scholarly journals The quality in psychiatric care—Addiction outpatient instrument: Psychometric properties and patient views of the quality of care

Nursing Open ◽  
2021 ◽  
Author(s):  
Agneta Schröder ◽  
Kurt Skårberg ◽  
Lars‐Olov Lundqvist
2007 ◽  
Vol 31 (11) ◽  
pp. 414-417 ◽  
Author(s):  
Kerry Kershaw ◽  
Lauren Rayner ◽  
Robert Chaplin

AIMS AND METHODTo examine patients' views on the quality of care they received before, during and after electroconvulsive therapy (ECT), a questionnaire was completed by 389 patients who had received ECT at ECT Accreditation Service (ECTAS) member clinics.RESULTSThe nine key standards set by ECTAS relating to quality of patient care were rated as having been met by 65% or more respondents. Most patients found staff friendly and reassuring and often commented on how this had helped reduce their anxiety prior to ECT. Patients were less positive about standards relating to being introduced to staff prior to ECT, and the quality of the waiting and post-recovery areas.CLINICAL IMPLICATIONSPatient views are important indicators of quality of care and should be used to improve ECT practice. Anxiety about ECT is helped by supportive and caring staff. Improvements could be made to practices related to waiting for and recovering from ECT.


2017 ◽  
Vol 41 (S1) ◽  
pp. S230-S230
Author(s):  
A. Schröder ◽  
L.O. Lundqvist

IntroductionThere is a lack of cross-cultural comparison of patients and staff perceptions of quality of care in the psychiatric care. One reason is the absence of standardized instruments.ObjectivesThe international research programme “Quality in Psychiatric Care” aims at adapting the instrument QPC versions for patients and staff to different international settings.AimsThe aims are to test the psychometric properties and equivalence of dimensionality of the different language versions of QPC and also to describe and compare the quality of inpatient, outpatient and forensic in-patient psychiatric care across different countries.MethodsThe QPC is a family of self-reported instruments from the patients’ perspective. In this programme, we used different languages versions in three areas for patient and staff; inpatient (QPC-IP/IPS), outpatient (QPC-OP/OPS) and forensic inpatient care (QPC-FIP/FIPS).ResultsThe Danish versions for QPC-FIP and QPC-FIPS show that the confirmatory factor analysis revealed that the factor structure was equivalent to the original Swedish version. Patients rated the quality of care generally lower than staff and lowest in the participation dimension. The Indonesian version of QPC-IP is under analysis. The first result show that patients rated the quality of care lower than Swedish inpatients and lowest in the discharge dimension. Several studies in Indonesia are still ongoing as well as in Brazil and Spain.ConclusionsThere are few standardized instruments for measuring quality of care in the psychiatric care. Therefore, QPC is expected to makes an important contribution to the development in this field.Disclosure of interestThe authors have not supplied their declaration of competing interest.


2016 ◽  
Vol 3 (4) ◽  
pp. 210
Author(s):  
Lufei Young ◽  
Kevin Kupzyk ◽  
Bob Parker ◽  
Amber McCall ◽  
Collene Hergott ◽  
...  

<p class="abstract"><strong>Background:</strong> Delayed admission to palliative and hospice services is prevalent and, especially in rural areas, contributing to poor quality of care, caregiver stress and burden, reducing patients’ and their caregivers' quality of life and increasing healthcare costs. A reliable and sensitive screening tool would help clinicians identify patients in need of palliative care services. The purpose of the study is to develop and test a screening tool to be used by healthcare professionals in rural clinics and hospitals to identify patients with progressive, multiple chronic illnesses in need of primary palliative care services.</p><p class="abstract"><strong>Methods:</strong> A longitudinal, sequential mixed-method methods design will be used to achieve the purpose of the study. A rural community hospital and its affiliated community clinics in the Midwestern United Sates are selected for the study. In Phase I, we will conduct a cohort study using existing electronic health records. The cross-sectional and correlational quantitative data analysis will be used to test the psychometric properties of the current and modified palliative care screening tools. In Phase II, we will prospectively collect functioning and physical activity level data from the patients admitted to the palliative care program over time (monthly for 6 months). Again, the primary focus is to conduct correlational quantitative analysis to evaluate the psychometric properties of the modified palliative screening tool</p><p><strong>Conclusions:</strong> The implication of this project is to 1) reduce healthcare disparities, 2) improve quality of care for rural patients with chronic serious illness; 3) inform the development of a hybrid (both inpatient and outpatient) screening tool for identifying palliative care needs that can be integrated into primary palliative care programs; and 4) enhance our understanding of mechanisms and relevant variables related to palliative care in rural patients living with chronic serious illness, leading to future program research in this field.</p>


2011 ◽  
Vol 32 (3) ◽  
pp. 1212-1225 ◽  
Author(s):  
Ramona Lucas-Carrasco ◽  
Erhan Eser ◽  
Yuantao Hao ◽  
Kathryn M. McPherson ◽  
Ann Green ◽  
...  

2013 ◽  
Vol 21 (7) ◽  
pp. 774-793 ◽  
Author(s):  
Esther E Kuis ◽  
Gijs Hesselink ◽  
Anne Goossensen

Background: Ethics-of-care theories contain important notions regarding the quality of care; however, until now, concrete translations of the insights into instruments are lacking. This may be a result of the completely different type of epistemology, theories and concepts used in the field of quality of care research. Objectives: Both the fields of ‘ethics of care’ and ‘quality of care’ aim for improvement of care; therefore; insights could possibly meet by focusing on the following question: How could ethics-of-care theories contribute to better quality in care at a measurement level? This study reviews existing instruments with the aim of bridging this gap and examines the evidence of their psychometric properties, feasibility and responsiveness. Research design: A systematic search of the literature was undertaken using multiple electronic databases covering January 1990 through May 2012. Method and findings: Of the 3427 unique references identified, 55 studies describing 40 instruments were selected. Using a conceptual framework, an attempt was made to distinguish between related concepts and to group available instruments measuring different types of concepts. A total of 13 instruments that reflect essential aspects of ethics-of-care theory were studied in greater detail, and a quality assessment was conducted. Conclusion: Three promising qualitative instruments were found, which follow the logic of the patient and take their specific context into account.


Author(s):  
Lars-Olov Lundqvist ◽  
Mikael Rask ◽  
David Brunt ◽  
Ann-Britt Ivarsson ◽  
Agneta Schröder

Purpose The purpose of the study was to test the psychometric properties and dimensionality of the instrument Quality in Psychiatric Care – Housing (QPC–H) and briefly describe the residents perception of quality of housing support. Design/methodology/approach A sample of 174 residents from 22 housing support services in nine Swedish municipalities participated in the study. Confirmatory factor analysis revealed that the QPC–H consisted of six dimensions and had a factor structure largely corresponding to that found among other instruments in the Quality in Psychiatric Care family of instruments Findings Confirmatory factor analysis revealed that the QPC–H consisted of six dimensions and had a factor structure largely corresponding to that found among other instruments in the Quality in Psychiatric Care family of instruments. The internal consistency of the factors was acceptable except in the case of secure and secluded environment, probably due to few numbers of items. With this exception, the QPC–H shows adequate psychometric properties. Originality/value The QPC–H includes important aspects of residents’ assessment of quality of housing service and offers a simple and inexpensive way to evaluate housing support services from the residents’ perspective.


1994 ◽  
Vol 3 (1) ◽  
pp. 39-48 ◽  
Author(s):  
Annibale Biggeri

SummaryA discussion of epidemiologic researches for the evaluation of psychiatric care is presented. With regard to the Italian context the author stresses the importance of analytical studies over the descriptive ones. The main design options for the evaluation of quality of care are then considered in the psychiatric framework.


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