Development and Evaluation of a Process Tool for Collaborative Care in the Psychiatric Population

2.50
Hdl Handle:
http://hdl.handle.net/10755/303902
Category:
Abstract
Type:
Presentation
Title:
Development and Evaluation of a Process Tool for Collaborative Care in the Psychiatric Population
Author(s):
McKay, Cheryl A.
Lead Author STTI Affiliation:
Non-member
Author Details:
Cheryl A. McKay, PhD, CNS, RN, smckay3@att.net
Abstract:

Session presented on: Tuesday, July 23, 2013

Purpose: 1. Determine if the CareGraph' is a reliable tool for use in the psychiatric population.' 2. Determine if the categories for the psychiatric CareGraph' tool are consistent with the conceptualized domains.' 3. Determine if there is a difference in cost for the psychiatric population receiving care using the CareGraph' compared to those receiving care prior to implementation of the CareGraph'.

Methods: Initial reliability was evaluated using Cronbach's alpha and known groups validity was evaluated using a t-test to compare admission and discharge CareGraph' scores. To determine if the domains of the CareGraph' are consistent with those conceptualized, a confirmatory factor analysis was performed.' Lastly, a pre- and post-implementation analysis was utilized to evaluate cost of care between two groups.'

Results: Initial Cronbach's alpha for all items was .71. 'A t- test assessing known groups validity demonstrated a significant difference:' t (215) = 14.663, p=.000. 'Confirmatory factor analysis revealed a six factor solution accounting for 68.9% of the variance. Although LOS slightly increased after implementation of the CareGraph', the cost was not significantly different.'

Conclusion: This study provides a starting point for the psychometric evaluation of the CareGraph' as well as initial quantifiable outcomes.'' Internal consistency reliability and known groups validity demonstrate that the CareGraph' can be' used in the psychiatric population to provide a common system language for collaborative care. The significant results between admit and discharge CareGraph' scores demonstrate the ability to discriminate severity of illness.

The CFA captured the six categories conceptualized by the originators of the tool although they loaded in a different manner than anticipated.'

Although the changes in cost were not statistically significant , they were positive from an operational perspective and may represent a positive change in efficiency.

Keywords:
Psychometrics; Donabedian; CareGraph
Repository Posting Date:
22-Oct-2013
Date of Publication:
22-Oct-2013 ; 22-Oct-2013
Conference Date:
2013
Conference Name:
24th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Prague, Czech Republic
Description:
24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.language.isoenen
dc.type.categoryAbstracten
dc.typePresentationen
dc.titleDevelopment and Evaluation of a Process Tool for Collaborative Care in the Psychiatric Populationen
dc.contributor.authorMcKay, Cheryl A.en
dc.contributor.departmentNon-memberen
dc.author.detailsCheryl A. McKay, PhD, CNS, RN, smckay3@att.neten
dc.identifier.urihttp://hdl.handle.net/10755/303902-
dc.description.abstract<p>Session presented on: Tuesday, July 23, 2013</p><b>Purpose: </b><b>1. </b>Determine if the CareGraph' is a reliable tool for use in the psychiatric population.' <b>2.</b> Determine if the categories for the psychiatric CareGraph' tool are consistent with the conceptualized domains.' <b>3</b>. Determine if there is a difference in cost for the psychiatric population receiving care using the CareGraph' compared to those receiving care prior to implementation of the CareGraph'. <p><b>Methods: </b>Initial reliability was evaluated using Cronbach's alpha and known groups validity was evaluated using a t-test to compare admission and discharge CareGraph' scores. To determine if the domains of the CareGraph' are consistent with those conceptualized, a confirmatory factor analysis was performed.' Lastly, a pre- and post-implementation analysis was utilized to evaluate cost of care between two groups.' <p><b>Results: </b>Initial Cronbach's alpha for all items was .71. 'A t- test assessing known groups validity demonstrated a significant difference:' t (215) = 14.663, p=.000. 'Confirmatory factor analysis revealed a six factor solution accounting for 68.9% of the variance. Although LOS slightly increased after implementation of the CareGraph', the cost was not significantly different.' <p><b>Conclusion: </b> This study provides a starting point for the psychometric evaluation of the CareGraph' as well as initial quantifiable outcomes.'' Internal consistency reliability and known groups validity demonstrate that the CareGraph' can be' used in the psychiatric population to provide a common system language for collaborative care. The significant results between admit and discharge CareGraph' scores demonstrate the ability to discriminate severity of illness. <p>The CFA captured the six categories conceptualized by the originators of the tool although they loaded in a different manner than anticipated.' <p>Although the changes in cost were not statistically significant , they were positive from an operational perspective and may represent a positive change in efficiency.en
dc.subjectPsychometricsen
dc.subjectDonabedianen
dc.subjectCareGraphen
dc.date.available2013-10-22T20:25:28Z-
dc.date.issued2013-10-22-
dc.date.issued2013-10-22en
dc.date.accessioned2013-10-22T20:25:28Z-
dc.conference.date2013en
dc.conference.name24th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationPrague, Czech Republicen
dc.description24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.en
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