• Gail Geller, Hildy Schell-Chaple, Kathleen Turner, Wendy G Anderson, and Mary Catherine Beach.
• Berman Institute of Bioethics, Johns Hopkins University, 1809 Ashland Ave, Baltimore, MD 21205, USA; Department of Medicine, Johns Hopkins School of Medicine, 733 N Broadway, Baltimore, MD 21205, USA; Bloomberg School of Public Health, Johns Hopkins University, 615 N Wolfe St, Baltimore, MD 21205, USA. Electronic address: ggeller@jhu.edu.
• J Crit Care. 2018 Aug 1; 46: 63-66.

PurposeTo validate a brief index of patient and family experiences of respect in the intensive care unit.Material And MethodsA survey including the 10-item ICU-RESPECT scale was administered to patients and family members in one ICU at a large west coast academic medical center. Confirmatory psychometric analyses were conducted.ResultsBased on 142 completed surveys, factor analysis confirmed a unidimensional scale with an alpha of 0.90, an Eigen value of 4.9, and factor loadings from 0.50 to 0.86. The mean total score was 7.59 (SD = 3.06) out of a maximum of 10. Among the 106 surveys that included demographics, overall scores did not differ by type of respondent (patient or family) or by gender. There were modest differences in overall scores by patient race. Two individual items differed by type of respondent.ConclusionsThe ICU-RESPECT index demonstrates reliability and concurrent validity in a different ICU setting from the one where the index was developed. Future research should assess the scale's predictive validity, and factors associated with variation in scores. As hospitals address patient experience more broadly in response to national metrics, the index could identify particular behaviors or ICUs that would benefit from interventions to enhance respectful treatment.Copyright © 2018 Elsevier Inc. All rights reserved.

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