Institute of Higher Education and Research in Healthcare (IUFRS), Lausanne University Hospital, University of Lausanne, Lausanne, Switzerland.
Geneva Institution for Home Care and Assistance (IMAD), Geneva, Switzerland.
BMC Health Serv Res. 2024 Sep 18;24(1):1092. doi: 10.1186/s12913-024-11432-y.
The shift towards person-centred care has become integral in achieving high-quality healthcare, focusing on individual patient needs, preferences, and values. However, existing instruments for measuring person-centred practice often lack theoretical underpinnings and comprehensive assessment. The Person-centred Practice Inventory - Staff (PCPI-S) and the Person-centred Practice Inventory - Care (PCPI-C) were developed in English to measure clinicians' and patients' experience of person-centred practice. The aim of this study was to investigate the psychometric properties of the French version of the PCPI-S and PCPI-C.
A multi-centred cross-sectional study was conducted in six hospitals in French-speaking Switzerland. Construct validity of the PCPI-S and the PCPI-C was evaluated by using confirmatory factor analysis and McDonald's Omega coefficient was used to determine the internal consistency.
A sample of 558 healthcare professionals and 510 patients participated in the surveys. Psychometric analyses revealed positive item scores and acceptable factor loadings, demonstrating the meaningful contribution of each item to the measurement model. The Omega coefficient indicated acceptable to excellent internal consistency for the constructs. Model fit statistics demonstrated good model fit for the PCPI-S and PCPI-C.
The findings support the construct validity and internal consistency of the PCPI-S and PCPI-C in assessing person-centred practice among healthcare professionals and patients in French-speaking Switzerland. This validation offers valuable tools for evaluating person-centred care in hospital settings.
以患者为中心的护理模式转变已经成为提供高质量医疗保健的重要组成部分，其重点是患者的个体需求、偏好和价值观。然而，现有的以患者为中心的实践测量工具往往缺乏理论基础和全面评估。《员工以患者为中心实践量表》（PCPI-S）和《患者以患者为中心实践量表》（PCPI-C）是用英文开发的，用于衡量临床医生和患者对以患者为中心的实践的体验。本研究旨在调查法语版 PCPI-S 和 PCPI-C 的心理测量特性。
在瑞士法语区的六家医院进行了一项多中心横断面研究。使用验证性因子分析评估了 PCPI-S 和 PCPI-C 的结构效度，采用 McDonald's Omega 系数来确定内部一致性。
共有 558 名医护人员和 510 名患者参与了调查。心理测量分析显示，项目得分呈阳性，因子负荷可接受，表明每个项目对测量模型有实质性的贡献。结构的 Omega 系数表明，内部一致性在可接受到优秀的范围内。模型拟合统计数据表明，PCPI-S 和 PCPI-C 的模型拟合良好。
研究结果支持 PCPI-S 和 PCPI-C 在评估瑞士法语区医护人员和患者以患者为中心的实践中的结构效度和内部一致性。该验证为评估医院环境中的以患者为中心的护理提供了有价值的工具。
