2.50
Hdl Handle:
http://hdl.handle.net/10755/211714
Type:
Research Study
Title:
DEVELOPING AN INSTRUMENT TO MEASURE QUALITY OF NURSING CARE: FEASIBILITY TEST
Abstract:
Purpose: The purpose of this presentation is to report findings from a feasibility test of a newly developed instrument that was designed to measure quality of nursing care from the perspective of hospitalized patients with advanced illness. Background: Despite increasing interest and need to improve quality of nursing care provided in hospitals, valid instruments that directly measure patients’ perspectives of the quality of nursing care are scarce. The Quality of Nursing Care Index for Patients with Advanced Illness (QNCI-PAI©) was recently developed to meet this need and is in the preliminary stage of psychometric assessment of its attributes. Developing a psychometrically sound instrument is a lengthy process with many steps. This paper reports the findings of a feasibility study that was implemented to validate the process that will be used to evaluate the psychometric properties of the QNCI-PAI. Methods: The QNCI-PAI consists of 32 items that query patients regarding how often their nurses demonstrated the behaviors described in the item statements during their hospitalization. Survey instructions asked them to select one response on the 5-point Likert scale [1. not at all; 2. rarely; 3. sometimes; 4. often; 5. always]. In addition, three other response options were included on the survey to sort out potentially problematic items [6. not applicable; 7. don’t know; 8. does not matter]. In this feasibility study, patients received the QNCI-PAI as a mailed survey after hospital discharge. Participants were recruited from among patients who were≥21 years old, had more than two hospital admissions during the last 12 months, and stayed in the hospital ≥2 days. The participating hospital’s quality improvement department mailed the QNCI-PAI to eligible participants. IRB approvals were obtained from the researchers’ institution and the participating hospital. Results: The response rate from the one time mailing was 19 per cent. Respondents consisted of 14 males and 5 females, 95% were white, and the mean age was 70.2 years old. Higher QNCI-PAI total score indicated higher perceived quality of nursing care, and mean total score was 136.00 (SD±21.32). The QNCI-PAI did not show ceiling effects commonly seen in patient satisfaction surveys. There were no items with more than 10% of data missing (N/A, don’t know, or does not matter) except item 6 “The nurses modified the routine care to suite my needs” which has 3 respondents indicating they “don’t know”. It suggested that all items except item 6 were reasonable to respond for patients and they were able to distinguish how often their nurses demonstrated behaviors considered as quality care. The non-normality of one of the subscale scores may be due to the small sample size. The low response rate (10-30%) was expected for the survey with this type of population. Implications: The feasibility test demonstrated that the form of mail survey and the recruitment method were appropriate to test the QNCI-PAI use. The QNCI-PAI was able to obtain responses intended to collect. Pilot study for further psychometric analysis with a larger sample size is currently ongoing with participants being recruited from a different hospital.
Keywords:
Nursing Care; Patient perspective; Advanced illness
Repository Posting Date:
20-Feb-2012
Date of Publication:
20-Feb-2012
Other Identifiers:
4953
Sponsors:
Western Institute of Nursing

Full metadata record

DC FieldValue Language
dc.typeResearch Studyen_GB
dc.titleDEVELOPING AN INSTRUMENT TO MEASURE QUALITY OF NURSING CARE: FEASIBILITY TESTen_GB
dc.identifier.urihttp://hdl.handle.net/10755/211714-
dc.description.abstractPurpose: The purpose of this presentation is to report findings from a feasibility test of a newly developed instrument that was designed to measure quality of nursing care from the perspective of hospitalized patients with advanced illness. Background: Despite increasing interest and need to improve quality of nursing care provided in hospitals, valid instruments that directly measure patients’ perspectives of the quality of nursing care are scarce. The Quality of Nursing Care Index for Patients with Advanced Illness (QNCI-PAI©) was recently developed to meet this need and is in the preliminary stage of psychometric assessment of its attributes. Developing a psychometrically sound instrument is a lengthy process with many steps. This paper reports the findings of a feasibility study that was implemented to validate the process that will be used to evaluate the psychometric properties of the QNCI-PAI. Methods: The QNCI-PAI consists of 32 items that query patients regarding how often their nurses demonstrated the behaviors described in the item statements during their hospitalization. Survey instructions asked them to select one response on the 5-point Likert scale [1. not at all; 2. rarely; 3. sometimes; 4. often; 5. always]. In addition, three other response options were included on the survey to sort out potentially problematic items [6. not applicable; 7. don’t know; 8. does not matter]. In this feasibility study, patients received the QNCI-PAI as a mailed survey after hospital discharge. Participants were recruited from among patients who were≥21 years old, had more than two hospital admissions during the last 12 months, and stayed in the hospital ≥2 days. The participating hospital’s quality improvement department mailed the QNCI-PAI to eligible participants. IRB approvals were obtained from the researchers’ institution and the participating hospital. Results: The response rate from the one time mailing was 19 per cent. Respondents consisted of 14 males and 5 females, 95% were white, and the mean age was 70.2 years old. Higher QNCI-PAI total score indicated higher perceived quality of nursing care, and mean total score was 136.00 (SD±21.32). The QNCI-PAI did not show ceiling effects commonly seen in patient satisfaction surveys. There were no items with more than 10% of data missing (N/A, don’t know, or does not matter) except item 6 “The nurses modified the routine care to suite my needs” which has 3 respondents indicating they “don’t know”. It suggested that all items except item 6 were reasonable to respond for patients and they were able to distinguish how often their nurses demonstrated behaviors considered as quality care. The non-normality of one of the subscale scores may be due to the small sample size. The low response rate (10-30%) was expected for the survey with this type of population. Implications: The feasibility test demonstrated that the form of mail survey and the recruitment method were appropriate to test the QNCI-PAI use. The QNCI-PAI was able to obtain responses intended to collect. Pilot study for further psychometric analysis with a larger sample size is currently ongoing with participants being recruited from a different hospital.en_GB
dc.subjectNursing Careen_GB
dc.subjectPatient perspectiveen_GB
dc.subjectAdvanced illnessen_GB
dc.date.available2012-02-20T12:10:01Z-
dc.date.issued2012-02-20T12:10:01Z-
dc.date.accessioned2012-02-20T12:10:01Z-
dc.description.sponsorshipWestern Institute of Nursingen_GB
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.