Person‐centred care in nurse‐led outpatient rheumatology clinics: Conceptualization and initial development of a measurement instrument.
Abstract: Background: Person‐centred care (PCC) is considered a key component of effective illness management and high‐quality care. However, the PCC concept is underdeveloped in outpatient care. In rheumatology, PCC is considered an unmet need and its further development and evaluation is of high p...
| Publicado en: | Musculoskeletal Care Vol. 16; no. 2; pp. 287 - 296 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Jun2018
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=130268016&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 130268016 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 14782189 VRY jtl: Musculoskeletal Care issn: 14782189 maglogo: Y pubinfo: dt: Jun2018 vid: 16 iid: 2 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 130268016 130268016 130268016 10.1002/msc.1233 130268016 ppf: 287 ppct: 9 formats: tig: atl: Person‐centred care in nurse‐led outpatient rheumatology clinics: Conceptualization and initial development of a measurement instrument. aug: au: Bala, Sidona‐Valentina Forslind, Kristina Fridlund, Bengt Samuelson, Karin Svensson, Björn Hagell, Peter affil: Department of Health Sciences, Lund University, Lund, Sweden sug: subj: Patient Centered Care Evaluation Rheumatology Health Facilities Nurses Psychosocial Factors Instrument Construction Arthritis, Rheumatoid Nursing Nursing Care Outpatient Service Human Conceptual Framework Nurse-Patient Relations Patient Attitudes Content Validity Social Environment Empowerment Questionnaires Arthritis, Rheumatoid Psychosocial Factors Outpatients Decision Making, Shared Descriptive Statistics ab: Abstract: Background: Person‐centred care (PCC) is considered a key component of effective illness management and high‐quality care. However, the PCC concept is underdeveloped in outpatient care. In rheumatology, PCC is considered an unmet need and its further development and evaluation is of high priority. The aim of the present study was to conceptualize and operationalize PCC, in order to develop an instrument for measuring patient‐perceived PCC in nurse‐led outpatient rheumatology clinics. Methods: A conceptual outpatient PCC framework was developed, based on the experiences of people with rheumatoid arthritis (RA), person‐centredness principles and existing PCC frameworks. The resulting framework was operationalized into the PCC instrument for outpatient care in rheumatology (PCCoc/rheum), which was tested for acceptability and content validity among 50 individuals with RA attending a nurse‐led outpatient clinic. Results: The conceptual framework focuses on the meeting between the person with RA and the nurse, and comprises five interrelated domains: social environment, personalization, shared decision‐making, empowerment and communication. Operationalization of the domains into a pool of items generated a preliminary PCCoc/rheum version, which was completed in a mean (standard deviation) of 5.3 (2.5) min. Respondents found items easy to understand (77%) and relevant (93%). The Content Validity Index of the PCCoc/rheum was 0.94 (item level range, 0.87–1.0). About 80% of respondents considered some items redundant. Based on these results, the PCCoc/rheum was revised into a 24‐item questionnaire. Conclusions: A conceptual outpatient PCC framework and a 24‐item questionnaire intended to measure PCC in nurse‐led outpatient rheumatology clinics were developed. The extent to which the questionnaire represents a measurement instrument remains to be tested. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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