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Psychometric evaluation of the Chinese version of the Person-centred Climate Questionnaire - Staff version (PCQ-S)

Cai, Le; Ahlström, Gerd LU ; Tang, Pingfen; Ma, Ke; Edvardsson, David; Behm, Lina LU ; Fu, Haiyan; Zhang, Jie and Yang, Jiqun (2017) In BMJ Open 7(8).
Abstract

OBJECTIVES: The aim of the study was to evaluate the psychometric properties of a Chinese translation of the English version of the Person-centred Climate Questionnaire - Staff version (PCQ-S) for Chinese palliative care staff in a hospital context.

DESIGN: This was a cross-sectional design. The 14-item English PCQ-S was translated and backtranslated using established procedures. Construct validity and reliability including internal consistency and test-retest reliability were assessed among hospital staff. Construct validity was tested using principal component analysis (PCA), internal consistency was assessed using Cronbach's alpha, and test-retest reliability was evaluated with the weighted kappa (Kp), Pearson correlation... (More)

OBJECTIVES: The aim of the study was to evaluate the psychometric properties of a Chinese translation of the English version of the Person-centred Climate Questionnaire - Staff version (PCQ-S) for Chinese palliative care staff in a hospital context.

DESIGN: This was a cross-sectional design. The 14-item English PCQ-S was translated and backtranslated using established procedures. Construct validity and reliability including internal consistency and test-retest reliability were assessed among hospital staff. Construct validity was tested using principal component analysis (PCA), internal consistency was assessed using Cronbach's alpha, and test-retest reliability was evaluated with the weighted kappa (Kp), Pearson correlation coefficient (r) and intra-class correlation coefficient (ICC).

SETTING: This study was conducted in three hospitals in Kunming, the capital of Yunnan province in south-west China.

PARTICIPANTS: A sample of hospital staff (n=163) on duty in the palliative care departments of three hospitals in Kunming consented to participate in the study.

RESULTS: The 14-item Chinese PCQ-S consists of the three subscales also present in other language versions. It showed strong internal consistency, with a Cronbach's alpha of 0.94 for the total scale, 0.87 for the safety subscale, 0.90 for the everydayness subscale and 0.88 for the community subscale. The Chinese PCQ-S had high test-retest reliability as evidenced by a high Kp coefficient and a high correlation coefficient for all scales between test and retest scores, on 'a climate of safety' (Kp=0.77, r=0.88, p<0.01), 'a climate of everydayness' (Kp=0.82, r=0.91, p<0.01), 'a climate of community' (Kp=0.75, r=0.79, p<0.01), and on overall scale scores (Kp=0.85, r=0.93, p<0.01). The ICC to evaluate the test-retest reliability was 0.97 (95% CI 0.95 to 0.98).

CONCLUSIONS: The Chinese version of the PCQ-S showed satisfactory reliability and validity for assessing staff perceptions of person-centred care in Chinese hospital environments.

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author
organization
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type
Contribution to journal
publication status
published
subject
in
BMJ Open
volume
7
issue
8
publisher
British Medical Journal Publishing Group
ISSN
2044-6055
DOI
10.1136/bmjopen-2017-017250
language
English
LU publication?
yes
id
28f8fe22-853f-4f00-a808-8a9ba74fa5eb
date added to LUP
2017-10-17 14:29:28
date last changed
2018-01-17 03:00:02
@article{28f8fe22-853f-4f00-a808-8a9ba74fa5eb,
  abstract     = {<p>OBJECTIVES: The aim of the study was to evaluate the psychometric properties of a Chinese translation of the English version of the Person-centred Climate Questionnaire - Staff version (PCQ-S) for Chinese palliative care staff in a hospital context.</p><p>DESIGN: This was a cross-sectional design. The 14-item English PCQ-S was translated and backtranslated using established procedures. Construct validity and reliability including internal consistency and test-retest reliability were assessed among hospital staff. Construct validity was tested using principal component analysis (PCA), internal consistency was assessed using Cronbach's alpha, and test-retest reliability was evaluated with the weighted kappa (Kp), Pearson correlation coefficient (r) and intra-class correlation coefficient (ICC).</p><p>SETTING: This study was conducted in three hospitals in Kunming, the capital of Yunnan province in south-west China.</p><p>PARTICIPANTS: A sample of hospital staff (n=163) on duty in the palliative care departments of three hospitals in Kunming consented to participate in the study.</p><p>RESULTS: The 14-item Chinese PCQ-S consists of the three subscales also present in other language versions. It showed strong internal consistency, with a Cronbach's alpha of 0.94 for the total scale, 0.87 for the safety subscale, 0.90 for the everydayness subscale and 0.88 for the community subscale. The Chinese PCQ-S had high test-retest reliability as evidenced by a high Kp coefficient and a high correlation coefficient for all scales between test and retest scores, on 'a climate of safety' (Kp=0.77, r=0.88, p&lt;0.01), 'a climate of everydayness' (Kp=0.82, r=0.91, p&lt;0.01), 'a climate of community' (Kp=0.75, r=0.79, p&lt;0.01), and on overall scale scores (Kp=0.85, r=0.93, p&lt;0.01). The ICC to evaluate the test-retest reliability was 0.97 (95% CI 0.95 to 0.98).</p><p>CONCLUSIONS: The Chinese version of the PCQ-S showed satisfactory reliability and validity for assessing staff perceptions of person-centred care in Chinese hospital environments.</p>},
  articleno    = {e017250},
  author       = {Cai, Le and Ahlström, Gerd and Tang, Pingfen and Ma, Ke and Edvardsson, David and Behm, Lina and Fu, Haiyan and Zhang, Jie and Yang, Jiqun},
  issn         = {2044-6055},
  language     = {eng},
  month        = {08},
  number       = {8},
  publisher    = {British Medical Journal Publishing Group},
  series       = {BMJ Open},
  title        = {Psychometric evaluation of the Chinese version of the Person-centred Climate Questionnaire - Staff version (PCQ-S)},
  url          = {http://dx.doi.org/10.1136/bmjopen-2017-017250},
  volume       = {7},
  year         = {2017},
}