2.50
Hdl Handle:
http://hdl.handle.net/10755/160936
Type:
Presentation
Title:
Expectation of Care Inventory Psychometric Analysis
Abstract:
Expectation of Care Inventory Psychometric Analysis
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2010
Author:Clementi, Pamela, PhD, MS, FNP-BC
P.I. Institution Name:Loyola University Medical Center
Title:Nursing Education
Contact Address:2160 S. First Avenue, Maywood, IL, 60153, USA
Contact Telephone:708-216-9515
Co-Authors:P. Clementi, Nursing Education, Loyola University Medical Center, Maywood, IL;
Purpose: The purposes of this study were to assess the psychometric properties of the Expectations of Care Inventory (ECI) and test relations between patients' expectations of care and selected behavioral intention outcomes. Theoretical Framework: The study was guided by the empirically derived Expectations of Care theory, which suggests when patient expectations are met, patient satisfaction is increased and patients have stronger intentions to return to the same healthcare setting for future care. Subjects: Discharged inpatients (n=1165) from an academic medical center. Method: Data were collected from discharged patients using mail surveys. In addition to the ECI, measures included patients' perceptions of nursing care and nurse staffing, patient satisfaction and patients' self-report of adverse occurrences during their hospital stay. Results: Exploratory factor analysis of the ECI revealed five subscales: Patient Primacy (PP), patient self awareness of their needs; Anticipated Healthcare Provider Behaviors (AHPB), expectations that healthcare providers would exhibit specific behaviors; Realized Healthcare Provider Behaviors (RHPB), actual behaviors of healthcare providers during a recent hospitalization; Encounter Evaluation (EE), evaluation of the care received; and Behavioral Intentions (BI), decision to remain with or seek different healthcare providers. Multiple regression analysis revealed PP and the discrepancy between AHPB and RHPB accounted for 60% of the variance in EE. When the measure of patients perceptions of their nursing care received was included in the regression equation, 71% of the variance in EE and EE explained 43% of the variance in BI. Conclusions: This study provides initial support for the role of patient expectations and meeting those expectations in the evaluation of the hospitalization experience, as well as selected behavioral intentions which follow the hospital experience. The increase in variance explained through the addition of the perception of nursing care measure provides support for the primacy of nursing care in the overall hospitalization experience.
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.titleExpectation of Care Inventory Psychometric Analysisen_GB
dc.identifier.urihttp://hdl.handle.net/10755/160936-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Expectation of Care Inventory Psychometric Analysis</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">2010</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Clementi, Pamela, PhD, MS, FNP-BC</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Loyola University Medical Center</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Nursing Education</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">2160 S. First Avenue, Maywood, IL, 60153, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">708-216-9515</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">pcleme1@lumc.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">P. Clementi, Nursing Education, Loyola University Medical Center, Maywood, IL;</td></tr><tr><td colspan="2" class="item-abstract">Purpose: The purposes of this study were to assess the psychometric properties of the Expectations of Care Inventory (ECI) and test relations between patients' expectations of care and selected behavioral intention outcomes. Theoretical Framework: The study was guided by the empirically derived Expectations of Care theory, which suggests when patient expectations are met, patient satisfaction is increased and patients have stronger intentions to return to the same healthcare setting for future care. Subjects: Discharged inpatients (n=1165) from an academic medical center. Method: Data were collected from discharged patients using mail surveys. In addition to the ECI, measures included patients' perceptions of nursing care and nurse staffing, patient satisfaction and patients' self-report of adverse occurrences during their hospital stay. Results: Exploratory factor analysis of the ECI revealed five subscales: Patient Primacy (PP), patient self awareness of their needs; Anticipated Healthcare Provider Behaviors (AHPB), expectations that healthcare providers would exhibit specific behaviors; Realized Healthcare Provider Behaviors (RHPB), actual behaviors of healthcare providers during a recent hospitalization; Encounter Evaluation (EE), evaluation of the care received; and Behavioral Intentions (BI), decision to remain with or seek different healthcare providers. Multiple regression analysis revealed PP and the discrepancy between AHPB and RHPB accounted for 60% of the variance in EE. When the measure of patients perceptions of their nursing care received was included in the regression equation, 71% of the variance in EE and EE explained 43% of the variance in BI. Conclusions: This study provides initial support for the role of patient expectations and meeting those expectations in the evaluation of the hospitalization experience, as well as selected behavioral intentions which follow the hospital experience. The increase in variance explained through the addition of the perception of nursing care measure provides support for the primacy of nursing care in the overall hospitalization experience.</td></tr></table>en_GB
dc.date.available2011-10-26T23:13:11Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T23:13:11Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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