Development and initial testing of the Person-centered Care Assessment Tool (P-CAT)

2009 ◽  
Vol 22 (1) ◽  
pp. 101-108 ◽  
Author(s):  
David Edvardsson ◽  
Deirdre Fetherstonhaugh ◽  
Rhonda Nay ◽  
Stephen Gibson
Keyword(s):  
Assessment Tool ◽  
Aged Care ◽  
Self Report ◽  
Care Staff ◽  
Validity And Reliability ◽  
Initial Testing ◽  
Person Centered Care ◽  
Care Assessment ◽  
Centered Care

ABSTRACTBackground: Person-centered care is increasingly regarded as being synonymous with best quality care. However, the concept and its precise meaning is a subject of debate and reliable and valid measurement tools are lacking.Method: This article describes the development and initial testing of a new self-report assessment scale, the Person-centered Care Assessment Tool (P-CAT), which measures the extent to which long-term aged care staff rate their settings to be person-centered. A preliminary 39-item tool generated from research literature, expert consultations and research interviews with aged care staff (n = 37), people with early onset dementia (n = 11), and family members (n = 19) was distributed to a sample of Australian aged care staff (n = 220) and subjected to item analysis and reduction.Results: Psychometric evaluation of the final 13-item tool was conducted using statistical estimates of validity and reliability. The results showed that the P-CAT was shown to be valid and homogeneous by factor, item and content analyses. Cronbach's α was satisfactory for the total scale (0.84), and the three subscales had values of 0.81, 0.77, and 0.31 respectively. Test–retest reliability were evaluated (n = 26) and all analyses indicated satisfactory estimates.Conclusion: This study provides preliminary evidence in support of the psychometric properties of the P-CAT when used in an Australian sample of long-term aged care staff. The tool contributes to the literature by making it possible to study person-centered care in relation to health outcomes, organizational models, characteristics and levels of staffing, degrees of care needs among residents, and impact of interventions.

scholarly journals Measuring What Matters Across International Long-Term Care Settings

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 160-160
Author(s):  
Kirsten Corazzini ◽  
Michael Lepore
Keyword(s):  
Long Term Care ◽  
Assessment Tool ◽  
Term Care ◽  
Common Data Elements ◽  
Person Centered Care ◽  
Care Assessment ◽  
Centered Care ◽  
Data Elements ◽  
What Matters

Abstract Measuring what matters most to residents, relatives and staff in residential long-term care settings is critical, yet underdeveloped in our predominantly frailty and deficits-focused measurement frameworks. The Worldwide Elements to Harmonize Research in Long-Term Care Living Environments (WE-THRIVE) consortium has previously prioritized measurement concepts in the areas of care outcomes, workforce and staffing, person-centered care, and care context. These concepts include knowing the resident and what matters most to the resident, and outcomes such as quality of life, and personhood. We present findings of our currently recommended measures, including both general population and dementia-specific measures, such as the Person-Centered Care Assessment Tool (PCAT), the Personhood in Dementia Questionnaire (PDQ), and the ICEpop CAPability Measure for Older People (ICECAP-O). We also describe remaining gaps in existing measures that will need to be addressed to fully specify common data elements focused on measuring what matters most to residents, relatives and staff.

Job satisfaction amongst aged care staff: exploring the influence of person-centered care provision

2011 ◽  
Vol 23 (8) ◽  
pp. 1205-1212 ◽  
Author(s):  
David Edvardsson ◽  
Deirdre Fetherstonhaugh ◽  
Linda McAuliffe ◽  
Rhonda Nay ◽  
Carol Chenco
Keyword(s):  
Job Satisfaction ◽  
Organizational Support ◽  
Aged Care ◽  
Care Staff ◽  
Residential Aged Care ◽  
Care Provision ◽  
High Quality ◽  
Person Centered Care ◽  
Care Assessment ◽  
Centered Care

ABSTRACTBackground: There are challenges in attracting and sustaining a competent and stable workforce in aged care, and key issues of concern such as low staff job satisfaction and feelings of not being able to provide high quality care have been described. This study aimed to explore the association between person-centered care provision and job satisfaction in aged care staff.Methods: Residential aged care staff (n = 297) in Australia completed the measure of job satisfaction and the person-centered care assessment tool. Univariate analyses examined relationships between variables, and multiple linear regression analysis explored the extent to whichperceived person-centredness could predict job satisfaction of staff.Results: Perceived person-centred care provision was significantly associated with job satisfaction, and person-centred care provision could explain nearly half of the variation in job satisfaction. The regression model with the three person-centered care subscales as predictor variables accounted for 40% of the variance in job satisfaction. Personalizing care had the largest independent influence on job satisfaction, followed by amount of organizational support and degree of environmental accessibility. Personalizing care and amount of organizational support had a statistically significant unique influence.Conclusions: As person-centered care positively correlated with staff job satisfaction, supporting staff in providing person-centered care can enhance job satisfaction and might facilitate attracting and retaining staff in residential aged care. The findings reiterate a need to shift focus from merely completing care tasks and following organizational routines to providing high quality person-centered care that promotes the good life of residents in aged care.

Person-centered care and engagement via technology of residents with dementia in aged care facilities

2017 ◽  
Vol 29 (12) ◽  
pp. 2099-2103 ◽  
Author(s):  
Anita M. Y. Goh ◽  
Samantha M. Loi ◽  
Alissa Westphal ◽  
Nicola T. Lautenschlager
Keyword(s):  
Aged Care ◽  
Care Staff ◽  
Residential Aged Care ◽  
Cross Sectional ◽  
Convenience Sample ◽  
Person Centered Care ◽  
People With Dementia ◽  
Care Facilities ◽  
Centered Care ◽  
Aged Care Facilities

ABSTRACTTouchscreen technology (TT) is a resource that can improve the quality of life of residents with dementia, and care staff, in residential aged care facilities (RACF) through a person-centered care approach. To enable the use of TTs to engage and benefit people with dementia in RACFs, education is needed to explore how these devices may be used, what facilitates use, and how to address barriers. We sought to provide education and explore RACF staff views and barriers on using TT to engage their residents with dementia. An educational session on using TT with residents with dementia was given to staff from three long-term RACFs in Melbourne, Australia. A cross-sectional convenience sample of 17 staff members (personal care attendants, registered nurses, enrolled nurses, allied health clinicians, and domestic staff) who attended were administered questionnaires pre- and post-sessions. As a result of the education seminar, they were significantly more confident in their ability to use TT devices with residents. TT, and education to staff about its use with residents with dementia, is a useful strategy to enhance RACF staff knowledge and confidence, thereby enhancing the use of technology in RACFs in order to improve care standards in people with dementia.

Spanish validation of the Person-centered Care Assessment Tool (P-CAT)

2015 ◽  
Vol 20 (5) ◽  
pp. 550-558 ◽  
Author(s):  
Teresa Martínez ◽  
Javier Suárez-Álvarez ◽  
Javier Yanguas ◽  
José Muñiz
Keyword(s):  
Assessment Tool ◽  
Person Centered Care ◽  
Spanish Validation ◽  
Care Assessment ◽  
Centered Care

Person‐Centered Care Assessment Tool--Norwegian Version

2012 ◽  
Author(s):  
Anne Marie Mork Rokstad ◽  
Knut Engedal ◽  
David Edvardsson ◽  
Geir Selbæk
Keyword(s):  
Assessment Tool ◽  
Person Centered Care ◽  
Norwegian Version ◽  
Care Assessment ◽  
Centered Care

Person-Centered Care Assessment Tool--Spanish Version

2016 ◽  
Author(s):  
Teresa Martínez ◽  
Javier Suárez-Álvarez ◽  
Javier Yanguas ◽  
José Muñiz
Keyword(s):  
Assessment Tool ◽  
Spanish Version ◽  
Person Centered Care ◽  
Care Assessment ◽  
Centered Care

The Person-Centered Care Assessment Tool (P-CAT) in Nursing Home: Psychometric Evaluation of the Italian Version

2020 ◽  
pp. JNM-D-18-00090
Author(s):  
Martina Debiasi ◽  
Alessandra Zenere ◽  
Marianna Baggia ◽  
Maria Elisabetta Zanolin ◽  
Anna Brugnolli
Keyword(s):  
Factor Analysis ◽  
Construct Validity ◽  
Assessment Tool ◽  
Italian Version ◽  
Cronbach’S Alpha ◽  
Cronbach's Alpha ◽  
Person Centered Care ◽  
Care Assessment ◽  
Centered Care ◽  
Test Retest Reliability

Background:The Person-centered Care Assessment Tool (P-CAT) was developed as a self-reporting assessment scale for the healthcare staff ratings of the person-centeredness of their nursing practice.Aim:This study investigates the psychometric proprieties of P-CAT tool in a sample of staff working in residential units for older people, in the North of Italy.Methods:Internal consistency and reliability were examined using the Cronbach’s alpha coefficient. Exploratory factor analysis was used to evaluate construct validity, homogeneity analysis performed to evaluate internal homogeneity of the items and equidistance of item options, test–retest reliability examined by the Pearson correlation coefficient and the intraclass correlation (ICC) coefficient. The P-CAT score was standardized to a 100-point scale, the score differences among groups were compared with one-way ANOVA.Results:The exploratory factor analysis supported the construct validity of a two-factor solution. The mean standardized score of P-CAT was 67.3 (SD 12.8) and Cronbach’s alpha was .79 for subscale 1 and .75 for subscale 2. The ICC coefficient was .87.Conclusion:Reliability and homogeneity were satisfactory for the whole P-CAT tool (Cronbach’s alpha ≥ .70). Test–retest reliability showed temporal stability of the scale (r Pearson .86, ICC .86). The Italian version of the P-CAT was found to be valid, reliable, and applicable for further research. Two subscales are recommended for the Italian version.

scholarly journals Psychometric evaluation of the Swedish version of the Person-Centered Care Assessment Tool (P-CAT)

2011 ◽  
Vol 24 (3) ◽  
pp. 406-415 ◽  
Author(s):  
Karin Sjögren ◽  
Marie Lindkvist ◽  
Per-Olof Sandman ◽  
Karin Zingmark ◽  
David Edvardsson
Keyword(s):  
Factor Analysis ◽  
Assessment Tool ◽  
Temporal Stability ◽  
Swedish Version ◽  
Cross Sectional ◽  
Discrimination Ability ◽  
Person Centered Care ◽  
People With Dementia ◽  
Care Assessment ◽  
Centered Care

ABSTRACTBackground: Person-centered care is a multidimensional concept describing good care, especially within aged care and care for people with dementia. Research studies evaluating person-centered care interventions seldom use direct measurement of levels of person-centeredness. Existing scales that measure person-centeredness need further testing. This study evaluated the psychometric properties of the Swedish version of the Person-Centered Care Assessment Tool (P-CAT).Methods: A cross-sectional sample of 1465 staff from 195 residential care units for older people in Sweden participated in the study. Validity, reliability, and discrimination ability of the scale were evaluated.Results: Confirmatory factor analysis, parallel analysis and exploratory factor analysis supported the construct validity of a two-factor solution. Reliability and homogeneity were satisfactory for the whole P-CAT as demonstrated by a Cronbach's α of 0.75. Test-retest reliability showed temporal stability of the scale, and the discrimination ability of the scale was satisfactory.Conclusion: The Swedish version of the P-CAT was found to be valid, reliable, and applicable for further use. Two subscales are recommended for the Swedish version.

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