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Background/Purpose <p>The purpose of this study was to evaluate the psychometric properties and cultural adaptation of the Family-centered Care Questionnaire-Revised (FCCQ-R) for use by nurses in Saudi Arabia. The FCCQ-R assesses health care professionals’ perceptions and practices of family-centered care (FCC), a model that emphasizes the active involvement of families in pediatric health care. Although family-centered care is widely used worldwide, its implementation varies in different cultural contexts, highlighting the need for a validated measurement tool tailored to non-Western healthcare settings.</p> Method <p>A multicenter cross-sectional study was conducted in three tertiary hospitals in Saudi Arabia. A pilot study (<i>N</i> = 30) was conducted to assess the reliability of the instrument, followed by the main study (<i>N</i> = 405) in which confirmatory factor analysis (CFA) was used to validate the factor structure of the scale. Internal consistency was assessed using Cronbach’s alpha.</p> Results <p>The Arabic version of the FCCQ-R showed strong psychometric properties. The Cronbach’s alpha for the FCC-Practice total scale was 0.97 (subscales: 0.68–0.90) and for the FCC-Perception scale was 0.98 (subscales: 0.78–0.93). The CFA supported the nine-factor model with goodness of fit indices: FCC perception (χ² = 2918.542, df = 909, CFI = 0.884, RMSEA = 0.074) and FCC practice (χ² = 2723.608, df = 909, CFI = 0.867, RMSEA = 0.070). These results confirm the validity and reliability of the Arabic FCCQ-R for assessing FCC perception and practice among nurses.</p> Conclusions <p>The Arabic version of the FCCQ-R is a valid and reliable tool for measuring FCC perceptions and practices in Saudi Arabian healthcare facilities. The results emphasize the importance of culturally adapted assessment tools to ensure accurate evaluation of FCC implementation.</p> Impact <p>A validated Arabic FCCQ-R improves nursing research and practice by providing a standardized measure of FCC. This tool can guide the development of policies, training programs and quality improvement initiatives aimed at strengthening family involvement in pediatric care in Saudi Arabia and other Arabic-speaking countries. Further research is recommended to explore the applicability of the tool in other areas of the Middle East.</p> Clinical trial number <p>Not applicable.</p>

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Psychometric validation and cultural adaptation of the family-centered care Questionnaire-Revised for use among nurses in Saudi Arabia

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年7月7日

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  • Nada Alqarawi,
  • Ibrahim Alasqah

摘要

Background/Purpose

The purpose of this study was to evaluate the psychometric properties and cultural adaptation of the Family-centered Care Questionnaire-Revised (FCCQ-R) for use by nurses in Saudi Arabia. The FCCQ-R assesses health care professionals’ perceptions and practices of family-centered care (FCC), a model that emphasizes the active involvement of families in pediatric health care. Although family-centered care is widely used worldwide, its implementation varies in different cultural contexts, highlighting the need for a validated measurement tool tailored to non-Western healthcare settings.

Method

A multicenter cross-sectional study was conducted in three tertiary hospitals in Saudi Arabia. A pilot study (N = 30) was conducted to assess the reliability of the instrument, followed by the main study (N = 405) in which confirmatory factor analysis (CFA) was used to validate the factor structure of the scale. Internal consistency was assessed using Cronbach’s alpha.

Results

The Arabic version of the FCCQ-R showed strong psychometric properties. The Cronbach’s alpha for the FCC-Practice total scale was 0.97 (subscales: 0.68–0.90) and for the FCC-Perception scale was 0.98 (subscales: 0.78–0.93). The CFA supported the nine-factor model with goodness of fit indices: FCC perception (χ² = 2918.542, df = 909, CFI = 0.884, RMSEA = 0.074) and FCC practice (χ² = 2723.608, df = 909, CFI = 0.867, RMSEA = 0.070). These results confirm the validity and reliability of the Arabic FCCQ-R for assessing FCC perception and practice among nurses.

Conclusions

The Arabic version of the FCCQ-R is a valid and reliable tool for measuring FCC perceptions and practices in Saudi Arabian healthcare facilities. The results emphasize the importance of culturally adapted assessment tools to ensure accurate evaluation of FCC implementation.

Impact

A validated Arabic FCCQ-R improves nursing research and practice by providing a standardized measure of FCC. This tool can guide the development of policies, training programs and quality improvement initiatives aimed at strengthening family involvement in pediatric care in Saudi Arabia and other Arabic-speaking countries. Further research is recommended to explore the applicability of the tool in other areas of the Middle East.

Clinical trial number

Not applicable.