Development and Validation of a Questionnaire to Assess Healthcare Professionals’ Views on Parental Presence During Neonatal Resuscitation in Greece

Background: The birth of a child is a joyful and significant life event for parents and families. However, there is always the possibility of complications during labor necessitating medical intervention, including neonatal resuscitation. Only a small number of newborns require basic or advanced resuscitation. Family-centered care is essential for fostering parent-infant bonding and emotional adjustment to the parental role. Despite this, the views of healthcare professionals (HCPs) as to parental presence during resuscitation remain divided. Moreover, in Greece, this issue has not received adequate study, much less assessment. Objective: To develop and validate a culturally adapted tool for assessing HCPs’ opinions regarding parental presence during neonatal resuscitation. Method: A draft questionnaire was created based on the principles of family-centered care and adapted to the Greek culture. The first phase included evaluation of validity, clarity, and relevance by experts using a modified Delphi technique content. The Item-Level Content Validity Index (I-CVI) and Scale-Level CVI (S-CVI) were subsequently calculated. A pilot study was then conducted to examine test-retest reliability. Assessment of reliability was carried out using the Intraclass Correlation Coefficient (ICC) and Bland-Altman analyses. The study was in compliance with the principles of the Declaration of Helsinki, and anonymity, informed consent, and confidentiality were ensured. Results: The final questionnaire consisted of four sections, comprising 37–50 items. It demonstrated excellent content validity (CVI=1.00) and strong test-retest reliability (ICC=0.86). Qualitative feedback indicated that the tool is user-friendly and comprehensive. Conclusion:The above-described questionnaire constitutes a suitable and all-inclusive tool, that may be used to large-testing in order to further confirm its validity and internal consistency among Greek healthcare professionals.