Measuring person-centred care in nurse-led outpatient rheumatology clinics
(2018) In Musculoskeletal Care 16(2). p.296-304- Abstract
Background: Measurement of person-centred care (PCC) outcomes is underdeveloped owing to the complexity of the concept and lack of conceptual clarity. A framework conceptualizing outpatient PCC in rheumatology nurse-led clinics has therefore been suggested and operationalized into the PCC instrument for outpatient care in rheumatology (PCCoc/rheum). Objective: The aim of the present study was to test the extent to which the PCCoc/rheum represents the underpinning conceptual outpatient PCC framework, and to assess its measurement properties as applied in nurse-led outpatient rheumatology clinics. Methods: The 24-item PCCoc/rheum was administered to 343 persons with rheumatoid arthritis from six nurse-led outpatient rheumatology clinics.... (More)
Background: Measurement of person-centred care (PCC) outcomes is underdeveloped owing to the complexity of the concept and lack of conceptual clarity. A framework conceptualizing outpatient PCC in rheumatology nurse-led clinics has therefore been suggested and operationalized into the PCC instrument for outpatient care in rheumatology (PCCoc/rheum). Objective: The aim of the present study was to test the extent to which the PCCoc/rheum represents the underpinning conceptual outpatient PCC framework, and to assess its measurement properties as applied in nurse-led outpatient rheumatology clinics. Methods: The 24-item PCCoc/rheum was administered to 343 persons with rheumatoid arthritis from six nurse-led outpatient rheumatology clinics. Its measurement properties were tested by Rasch measurement theory. Results: Ninety-two per cent of individuals (n = 316) answered the PCCoc/rheum. Items successfully operationalized a quantitative continuum from lower to higher degrees of perceived PCC. Model fit was generally good, including lack of differential item functioning (DIF), and the PCCoc/rheum was able to separate individuals with a reliability of 0.88. The four response categories worked as intended, with the exception of one item. Item ordering provided general empirical support of a priori expectations, with the exception of three items that were omitted owing to multidimensionality, dysfunctional response categories and unexpected ordering. The 21-item PCCoc/rheum showed good accordance with the conceptual framework, improved fit, functioning response categories and no DIF, and its reliability was 0.86. Conclusion: We found general support for the appropriateness of the PCCoc/rheum as an outcome measure of patient-perceived PCC in nurse-led outpatient rheumatology clinics. While in need of further testing, the 21-item PCCoc/rheum has the potential to evaluate outpatient PCC from a patient perspective.
(Less)
- author
- Bala, Sidona Valentina LU ; Forslind, Kristina LU ; Fridlund, Bengt LU and Hagell, Peter LU
- organization
- publishing date
- 2018-06
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Measurement, Nurse-led rheumatology clinics, Outpatient, Person-centred care
- in
- Musculoskeletal Care
- volume
- 16
- issue
- 2
- pages
- 296 - 304
- publisher
- Wiley
- external identifiers
-
- pmid:29484828
- scopus:85042523791
- ISSN
- 1557-0681
- DOI
- 10.1002/msc.1234
- language
- English
- LU publication?
- yes
- id
- 97af68d6-503f-42d9-a219-317c4beb18f9
- date added to LUP
- 2018-03-09 10:05:34
- date last changed
- 2024-04-15 03:32:17
@article{97af68d6-503f-42d9-a219-317c4beb18f9,
abstract = {{<p>Background: Measurement of person-centred care (PCC) outcomes is underdeveloped owing to the complexity of the concept and lack of conceptual clarity. A framework conceptualizing outpatient PCC in rheumatology nurse-led clinics has therefore been suggested and operationalized into the PCC instrument for outpatient care in rheumatology (PCCoc/rheum). Objective: The aim of the present study was to test the extent to which the PCCoc/rheum represents the underpinning conceptual outpatient PCC framework, and to assess its measurement properties as applied in nurse-led outpatient rheumatology clinics. Methods: The 24-item PCCoc/rheum was administered to 343 persons with rheumatoid arthritis from six nurse-led outpatient rheumatology clinics. Its measurement properties were tested by Rasch measurement theory. Results: Ninety-two per cent of individuals (n = 316) answered the PCCoc/rheum. Items successfully operationalized a quantitative continuum from lower to higher degrees of perceived PCC. Model fit was generally good, including lack of differential item functioning (DIF), and the PCCoc/rheum was able to separate individuals with a reliability of 0.88. The four response categories worked as intended, with the exception of one item. Item ordering provided general empirical support of a priori expectations, with the exception of three items that were omitted owing to multidimensionality, dysfunctional response categories and unexpected ordering. The 21-item PCCoc/rheum showed good accordance with the conceptual framework, improved fit, functioning response categories and no DIF, and its reliability was 0.86. Conclusion: We found general support for the appropriateness of the PCCoc/rheum as an outcome measure of patient-perceived PCC in nurse-led outpatient rheumatology clinics. While in need of further testing, the 21-item PCCoc/rheum has the potential to evaluate outpatient PCC from a patient perspective.</p>}},
author = {{Bala, Sidona Valentina and Forslind, Kristina and Fridlund, Bengt and Hagell, Peter}},
issn = {{1557-0681}},
keywords = {{Measurement; Nurse-led rheumatology clinics; Outpatient; Person-centred care}},
language = {{eng}},
number = {{2}},
pages = {{296--304}},
publisher = {{Wiley}},
series = {{Musculoskeletal Care}},
title = {{Measuring person-centred care in nurse-led outpatient rheumatology clinics}},
url = {{http://dx.doi.org/10.1002/msc.1234}},
doi = {{10.1002/msc.1234}},
volume = {{16}},
year = {{2018}},
}