2.50
Hdl Handle:
http://hdl.handle.net/10755/159146
Type:
Presentation
Title:
Patient Expectations for Care Experiences: Instrument Development and Testing
Abstract:
Patient Expectations for Care Experiences: Instrument Development and Testing
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2005
Author:Redman, Richard, PhD, RN
P.I. Institution Name:University of Michigan
Title:Professor
Contact Address:School of Nursing, 400 North Ingalls, Suite 1305, Ann Arbor, MI, 48109-0482, USA
Contact Telephone:734.764.9454
Co-Authors:Mary Lynn, PhD, RN, Associate Professor
Purpose. Patient-centered care has been identified as essential to redesigning the health care system (IOM, 2001). An agenda for transformation of the system has mandated that care delivery be responsive to patient preferences and expectations. Expectations are thought to form the basis for patient's care-related evaluations. Understanding patient's expectations for hospitalization is critical for patient-centered care. To date, little research has focused explicitly on expectations, despite their essential nature. The purpose of this project was to develop and test an instrument which measures patient expectations for hospital care. Methods. The instrument was developed in three phases. In the first phase, open-ended interviews were conducted with 20 patients to learn about their expectations or hopes for the current hospitalization. Interviews were analyzed using open coding; unique data bits were identified. Next, a new sample sorted the data bits using a 6-point scale. Medians were calculated for each item, with stable medians (small interquartile range) needed to retain an item. The third phase entailed design and testing. Findings. In the first phase, 105 unique data bits were identified. These were rated during phase two by an additional sample (n=18), resulting in 71 retained items. Final items represented these themes: safety/provider competence; provider attitudes/interpersonal behaviors; respectful, empathic treatment; hotel services; information; feelings of vulnerability and provider anticipation of needs; individualization; anticipation of discharge. The Patients Expectations Scale was administered to 240 patients at an academic medical center. Initial analysis reflects a stable factor structure (7 factors accounting for 57% of the variance) with excellent internal consistency (alpha > .82 all scales). The paper will address the factor analysis, reliability estimation and the correspondence of the factors with the qualitative themes. Relevance to Practice. Following additional testing, this instrument holds potential for use in evaluating care experiences based on a patient-centered approach.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titlePatient Expectations for Care Experiences: Instrument Development and Testingen_GB
dc.identifier.urihttp://hdl.handle.net/10755/159146-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Patient Expectations for Care Experiences: Instrument Development and Testing</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2005</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Redman, Richard, PhD, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Michigan</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Professor</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">School of Nursing, 400 North Ingalls, Suite 1305, Ann Arbor, MI, 48109-0482, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">734.764.9454</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">rwr@umich.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Mary Lynn, PhD, RN, Associate Professor</td></tr><tr><td colspan="2" class="item-abstract">Purpose. Patient-centered care has been identified as essential to redesigning the health care system (IOM, 2001). An agenda for transformation of the system has mandated that care delivery be responsive to patient preferences and expectations. Expectations are thought to form the basis for patient's care-related evaluations. Understanding patient's expectations for hospitalization is critical for patient-centered care. To date, little research has focused explicitly on expectations, despite their essential nature. The purpose of this project was to develop and test an instrument which measures patient expectations for hospital care. Methods. The instrument was developed in three phases. In the first phase, open-ended interviews were conducted with 20 patients to learn about their expectations or hopes for the current hospitalization. Interviews were analyzed using open coding; unique data bits were identified. Next, a new sample sorted the data bits using a 6-point scale. Medians were calculated for each item, with stable medians (small interquartile range) needed to retain an item. The third phase entailed design and testing. Findings. In the first phase, 105 unique data bits were identified. These were rated during phase two by an additional sample (n=18), resulting in 71 retained items. Final items represented these themes: safety/provider competence; provider attitudes/interpersonal behaviors; respectful, empathic treatment; hotel services; information; feelings of vulnerability and provider anticipation of needs; individualization; anticipation of discharge. The Patients Expectations Scale was administered to 240 patients at an academic medical center. Initial analysis reflects a stable factor structure (7 factors accounting for 57% of the variance) with excellent internal consistency (alpha &gt; .82 all scales). The paper will address the factor analysis, reliability estimation and the correspondence of the factors with the qualitative themes. Relevance to Practice. Following additional testing, this instrument holds potential for use in evaluating care experiences based on a patient-centered approach.</td></tr></table>en_GB
dc.date.available2011-10-26T21:44:59Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T21:44:59Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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