Describing and Comparing Quality in Psychiatric Care Across the Globe with the QPC-Instrument

2017 ◽  
Vol 41 (S1) ◽  
pp. S230-S230
Author(s):  
A. Schröder ◽  
L.O. Lundqvist
Keyword(s):  
Quality Of Care ◽  
Psychiatric Care ◽  
Research Programme ◽  
Staff Perceptions ◽  
Swedish Version ◽  
Cross Cultural Comparison ◽  
Confirmatory Factor ◽  
Result Show ◽  
Competing Interest

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.

scholarly journals Validation and psychometric evaluation of the Dutch person-centred care of older people with cognitive impairment in acute care (POPAC) scale

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Annette Keuning-Plantinga ◽  
Evelyn J. Finnema ◽  
Wim Krijnen ◽  
David Edvardsson ◽  
Petrie F. Roodbol
Keyword(s):  
Factor Analysis ◽  
Cognitive Impairment ◽  
Quality Of Care ◽  
Confirmatory Factor Analysis ◽  
Older People ◽  
Root Mean Square ◽  
Acute Care ◽  
Mean Square ◽  
Confirmatory Factor

Abstract Background Person-centred care is the preferred model for caring for people with dementia. Knowledge of the level of person-centred care is essential for improving the quality of care for patients with dementia. The person-centred care of older people with cognitive impairment in acute care (POPAC) scale is a tool to determine the level of person-centred care. This study aimed to translate and validate the Dutch POPAC scale and evaluate its psychometric properties to enable international comparison of data and outcomes. Methods After double-blinded forward and backward translations, a total of 159 nurses recruited from six hospitals (n=114) and via social media (n=45) completed the POPAC scale. By performing confirmatory factor analysis, construct validity was tested. Cronbach’s alpha scale was utilized to establish internal consistency. Results The confirmatory factor analysis showed that the comparative fit index (0.89) was slightly lower than 0.9. The root mean square error of approximation (0.075, p=0.012, CI 0.057–0.092) and the standardized root mean square residual (0.063) were acceptable, with values less than 0.08. The findings revealed a three-dimensional structure. The factor loadings (0.69–0.77) indicated the items to be strongly associated with their respective factors. The results also indicated that deleting Item 5 improved the Cronbach’s alpha of the instrument as well as of the subscale ‘using cognitive assessments and care interventions’. Instead of deleting this item, we suggest rephrasing it into a positively worded item. Conclusions Our findings suggest that the Dutch POPAC scale is sufficiently valid and reliable and can be utilized for assessing person-centred care in acute care hospitals. The study enables nurses to interpret and compare person-centred care levels in wards and hospital levels nationally and internationally. The results form an important basis for improving the quality of care and nurse-sensitive outcomes, such as preventing complications and hospital stay length.

Quality in Community-Based day Center Services for People with Psychiatric Disabilities from the Attendees’ Perspective

2017 ◽  
Vol 41 (S1) ◽  
pp. s790-s790
Author(s):  
L.O. Lundqvist ◽  
M. Rask ◽  
B. David ◽  
S. Agneta
Keyword(s):  
Daily Activity ◽  
Psychiatric Care ◽  
Psychiatric Rehabilitation ◽  
Psychiatric Disabilities ◽  
Daily Activities ◽  
Community Based ◽  
Secure Environment ◽  
Competing Interest ◽  
Mental And Physical Health

Community-based day centers in Sweden are well-established arenas for psychiatric rehabilitation. Little is, however, known of the attendees’ perception of the quality of the service provided. Therefore, the aim of the study was to describe and investigate the quality of community-based day center services for people with psychiatric disabilities. A sample of 218 attendees (44% females) between 18 and 71 years old in 14 community-based day center services in Sweden completed the quality in psychiatric care–daily activities (QPC-DA) instrument. The results showed that people with psychiatric disabilities perceived the quality of community-based day center services as high and 87% perceived the overall quality as satisfactory. The highest ratings were found in encounter followed by support, daily activity-specific, secure environment, participation, and the lowest quality was found in secluded environment dimensions of the QPC-DA. Most notably, quality of service was rated higher by those with lower educational level, had waited shorter time to attend the center, and had better mental and physical health. However, particularly aspects of a secluded environment and participation (information) may be areas with potential for improvement. In conclusion, the results adhere to the importance of occupational balance, with periods of rest/privacy during the time at the center.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Severity of illness and adaptive functioning predict quality of care of children among parents with psychosis: A confirmatory factor analysis

2017 ◽  
Vol 52 (5) ◽  
pp. 435-445 ◽  
Author(s):  
Linda E Campbell ◽  
Mary-Claire Hanlon ◽  
Cherrie A Galletly ◽  
Carol Harvey ◽  
Helen Stain ◽  
...  
Keyword(s):  
Substance Abuse ◽  
Factor Analysis ◽  
Quality Of Care ◽  
Psychotic Disorders ◽  
Adaptive Functioning ◽  
Psychosocial Support ◽  
Severity Of Illness ◽  
Confirmatory Factor ◽  
Parenting Role

Objective: Parenthood is central to the personal and social identity of many people. For individuals with psychotic disorders, parenthood is often associated with formidable challenges. We aimed to identify predictors of adequate parenting among parents with psychotic disorders. Methods: Data pertaining to 234 parents with psychotic disorders living with dependent children were extracted from a population-based prevalence study, the 2010 second Australian national survey of psychosis, and analysed using confirmatory factor analysis. Parenting outcome was defined as quality of care of children, based on participant report and interviewer enquiry/exploration, and included level of participation, interest and competence in childcare during the last 12 months. Results: Five hypothesis-driven latent variables were constructed and labelled psychosocial support, illness severity, substance abuse/dependence, adaptive functioning and parenting role. Importantly, 75% of participants were not identified to have any dysfunction in the quality of care provided to their child(ren). Severity of illness and adaptive functioning were reliably associated with quality of childcare. Psychosocial support, substance abuse/dependence and parenting role had an indirect relationship to the outcome variable via their association with either severity of illness and/or adaptive functioning. Conclusion: The majority of parents in the current sample provided adequate parenting. However, greater symptom severity and poorer adaptive functioning ultimately leave parents with significant difficulties and in need of assistance to manage their parenting obligations. As symptoms and functioning can change episodically for people with psychotic illness, provision of targeted and flexible support that can deliver temporary assistance during times of need is necessary. This would maximise the quality of care provided to vulnerable children, with potential long-term benefits.

scholarly journals Validation and psychometric evaluation of the Dutch Person-centred care of Older People with cognitive impairment in Acute Care (POPAC)

2020 ◽  
Author(s):  
Annette Keuning-Plantinga ◽  
Evelyn Finnema ◽  
Wim Krijnen ◽  
David Edvardsson ◽  
Petrie Roodbol
Keyword(s):  
Factor Analysis ◽  
Cognitive Impairment ◽  
Quality Of Care ◽  
Confirmatory Factor Analysis ◽  
Acute Care ◽  
Mean Square ◽  
Person Centered Care ◽  
Confirmatory Factor ◽  
Centered Care

Abstract Background: Person-centered care is the preferred model for caring for people with dementia. Knowledge of the level of person-centered care is essential for improving the quality of care for patients with dementia. The Person-centred care of Older People with cognitive impairment in Acute Care scale (POPAC) is a tool to determine the level of person-centered care. This study aimed to translate and validate the Dutch POPAC and evaluate its psychometric properties to enable international comparison of data and outcomes.Methods: After double-blinded forward and backward translations, a total of 159 nurses recruited from six hospitals (114) and via social media (45) completed the POPAC. By performing confirmatory factor analysis, the construct validity was tested. Cronbach’s alpha scale was utilized to establish the internal consistency.Results: The confirmatory factor analysis showed that the Confirmatory Fit Index (0.89) was slightly smaller than the cut-off value of 0.9. The Root Mean Square Error of Approximation (0.075, p=0.012, CI 0.057-0.092) and the Standardized Root Mean Square Residual (0.063) were acceptable with values less than 0.08. Findings confirm a three-dimensional structure. The loadings of the items (0.69-0.77) indicate that these are strong associated with each of the factors. This study confirms that deleting Item 5 improves the Cronbach’s alpha of the instrument as well as of the subscale. Instead of deleting this item, we suggest considering rephrasing it into a positive item.Conclusions: Our findings suggest that the Dutch POPAC is sufficiently valid and reliable and can be utilized for assessing person-centered care in acute care hospitals. The study enables nurses to interpret and compare person-centered care levels in wards and hospital levels between regions and countries. The results form an important basis for improving the quality of care and nurse-sensitive outcomes, such as preventing complications and hospital stay length.

Understanding the perspectives of health service staff on the Friends and Family Test

2016 ◽  
Vol 40 (3) ◽  
pp. 299 ◽  
Author(s):  
Sandra G. Leggat
Keyword(s):  
Quality Of Care ◽  
Health Service ◽  
Patient Experience ◽  
Management Practice ◽  
Online Questionnaire ◽  
Staff Perceptions ◽  
Test Question ◽  
Service Staff ◽  
Good Management Practice

Objectives The present study was designed to determine what staff consider when asked to respond to the Friends and Family Test question. Methods Over 300 health service staff responded to an online questionnaire exploring whether they would recommend treatment at their organisation to friends and family (Friends and Family Test). Results Staff identified staff attitudes and behaviours, the busyness of the health service and quality of care as themes that affected their recommendation. A considerable number of staff also identified factors largely outside the control of the health service as influencing their response. Conclusions Majority of respondents based their perceptions on personal expectations, with smaller numbers citing personal experience and hearsay. Staff would need to see changes both in the quality of care and management practice to amend their recommendation on the Friends and Family Test. What is known about the topic? The Friends and Family Test is seen as a useful tool to gather the opinions of patients and staff on the patient experience, yet there has been little validation of this question. What does this paper add? The present study suggests that, as currently worded, the question does not reliably report staff perceptions regarding patient experience. The study illustrates that the relationship with the organisation and perceptions of effective management are linked to staff responses. What are the implications for practitioners? The Family and Friends Test question may need to be more clearly focused to gather the desired information. Improvement on this indicator is only likely to be seen when management teams are meeting the expectations of staff for good management practice.

scholarly journals Linking Transformational Leadership with Nurse-Assessed Adverse Patient Outcomes and the Quality of Care: Assessing the Role of Job Satisfaction and Structural Empowerment

2019 ◽  
Vol 16 (13) ◽  
pp. 2381 ◽  
Author(s):  
Muhammad Asif ◽  
Arif Jameel ◽  
Abid Hussain ◽  
Jinsoo Hwang ◽  
Noman Sahito
Keyword(s):  
Job Satisfaction ◽  
Transformational Leadership ◽  
Quality Of Care ◽  
Patient Outcomes ◽  
Structural Equation ◽  
Equation Modeling ◽  
Structural Empowerment ◽  
Confirmatory Factor

The purpose of this study was to examine the relationships between transformational leadership (TL), structural empowerment (SE), job satisfaction (JS), nurse-assessed adverse patient outcomes (APO), and the quality of care (QOC). The study further investigates the mediating effects of SE and JS on TL-APO and TL-QOC relationships. A total of 600 nurses working at 17 government hospitals in Pakistan completed the survey. The hypothesized model was tested using a confirmatory factor analysis and structural equation modeling. We found a positive relationship between TL, SE, JS, and QOC but negative relationships between TL and APO, SE and APO, and JS and APO. Our study further suggests that SE and JS strongly mediate both TL-APO and TL-QOC relationships.

Measuring quality in community based housing support - the QPC-H instrument

2016 ◽  
Vol 29 (3) ◽  
Author(s):  
Lars-Olov Lundqvist ◽  
Mikael Rask ◽  
David Brunt ◽  
Ann-Britt Ivarsson ◽  
Agneta Schröder
Keyword(s):  
Factor Analysis ◽  
Confirmatory Factor Analysis ◽  
Psychometric Properties ◽  
Factor Structure ◽  
Support Services ◽  
Design Methodology ◽  
Psychiatric Care ◽  
Confirmatory Factor ◽  
Care Family

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.

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