Department of Nursing, Umeå University, Umeå, Sweden.
BMC Health Serv Res. 2013 Aug 19;13:327. doi: 10.1186/1472-6963-13-327.
Person-centeredness is increasingly advocated in the literature as a gold-standard, best practice concept in health services for older people. This concept describes care that incorporates individual and multidimensional needs, personal biography, subjectivity and interpersonal relationships. However, acute in-patient hospital services have a long-standing biomedical tradition that may contrast with person-centred care. Since few tools exist that enable measurements of the extent to which acute in-patient hospital services are perceived as being person-centred, this study aimed to translate the English version of the Person-centred care of older people with cognitive impairment in acute care scale (POPAC) to Swedish, and evaluate its psychometric properties in a sample of acute hospital staff.
The 15-item POPAC was translated, back-translated and culturally adjusted, and distributed to a cross-sectional sample of Swedish acute care staff (n = 293). Item performance was evaluated through assessment of item means, internal consistency by Cronbach's alpha on total and on subscale levels; temporal stability was assessed through Pearson's product correlation and intra-class correlation between test and retest scores. Confirmatory factor analysis was used to explore model fit.
The results indicate that the Swedish version POPAC provides a tentatively construct-valid and reliable contribution to measuring the extent to which acute in-patient hospital services have processes and procedures that can facilitate person-centred care of older patients with cognitive impairment. However, some questions remain regarding the dimensionality of POPAC.
POPAC provides a valuable contribution to the quest of improving acute care for older patients with cognitive impairment by enabling measures and subsequent accumulation of internationally comparable data for research and practice development purposes. POPAC can be used to highlight strengths and areas for improvements in care practice for older patients, and to illuminate aspects that risk being overlooked in busy acute hospital settings.
以患者为中心的理念在文献中越来越受到推崇，被视为老年人健康服务的黄金标准和最佳实践理念。这一理念描述了包含个体和多维需求、个人传记、主观性和人际关系的护理。然而，急性住院医院服务具有长期的生物医学传统，这可能与以患者为中心的护理形成对比。由于几乎没有工具可以衡量急性住院医院服务被认为是以人为中心的程度，因此本研究旨在将英文版的《认知障碍老年人急性护理中的以患者为中心护理量表》（POPAC）翻译成瑞典语，并在急性医院工作人员样本中评估其心理测量学特性。
对 15 项 POPAC 进行翻译、回译和文化调整，并分发给瑞典急性护理工作人员的横断面样本（n=293）。通过评估项目均值、总得分和子量表水平的克朗巴赫 α 内部一致性来评估项目表现；通过测试和重测得分之间的皮尔逊积差相关和组内相关评估时间稳定性。采用验证性因子分析探索模型拟合度。
结果表明，瑞典版 POPAC 为测量急性住院医院服务在多大程度上具有促进认知障碍老年患者以患者为中心护理的流程和程序提供了一个初步的结构有效性和可靠性贡献。然而，POPAC 的维度仍存在一些问题。
POPAC 通过为研究和实践发展目的提供可衡量和可积累的国际可比数据，为改善认知障碍老年患者的急性护理做出了有价值的贡献。POPAC 可用于突出老年患者护理实践的优势和改进领域，并阐明在繁忙的急性医院环境中可能被忽视的方面。
