020). Demographic Shifts, Case Mix, Activity, and Outcome for Elderly Patients Admitted to Adult General ICUs in England, Wales, and Northern Ireland. Critical Care Medicine, 48(4), 466–474. https://doi.org/10.1097/CCM.0000000000004211
  • Karaman, H., Atar, B., & Aktan, D. Ç. (2017). Açımlayıcı faktör analizinde kullanılan faktör çıkartma yöntemlerinin karşılaştırılması. Gazi Üniversitesi Gazi Eğitim Fakültesi Dergisi, 37(3):1173-1193.
  • Kilic, S. (2016). Cronbach's alpha reliability coefficient. Psychiatry and Behavioral Sciences, 6(1): 47.
  • Kline, R.B. (2023). Principles and practice of structural equation modeling. Guilford Publications.
  • Mitchell, M., Gill, F.J., & Greenwood, M. (2015). Partnering with Families in Critical Care; ACCCN: Surrey Hills, Australia.
  • Nolen, K. B., & Warren, N. A. (2014). Meeting the needs of family members of ICU patients. Critical Care Nursing Quarterly, 37(4), 393–406. https://doi.org/10.1097/CNQ.0000000000000040
  • Nora, C. R. D., Zoboli, E., & Vieira, M. M. (2017). Validação por peritos: importância na tradução e adaptação de instrumentos. Revista Gaúcha de Enfermagem, 38 (3). https://doi.org/10.1590/1983-1447.2017.03.64851.
  • Shrestha, N. (2021). Factor analysis as a tool for survey analysis. American Journal of Applied Mathematics and Statistics, 9(1), 4-11.
  • Tsukuda, M., Ito, Y., Kakazu, S., Sakamoto, K., & Honda, J. (2023). Development and Validity of the Japanese Version on Factors Affecting Family Engagement in Acute Care Settings. Nursing Reports, 13, 601–611. https://doi.org/10.3390/nursrep13020053
  • United, N. (2022). World Population prospects: Summary of results. New York: United Nations.
  • Wong, P., Liamputtong, P., Koch, S., & Rawson, H. (2017). Barriers to regaining control within a constructivist grounded theory of family resilience in ICU: Living with uncertainty. Journal of Clinical Nursing, 26(23-24), 4390–4403. https://doi.org/10.1111/jocn.13768
  • Yende, S., Austin, S., Rhodes, A., Finfer, S., Opal, S., Thompson, T., Bozza, F. A., LaRosa, S. P., Ranieri, V. M., & Angus, D. C. (2016). Long-Term Quality of Life Among Survivors of Severe Sepsis: Analyses of Two International Trials. Critical Care Medicine, 44(8), 1461–1467. https://doi.org/10.1097/CCM.0000000000001658.
There are 29 citations in total.

Details

Primary Language English
Subjects Acute Care
Journal Section Research Article
Authors

Cemal Özalp 0000-0002-1666-902X

Project Number -
Submission Date August 7, 2024
Acceptance Date January 7, 2026
Publication Date April 30, 2026
DOI https://doi.org/10.21020/husbfd.1529370
IZ https://izlik.org/JA62ZY27DH
Published in Issue Year 2026 Volume: 13 Issue: 1

Cite

APA Özalp, C. (2026). Turkish Validity and Reliability Study of the Scale on Factors Influencing Family Engagement in Acute Care Environments. Hacettepe University Faculty of Health Sciences Journal, 13(1), 127-142. https://doi.org/10.21020/husbfd.1529370