Translation and Validation of the PPSC-PNP Instrument to Measure Parental Satisfaction with Care from Pediatric Nurses in China

Abstract

Purpose: The purpose of this study was to translate the Parents’ Perceptions of Satisfaction with Care from Pediatric Nurse Practitioners instrument into Chinese, culturally adapt and initially test it to assess parental satisfaction with care from pediatric nurses in a pediatric inpatient care context.

Design and methods: The instrument was translated and culturally adapted following a standardized guideline for the translation and cross-cultural adaptation of self-report measures. Content validity, discriminative validity, internal consistency and test-retest reliability were examined.

Results: Four main issues were identified in the translation and cultural adaptation stage. Several modifications were made from the original instrument to the Chinese Parents’ Perceptions of Satisfaction with Care from Pediatric Nurses instrument. The item-level content validity indexes for the Chinese instrument ranged between 0.83 and 1.0. The Cronbach's alpha coefficient was 0.95, and the intra-class correlation coefficient for test-retest reliability was 0.44.

Conclusion: The Chinese Parents’ Perceptions of Satisfaction with Care from Pediatric Nurses instrument is a reliable tool with good content validity and internal consistency. It is a suitable clinical evaluation tool to measure parental satisfaction with care from pediatric nurses in pediatric inpatient settings in China.

Practice implications: The instrument is anticipated to serve as a valuable tool to enable international comparisons in parental satisfaction with care from pediatric nurses. Additionally, it has the potential to play a critical role in strategic planning for Chinese nurse managers responsible for patient safety and quality of care improvement.

Note:
Funding Declaration: This work was supported by the Humanities and Social Sciences Foundation, Ministry of Education of the People's Republic of China [grant number: 21YJAZH117]. The funder had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.

Conflict of Interests: The authors declare that they have no conflicts of interest.

Ethical Approval: The ethics committee of the hospital approved the study. Permission to translate the PPSC-PNP into Chinese was obtained from the original instrument developer. In line with the Standards and Operational Guidance for the Ethical Review of Health-related Research with Human Participants (WHO, 2011), the purpose of the study was explained to the participants surveyed, and the participation was all based on their wiliness. They were informed of the right to withdraw from the study without any consequences at any time. Confidentiality was guaranteed, with no names or personal information written on the printed questionnaires.

Keywords: Parental satisfaction, Patient satisfaction, pediatric nursing, Pediatric nurse, Psychometrics