Patient-Centered Care in Primary Care Scale: Pilot Development and Psychometric Assessment.
作者信息
Radwin Laurel E, Cabral Howard J, Seibert Marjorie Nealon, Stolzmann Kelly, Meterko Mark, Evans Leigh, Barker Anna, Bokhour Barbara
机构信息
Center for Health Care Organization & Implementation Research, VA Boston Health Care System, Boston, Massachusetts (Dr Radwin [Formerly] and Mss Seibert and Stolzmann); Boston University School of Public Health, Massachusetts (Dr Cabral and Ms Evans); Department of Veteran Affairs, Washington, District of Columbia (Dr Meterko); and Center for Health Care Organization & Implementation Research, VA Bedford, Massachusetts (Ms Barker and Dr Bokhour).
出版信息
J Nurs Care Qual. 2019 Jan/Mar;34(1):34-39. doi: 10.1097/NCQ.0000000000000341.
BACKGROUND
Nurse contributions to patient-centered care in primary care clinics are all but ignored in standard patient experience surveys.
PURPOSE
The purpose was to conduct a pilot study to develop and psychometrically assess a scale measuring nurses' and other providers' patient-centered care in Veteran Affairs primary care clinics.
METHOD
We developed a patient experience survey composed of original items and previous studies' items and scales. The survey was field tested online with patients who had a recent clinic appointment. The nonrandom analytic sample comprised 221 patients.
RESULTS
Exploratory factor analyses yielded a 36-item, 4-factor solution explaining 76% of the variance. The factors were: (1) Provider Knowing the Person/Individualizing Care (18 items; α = 0.98); (2) Nurse Knowing the Person (8; 0.95); (3) Nurse Individualizing Care (7; 0.94); and (4) Continuity of Care (3; not calculated). A short form with 23 items was created using stepwise regression. It had the same 4 factors as the long form with 76% of the variance explained.
CONCLUSIONS
Patients reported distinctive nurse contributions that have not been routinely measured.
Zotero 插件