Department of Nursing, Umeå University, Umeå, Sweden.
Int Psychogeriatr. 2010 Feb;22(1):101-8. doi: 10.1017/S1041610209990688. Epub 2009 Jul 27.
Person-centered care is increasingly regarded as being synonymous with best quality care. However, the concept and its precise meaning is a subject of debate and reliable and valid measurement tools are lacking.
This article describes the development and initial testing of a new self-report assessment scale, the Person-centered Care Assessment Tool (P-CAT), which measures the extent to which long-term aged care staff rate their settings to be person-centered. A preliminary 39-item tool generated from research literature, expert consultations and research interviews with aged care staff (n = 37), people with early onset dementia (n = 11), and family members (n = 19) was distributed to a sample of Australian aged care staff (n = 220) and subjected to item analysis and reduction.
Psychometric evaluation of the final 13-item tool was conducted using statistical estimates of validity and reliability. The results showed that the P-CAT was shown to be valid and homogeneous by factor, item and content analyses. Cronbach's alpha was satisfactory for the total scale (0.84), and the three subscales had values of 0.81, 0.77, and 0.31 respectively. Test-retest reliability were evaluated (n = 26) and all analyses indicated satisfactory estimates.
This study provides preliminary evidence in support of the psychometric properties of the P-CAT when used in an Australian sample of long-term aged care staff. The tool contributes to the literature by making it possible to study person-centered care in relation to health outcomes, organizational models, characteristics and levels of staffing, degrees of care needs among residents, and impact of interventions.
以患者为中心的护理越来越被认为是高质量护理的代名词。然而，该概念及其确切含义存在争议，并且缺乏可靠和有效的测量工具。
本文介绍了一种新的自我报告评估工具——以患者为中心的护理评估工具（P-CAT）的开发和初步测试，该工具用于衡量长期老年护理人员对其护理环境的以患者为中心程度。该工具初步包含 39 个项目，来源于研究文献、专家咨询以及对老年护理人员（n=37）、早发性痴呆患者（n=11）和家属（n=19）的研究访谈。该工具随后在澳大利亚老年护理人员样本（n=220）中进行了分发，并进行了项目分析和缩减。
使用有效性和可靠性的统计估计对最终的 13 项工具进行了心理计量学评估。结果表明，通过因子、项目和内容分析，P-CAT 具有有效性和同质性。总量表的克朗巴赫α值（0.84）令人满意，三个分量表的值分别为 0.81、0.77 和 0.31。对 26 名参与者进行了重测信度评估，所有分析均表明评估结果令人满意。
本研究在澳大利亚长期老年护理人员样本中初步证明了 P-CAT 的心理计量学特性。该工具通过使研究人员能够研究与健康结果、组织模型、人员特征和人员配备水平、居民护理需求程度以及干预措施的影响相关的以患者为中心的护理，为文献做出了贡献。
