Developing and Determining Psychometric Properties of the Family Intensive Care Unit Syndrome Scale

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Main Authors: Parinaz Salehpour, Sevda Gardashkhani, Effat Mazaheri, Mehdi Heidarzadeh
Format: Artículo Open Access
Published: Wiley 2026
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author Parinaz Salehpour
Sevda Gardashkhani
Effat Mazaheri
Mehdi Heidarzadeh
author_facet Parinaz Salehpour
Sevda Gardashkhani
Effat Mazaheri
Mehdi Heidarzadeh
Parinaz Salehpour
Sevda Gardashkhani
Effat Mazaheri
Mehdi Heidarzadeh
collection Wiley Open Access
contents Developing and Determining Psychometric Properties of the Family Intensive Care Unit Syndrome Scale Parinaz Salehpour Sevda Gardashkhani Effat Mazaheri Mehdi Heidarzadeh Nursing in Critical Care ABSTRACT Background Family members who take care of their patients in the Intensive Care Unit experience some psychological, physical, social and spiritual impairments. Aim This study aimed to develop and preliminarily validate a comprehensive scale to assess the psychological, physical, social and spiritual dimensions of Family Intensive Care Unit Syndrome (FICUS). Study Design A mixed‐method study was conducted to develop the scale through a multi‐stage process, including literature review, expert item evaluation and psychometric testing. Content validity, construct validity, internal consistency and test–retest reliability were examined. Results A total of 245 family members of ICU patients completed the preliminary items via structured telephone‐based questionnaires. Forty‐nine items were collected during the literature review, and then they were reduced to 16 items using experts' comments and measuring content validity and initial internal consistency. Construct validity showed a good fit for a four‐factor structure (χ 2 /df = 1.8, Normed Fit Index 0.94, Comparative Fit Index = 0.97 and Incremental Fit Index = 0.97). Cronbach's alpha coefficient for the scale was 0.92, and the factor's values were between 0.78 and 0.91. The correlation between the test and retest was 0.72, indicating good stability. Conclusion The Family Intensive Care Unit Syndrome Scale (FICUSS) is a brief, comprehensive and valid scale for measuring psychological, physical, social and spiritual impairments in the family members who care for Intensive Care Unit patients during hospitalisation and after discharge. Relevance to Clinical Practice The FICUSS can be used by nurses, psychologists and other healthcare professionals to recognise and manage the psychological, physical, social and spiritual impairments in the family members of intensive care patients. 10.1111/nicc.70421 http://onlinelibrary.wiley.com/termsAndConditions#vor
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spellingShingle Developing and Determining Psychometric Properties of the Family Intensive Care Unit Syndrome Scale
Parinaz Salehpour
Sevda Gardashkhani
Effat Mazaheri
Mehdi Heidarzadeh
Nursing in Critical Care
Developing and Determining Psychometric Properties of the Family Intensive Care Unit Syndrome Scale Parinaz Salehpour Sevda Gardashkhani Effat Mazaheri Mehdi Heidarzadeh Nursing in Critical Care ABSTRACT Background Family members who take care of their patients in the Intensive Care Unit experience some psychological, physical, social and spiritual impairments. Aim This study aimed to develop and preliminarily validate a comprehensive scale to assess the psychological, physical, social and spiritual dimensions of Family Intensive Care Unit Syndrome (FICUS). Study Design A mixed‐method study was conducted to develop the scale through a multi‐stage process, including literature review, expert item evaluation and psychometric testing. Content validity, construct validity, internal consistency and test–retest reliability were examined. Results A total of 245 family members of ICU patients completed the preliminary items via structured telephone‐based questionnaires. Forty‐nine items were collected during the literature review, and then they were reduced to 16 items using experts' comments and measuring content validity and initial internal consistency. Construct validity showed a good fit for a four‐factor structure (χ 2 /df = 1.8, Normed Fit Index 0.94, Comparative Fit Index = 0.97 and Incremental Fit Index = 0.97). Cronbach's alpha coefficient for the scale was 0.92, and the factor's values were between 0.78 and 0.91. The correlation between the test and retest was 0.72, indicating good stability. Conclusion The Family Intensive Care Unit Syndrome Scale (FICUSS) is a brief, comprehensive and valid scale for measuring psychological, physical, social and spiritual impairments in the family members who care for Intensive Care Unit patients during hospitalisation and after discharge. Relevance to Clinical Practice The FICUSS can be used by nurses, psychologists and other healthcare professionals to recognise and manage the psychological, physical, social and spiritual impairments in the family members of intensive care patients. 10.1111/nicc.70421 http://onlinelibrary.wiley.com/termsAndConditions#vor
title Developing and Determining Psychometric Properties of the Family Intensive Care Unit Syndrome Scale
topic Nursing in Critical Care
url https://onlinelibrary.wiley.com/doi/10.1111/nicc.70421