Family-Centered Care Scale in Neonatal Intensive Care Unit (FCCS-NICU): Development and psychometrics evaluation

Published:December 12, 2022DOI:


      • It is important to measure family-centered care in the neonatal intensive care unit.
      • A scale (FCCS-NICU) was developed to evaluate family-centered care in NICU.
      • The validity and reliability of the FCCS-NICU have been tested and evidenced.



      The study was conducted to develop FCC Scale in Neonatal Intensive Care Units (FCCS-NICU) and to test its validity and reliability.


      This methodological study was conducted with 484 mothers whose neonates were hospitalized in the NICU of four different hospitals in Konya, Turkey. Data were collected with the mother and neonate information form and FCCS-NICU, and analyzed with Items Analysis, Cronbach's alpha, Exploratory Factor Analysis, and Confirmatory Factor Analysis tests.


      A 48-item pool was created for the draft FCCS-NICU based on the family-centered care model. The Content Validity Index of the scale was found to be popular opinion 0.95. In the Exploratory Factor Analysis, a four-factor structure with 29 items emerged. These four factors explained 53.23% of the total variance. The subscales were named dignity and respect (7 items), information sharing (9 items), participation in care (5 items), and collaboration with the family (8 items). The parallel form correlation coefficient was 0.80, the test-retest correlation coefficient was 0.76 (p < .001). The Cronbach's Alpha was found 0.94 for a total scale. The Confirmatory factor analysis confirmed the four-factor structure.


      We provide a valid and reliable scale to evaluate FCC and associated factors in NICU. FCCS-NICU can be used as a tool in descriptive research to assess FCC and identify associated factors.
      Practice implication.
      It can be used as a tool in experimental studies to develop FCC.


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