School of Nursing and Health Sciences, University of Dundee, Dundee, UK.
School of Health and Social Care, Edinburgh Napier University, Edinburgh, Scotland.
J Clin Nurs. 2018 Jan;27(1-2):65-76. doi: 10.1111/jocn.13845. Epub 2017 Jul 3.
To update and re-validate the Valuing Patients as Individuals Scale for use as a patient appraisal of received healthcare.
Healthcare in the United Kingdom and beyond is required to deliver high quality, person-centred care that is clinically effective and safe. However, patient experience is not uniform, and complaints often focus on the way patients have been treated. Legislation in United Kingdom requires health services to gather and use patients' evaluations of care to improve services.
This study uses scoping literature reviews, cognitive testing of questionnaire items with patient and healthcare staff focus groups, and exploratory factor analysis.
METHODS/SETTING/PARTICIPANTS: Data were collected from 790 participants across 34 wards in two acute hospitals in one National Health Service Health Board in Scotland from September 2011-February 2012. Ethics and Research and Development approval were obtained.
Fifty six unique items identified through literature review were added to 72 original Valuing Patients as Individuals Scale items. Face validity interviews removed ambiguous or low relevance items leaving 88 items for administration to patients. Two hundred and ninety questionnaires were returned, representing 37% response rate, 71 were incomplete. Thus 219 complete data were used for Exploratory Factor Analysis with varimax orthogonal rotation. This revealed a 31 item, three factor solution, Care and Respect; Understanding and Engagement; Patient Concerns, with good reliability, concurrent and discriminant validity in terms of gender. A shortened 10 item measure based on the top 3 or 4 loading items on each scale was comparable.
The Updated Valuing Patients as Individuals Scale is sufficiently developed to capture patient appraisals of received care.
The short scale version is now being routinized in real-time evaluation of patient experience contributing to this United Kingdom, National Health Service setting meeting its policy and legislative requirements.
更新和重新验证《重视个体患者量表》，以用于患者对所接受医疗保健的评价。
英国乃至其他国家的医疗保健都需要提供高质量、以患者为中心的护理，这种护理既具有临床疗效，又安全可靠。然而，患者体验并不统一，投诉往往集中在患者的治疗方式上。英国立法要求卫生服务机构收集和使用患者对护理的评价，以改善服务。
本研究使用范围广泛的文献综述、对患者和医护人员焦点小组的问卷项目进行认知测试，以及探索性因素分析。
方法/设置/参与者：数据来自苏格兰一家国家医疗服务体系健康委员会的两家急性医院 34 个病房的 790 名参与者，数据收集时间为 2011 年 9 月至 2012 年 2 月。获得了伦理和研究与开发的批准。
通过文献回顾确定了 56 个独特的项目，加上 72 个原始的《重视个体患者量表》项目。通过面谈法删除了模糊或低相关性的项目，为患者提供了 88 个项目。共发放 290 份问卷，回应率为 37%，71 份不完整。因此，使用 219 份完整数据进行探索性因素分析，采用正交旋转的方差极大法。结果显示，有 31 个项目，分为三个因素，分别是关心和尊重、理解和参与、患者关注，具有良好的信度、性别方面的同时效度和判别效度。基于每个量表上排名前 3 或 4 的加载项目的简短 10 项测量同样适用。
更新的《重视个体患者量表》已充分发展，能够捕捉患者对所接受护理的评价。
简短的量表版本现在正在实时评估患者体验中得到常规应用，有助于满足英国国家医疗服务体系的政策和立法要求。
