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Development and Psychometric Performance of the Family Willingness for Caregiving Scale (FWCS)

Abstract Details

2023, PHD, Kent State University, College of Nursing.
Family members and close friends of ICU patients receiving mechanical ventilation often sit helpless at the bedside. Participation in care of their loved one may improve adaptation to the stressful situation and better prepare them for caregiving after discharge. The primary aim of this study was to develop and test the psychometric properties of the Family Willingness for Caregiving Scale (FWCS). The impetus for scale development was the lack of a valid instrument to measure caregiver willingness of family members for the ICU patient. The Facilitated Sensemaking Model (FSM) and adapted Psychosocial Assessment Model (PAM) provided the theoretical foundation for the FWCS which was developed after a review of the literature and construction of a concept analysis of caregiver willingness. The process followed DeVellis’ eight step method for scale development over three phases of study. In phase one, 10 content experts examined the FWCS to evaluate content validity. Subsequently, the scale was revised based on item content validity index (I-CVI) scores and expert feedback. In phase 2, a small group of family members evaluated the FWCS for face validity which confirmed the scale was easy for the target population to understand. In phase 3, the FWCS was administered to a sample of family members who were currently visiting an ICU patient. The internal consistency reliability of the scale was .95. Exploratory factor analysis revealed a one-factor structure comprising both nursing and emotional/supportive care tasks. The secondary aim, to examine differences in caregiver willingness based on demographic variables, revealed a significant difference based on gender; women reported higher willingness than men. Further testing of the FWCS should be conducted using a larger sample and additional methods to establish construct validity such as convergent validity or known group differences. After further refinement, the FWCS could be used to evaluate factors that contribute to caregiver willingness of family members in the ICU and serve as the basis for developing family caregiving interventions in the ICU.
Amy Petrinec (Committee Co-Chair)
Christopher Was (Committee Member)
Dana Hansen (Committee Member)
Pamela Stephenson (Committee Co-Chair)
138 p.

Recommended Citations

Citations

  • Wilk, C. A. (2023). Development and Psychometric Performance of the Family Willingness for Caregiving Scale (FWCS) [Doctoral dissertation, Kent State University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=kent1681164845914673

    APA Style (7th edition)

  • Wilk, Cindy. Development and Psychometric Performance of the Family Willingness for Caregiving Scale (FWCS). 2023. Kent State University, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=kent1681164845914673.

    MLA Style (8th edition)

  • Wilk, Cindy. "Development and Psychometric Performance of the Family Willingness for Caregiving Scale (FWCS)." Doctoral dissertation, Kent State University, 2023. http://rave.ohiolink.edu/etdc/view?acc_num=kent1681164845914673

    Chicago Manual of Style (17th edition)