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Lundqvist LO, Gjógvará ML, Olgarsdóttir L, Veyhe AS, Schröder A. Patients' perception of the quality of psychiatric inpatient care in the Faroe Islands. Nord J Psychiatry 2024; 78:616-626. [PMID: 39306803 DOI: 10.1080/08039488.2024.2402239] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/26/2024] [Revised: 08/27/2024] [Accepted: 09/05/2024] [Indexed: 10/02/2024]
Abstract
PURPOSE Evaluating the quality of psychiatric care from the patient's perspective is crucial to measure the effectiveness of the provided care. This study aimed to translate the original Swedish Quality in Psychiatric Care - Inpatient (QPC-IP) instrument into Faroese, adapting it to the specific context of psychiatric inpatient care in the Faroe Islands, conducting a detailed evaluation of its psychometric properties, and to describe patients' perception of quality of psychiatric care. MATERIALS AND METHODS Following a thorough translation and back-translation, the content validity of the Faroese QPC-IP was confirmed by a group of Faroese patients. Subsequently, the instrument was completed by 61 psychiatric inpatients. RESULTS Item total correlations revealed that most items strongly correlated with their intended dimensions, mirroring the original Swedish version. However, a noteworthy exception was found in the discharge dimension, leading to the exclusion of an item related to helping find an occupation; this task was not performed by the ward. While the internal consistency of the overall scale was excellent, specific dimensions exhibited lower consistency. CONCLUSIONS The translation and cultural adaptation of the Faroese QPC-IP proved satisfactory. The psychometric evaluation affirmed a shared understanding of the quality of psychiatric care in both Faroese and Swedish cultural contexts. As a result, the Faroese QPC-IP emerges as a valuable instrument for assessing the quality of psychiatric care in the Faroe Islands. Its utility extends to quality assurance initiatives and contributes to cross-cultural research examining the quality of psychiatric care from the patient's perspective.
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Affiliation(s)
- Lars-Olov Lundqvist
- Faculty of Medicine and Health, University Health Care Research Center, Örebro University, Örebro, Sweden
| | - Marja L Gjógvará
- Faculty of Health Sciences, University of the Faroe Islands, Tórshavn, Faroe Islands
| | - Laila Olgarsdóttir
- Faculty of Health Sciences, University of the Faroe Islands, Tórshavn, Faroe Islands
| | - Anna Sofía Veyhe
- Faculty of Health Sciences, University of the Faroe Islands, Tórshavn, Faroe Islands
| | - Agneta Schröder
- Faculty of Medicine and Health, University Health Care Research Center, Örebro University, Örebro, Sweden
- Department of Nursing, Faculty of Health, Care and Nursing, Norwegian University of Science and Technology (NTNU), Gjövik, Norway
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Fossum SØ, Moen ØL, Gonzalez MT, Schröder A, Skundberg-Kletthagen H. Investigating the Associations between Patient-Reported Quality of Care and Perceived Coercion: A Norwegian Cross-Sectional Study. Issues Ment Health Nurs 2024; 45:784-793. [PMID: 38976249 DOI: 10.1080/01612840.2024.2361336] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 07/09/2024]
Abstract
Patient perspectives on the quality of care received are fundamental to mental health care. This study aimed to investigate the association between patient-reported mental health care quality, perceived coercion, and various demographic, clinical, and ward-related factors. Using a cross-sectional design, data were collected from 169 patients in Norwegian mental health wards using the quality in psychiatric care-inpatient (QPC-IP) instrument and experienced coercion scale (ECS). The analysis revealed a consistent pattern in which patients with higher perceived coercion consistently rated lower quality on all QPC-IP dimensions. The significant findings of the multiple regression models further supported this association. Beyond coercion, the factors influencing quality ratings include self-reported treatment results, participation in treatment planning, and knowledge of complaint procedures. Emphasizing the pivotal role of coercion in enhancing mental health care quality, these findings contribute to a nuanced understanding of patient experiences and underscore the importance of patient participation in mental health care improvement efforts.
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Affiliation(s)
- Siri Ødegaard Fossum
- Faculty of Medicine and Health, Institute of Health Sciences, Norwegian University of Science and Technology (NTNU), Gjøvik, Norway
| | - Øyfrid Larsen Moen
- Faculty of Medicine and Health, Institute of Health Sciences, Norwegian University of Science and Technology (NTNU), Gjøvik, Norway
| | - Marianne Thorsen Gonzalez
- Faculty of Medicine and Health, Institute of Health Sciences, Norwegian University of Science and Technology (NTNU), Gjøvik, Norway
- Faculty of Medicine and Health, University Health Care Research Center, Örebro University, Örebro, Sweden
| | - Agneta Schröder
- Faculty of Medicine and Health, Institute of Health Sciences, Norwegian University of Science and Technology (NTNU), Gjøvik, Norway
- Faculty of Health and Social Sciences, Institute of Nursing and Health Sciences, University of South-Eastern Norway (USN), Drammen, Norway
| | - Hege Skundberg-Kletthagen
- Faculty of Medicine and Health, Institute of Health Sciences, Norwegian University of Science and Technology (NTNU), Gjøvik, Norway
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Lundqvist LO, Silva NG, Barros S, Schröder A. Translation, Cultural Adaptation, and Psychometric Evaluation of the Brazilian Portuguese Version of the Quality in Psychiatric Care—Outpatients Instrument. Healthcare (Basel) 2023; 11:healthcare11071001. [PMID: 37046931 PMCID: PMC10093911 DOI: 10.3390/healthcare11071001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2023] [Revised: 03/18/2023] [Accepted: 03/30/2023] [Indexed: 04/03/2023] Open
Abstract
Measuring the quality of care received by patients of mental health services is necessary to determine the effectiveness of prevention programs and mental health treatment. This study translated the original Swedish Quality in Psychiatric Care—Outpatient (QPC-OP) instrument to Brazilian Portuguese, adapted it to the context of Brazilian psychosocial care centers (CAPS), and evaluated its psychometric properties. The instrument was translated and back-translated by two independent professional translators. A seven-person expert group of professionals and 31 psychiatric outpatients verified the content validity of the Brazilian Portuguese QPC-OP, which then was completed by 253 outpatients from 16 CAPS in São Paulo, Brazil. Confirmatory factor analysis revealed adequate goodness of fit for the factor structure corresponding to the original Swedish version, except for the discharge dimension. Three additional items added in the Brazilian Portuguese QPC-OP formed a separate factor. The internal consistency of the entire scale was excellent but low in some dimensions. In conclusion, the translation and cultural adaptation of the Brazilian Portuguese QPC-OP was satisfactory, and the psychometric evaluation demonstrated that the concept of quality of mental health care is similarly understood in the Brazilian and Swedish cultural context. Thus, the Brazilian Portuguese QPC-OP is a useful instrument for assessing the quality of care in the Brazilian CAPS context and will be useful in quality assurance and in cross-cultural research addressing quality of mental health care from the patient’s perspective.
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Affiliation(s)
- Lars-Olov Lundqvist
- University Health Care Research Center, Faculty of Medicine and Health, Örebro University, 702 81 Örebro, Sweden
- Correspondence:
| | - Naiara Gajo Silva
- School of Nursing, Federal University of Mato Grosso do Sul, Coxim 79070-900, Brazil
| | - Sônia Barros
- School of Nursing, University of São Paulo, São Paulo 05508-900, Brazil
- Institute of Advanced Studies, University of São Paulo, São Paulo 05508-900, Brazil
| | - Agneta Schröder
- University Health Care Research Center, Faculty of Medicine and Health, Örebro University, 702 81 Örebro, Sweden
- Department of Health Sciences in Gjøvik, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology (NTNU), 7034 Gjøvik, Norway
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Roldán-Merino JF, Tomás-Jiménez M, Schröder A, Lundqvist LO, Puig-Llobet M, Moreno-Poyato AR, Domínguez del Campo M, Sanchez-Balcells S, Lluch-Canut MT. Quality in Psychiatric Care in the Community Mental Health Setting from the Perspective of Patients and Staff. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:4043. [PMID: 36901056 PMCID: PMC10002304 DOI: 10.3390/ijerph20054043] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 01/10/2023] [Revised: 02/20/2023] [Accepted: 02/22/2023] [Indexed: 06/18/2023]
Abstract
The current paradigm of mental health care focuses on care provided in the community, increasingly moving away from hospital care models that involve considerable economic burden. Patient and staff perspectives on the quality of psychiatric care can highlight strengths and areas for improvement to ensure better care provision. The aim of this study was to describe and compare perceptions of quality of care among patients and staff in community mental health services and to determine possible relationships between these perceptions and other study variables. A comparative cross-sectional descriptive study was conducted in a sample of 200 patients and 260 staff from community psychiatric care services in the area of Barcelona (Spain). The results showed high overall levels of quality of care from patient (m = 104.35 ± 13.57) and staff (m =102.06 ± 8.80) perspectives. Patients and staff both gave high scores to Encounter and Support factors, while factors concerning patient Participation and Environment received the lowest scores. Continuous assessment of the quality of psychiatric care in the community setting is essential to ensure the highest quality of care, taking the perspectives of those involved into account.
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Affiliation(s)
- Juan Francisco Roldán-Merino
- Mental Health Department, Campus Docent Sant Joan de Déu Private Foundation, University of Barcelona, C/Sant Benito Menni, 18-20, 08830 Sant Boi de Llobregat, Spain
- Grupo DAFNiS, Campus Docent Sant Joan de Déu, Universitat de Barcelona, 08830 Sant Boi de Llobregat, Spain
- Mental Health, Psychosocial and Complex Nursing Care Research Group—NURSEARCH, University of Barcelona, 08907 Barcelona, Spain
| | - Manuel Tomás-Jiménez
- Mental Health Department, Campus Docent Sant Joan de Déu Private Foundation, University of Barcelona, C/Sant Benito Menni, 18-20, 08830 Sant Boi de Llobregat, Spain
- Grupo DAFNiS, Campus Docent Sant Joan de Déu, Universitat de Barcelona, 08830 Sant Boi de Llobregat, Spain
- Parc Sanitari Sant Joan de Déu, 08830 Sant Boi de Llobregat, Spain
- Patient Safety Research Group, Hospital Parc Sanitari Sant Joan de Déu, 08830 Sant Boi de Llobregat, Spain
| | - Agneta Schröder
- University Health Care Research Center, Faculty of Medicine and Health, Örebro University, 701 85 Örebro, Sweden
- Department of Nursing, Faculty of Health Care and Nursing, Norwegian University of Science and Technology (NTNU), 2815 Gjövik, Norway
| | - Lars-Olov Lundqvist
- University Health Care Research Center, Faculty of Medicine and Health, Örebro University, 701 85 Örebro, Sweden
| | - Montserrat Puig-Llobet
- Public Health, Mental Health and Maternal Infant Nursing Department, Nursing College, University of Barcelona, Health Sciences Campus Bellvitge, Hospitalet de Llobregat, 08907 Barcelona, Spain
| | - Antonio R. Moreno-Poyato
- Mental Health, Psychosocial and Complex Nursing Care Research Group—NURSEARCH, University of Barcelona, 08907 Barcelona, Spain
- Public Health, Mental Health and Maternal Infant Nursing Department, Nursing College, University of Barcelona, Health Sciences Campus Bellvitge, Hospitalet de Llobregat, 08907 Barcelona, Spain
| | - Marta Domínguez del Campo
- Mental Health Department, Campus Docent Sant Joan de Déu Private Foundation, University of Barcelona, C/Sant Benito Menni, 18-20, 08830 Sant Boi de Llobregat, Spain
- Grupo DAFNiS, Campus Docent Sant Joan de Déu, Universitat de Barcelona, 08830 Sant Boi de Llobregat, Spain
- Parc Sanitari Sant Joan de Déu, 08830 Sant Boi de Llobregat, Spain
- Etiopatogenia I Tractament Dels Trastorns Mental Severs (MERITT), Institut de Recerca Sant Joan de Déu, Santa Rosa 39-57, 08950 Esplugues de Llobregat, Spain
| | | | - Maria Teresa Lluch-Canut
- Public Health, Mental Health and Maternal Infant Nursing Department, Nursing College, University of Barcelona, Health Sciences Campus Bellvitge, Hospitalet de Llobregat, 08907 Barcelona, Spain
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Tomás-Jiménez M, Roldán-Merino JF, Sanchez-Balcells S, Schröder A, Lundqvist LO, Puig-Llobet M, Moreno-Poyato AR, Domínguez del Campo M, Lluch-Canut MT. Spanish adaptation of the quality in psychiatric care-outpatient (QPC-OP) instrument community mental health patients’ version: psychometric properties and factor structure. BMC Nurs 2022; 21:302. [PMCID: PMC9640787 DOI: 10.1186/s12912-022-01094-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2022] [Accepted: 11/03/2022] [Indexed: 11/11/2022] Open
Abstract
Background Health systems in the field of mental health are strongly committed to community models that allow patients to be attended in their own environment. This helps them to maintain their family and social ties while trying to avoid costly hospital admissions. The patients’ perspective is a key component in the assessment of the quality of psychiatric care and can even determine their adherence to the devices where they are treated. However, there are few instruments with adequate psychometric properties for the evaluation of the quality of psychiatric care in community mental health. The Quality in Psychiatric Care – Outpatient (QPC-OP) instrument has adequate psychometric properties to assess the quality of psychiatric care from the patients’ perspective. The aim of this study was to adapt and validate the Spanish version of the QPC-OP instrument. Methods A translation and back-translation of the instrument was carried out. To examine its psychometric properties, the instrument was administered to 200 patients attending various community mental health services. To assess test-retest reliability, the instrument was readministered after 7-14 days (n = 98). Results The Confirmatory Factor Analysis revealed a structure of 8 factors identical to the original version, with an adequate model fit. The internal consistency coefficient (Cronbach’s alpha) was 0.951. The intraclass correlation coefficient was 0.764 (95% IC: 0.649 – 0.842), and higher than 0.70 in 5 of the 8 factors. Additionally, an EFA was performed and revealed that the instrument could behave in a unifactorial or four factor manner in the sample analyzed. Conclusions Results show that the Spanish version of the QPC-OP instrument is valid and reliable for the assessment of quality of psychiatric care in the community setting.
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Affiliation(s)
- Manuel Tomás-Jiménez
- grid.466982.70000 0004 1771 0789Parc Sanitari Sant Joan de Déu. Sant Boi de Llobregat, Barcelona, Spain ,grid.5841.80000 0004 1937 0247Mental Health Department, Campus Docent Sant Joan de Déu-Private Foundation, University of Barcelona, C/ Sant Benito Menni, 18-20, 08830 Sant Boi de Llobregat, Spain
| | - Juan Francisco Roldán-Merino
- grid.5841.80000 0004 1937 0247Mental Health Department, Campus Docent Sant Joan de Déu-Private Foundation, University of Barcelona, C/ Sant Benito Menni, 18-20, 08830 Sant Boi de Llobregat, Spain
| | - Sara Sanchez-Balcells
- grid.466982.70000 0004 1771 0789Parc Sanitari Sant Joan de Déu. Sant Boi de Llobregat, Barcelona, Spain
| | - Agneta Schröder
- grid.15895.300000 0001 0738 8966University Health Care Research Center, Faculty of Medicine and Health, Örebro University, Örebro, Sweden ,grid.5947.f0000 0001 1516 2393Department of Nursing, Faculty of Health Care and Nursing, Norwegian University of Science and Technology (NTNU), Trondheim, Norway
| | - Lars-Olov Lundqvist
- grid.15895.300000 0001 0738 8966University Health Care Research Center, Faculty of Medicine and Health, Örebro University, Örebro, Sweden
| | - Montserrat Puig-Llobet
- grid.5841.80000 0004 1937 0247Public Health, Mental Health and Maternal-Infant Nursing Department, Nursing College, University of Barcelona, Health Sciences Campus Bellvitge, Hospitalet de Llobregat, Barcelona, Spain
| | - Antonio R. Moreno-Poyato
- grid.5841.80000 0004 1937 0247Public Health, Mental Health and Maternal-Infant Nursing Department, Nursing College, University of Barcelona, Health Sciences Campus Bellvitge, Hospitalet de Llobregat, Barcelona, Spain
| | - Marta Domínguez del Campo
- grid.466982.70000 0004 1771 0789Parc Sanitari Sant Joan de Déu. Sant Boi de Llobregat, Barcelona, Spain ,grid.5841.80000 0004 1937 0247Mental Health Department, Campus Docent Sant Joan de Déu-Private Foundation, University of Barcelona, C/ Sant Benito Menni, 18-20, 08830 Sant Boi de Llobregat, Spain
| | - Maria Teresa Lluch-Canut
- grid.5841.80000 0004 1937 0247Public Health, Mental Health and Maternal-Infant Nursing Department, Nursing College, University of Barcelona, Health Sciences Campus Bellvitge, Hospitalet de Llobregat, Barcelona, Spain
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Adaption and Cultural Validation of the Quality in Psychiatric Care-Outpatient Staff (QPC-OPS) Instrument to a Norwegian Community Mental Health Context. J Behav Health Serv Res 2022; 49:513-523. [PMID: 35705803 PMCID: PMC9519676 DOI: 10.1007/s11414-022-09788-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/16/2022] [Indexed: 11/29/2022]
Abstract
The aim was to culturally adapt and validate the Swedish Quality in Psychiatric Care-Outpatient Staff (QPC-OPS) instrument for use in a Norwegian community mental health service context. The translated and culturally adapted instrument was named Quality in Psychiatric Care-Community Outpatient Staff (QPC-COPS). Three expert panels of mental health staff (n = 9) assessed the face and content validity. The internal consistency and test–retest reliability were assessed on a sample of community mental health staff (n = 64). The QCP-COPS had adequate face and content validity, and the full instrument showed excellent internal consistency (alpha = 0.90) and test–retest reliability (ICC = 0.87:0.94). In conclusion, the QPC-COPS is a valid and reliable instrument suitable for measuring staff’s perception of the quality of care they deliver in community mental health services.
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Tomás-Jiménez M, Roldán-Merino J, Sanchez-Balcells S, Schröder A, Lundqvist LO, Puig-Llobet M, Moreno-Poyato AR, Domínguez del Campo M, Lluch-Canut MT. Adaptation, psychometric properties and factor structure of the Spanish Quality in Psychiatric Care-Outpatient Staff (QPC-OPS) instrument. Sci Rep 2022; 12:4018. [PMID: 35256731 PMCID: PMC8901654 DOI: 10.1038/s41598-022-08039-w] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2021] [Accepted: 02/25/2022] [Indexed: 12/30/2022] Open
Abstract
Quality of care is a multidimensional concept that should include the perspectives of all parties involved. There are few instruments with adequate psychometric properties for the assessment of the quality of psychiatric care in community mental health. Quality in Psychiatric Care-Outpatient Staff (QPC-OPS) instrument has adequate psychometric properties to evaluate the quality of psychiatric care from the perspective of professionals. The aim of this study was to validate the Spanish version of the QPC-OPS instrument. The instrument was translated and back-translated, and then was administered to 260 professionals from distinct community mental health services. To assess test–retest reliability, it was re-administered after 7–14 days (n = 157). Confirmatory factor analysis revealed an 8-factor-structure identical to the original version, showing the good fit of the model. The internal consistency coefficient (Cronbach’s alpha) was 0.885. The intraclass correlation coefficient was 0.847 (95% IC 0.790–0.888), which was higher than 0.70 in all factors bar one. The NT394 General Satisfaction Scale was used for analysis of convergent validity showing a rho correlation of 0.31 (p < 0.0001). Results show that the Spanish version of the QPC-OPS instrument is valid and reliable for the assessment of the quality of psychiatric care in the community setting.
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Schröder A, Skårberg K, Lundqvist LO. The quality in psychiatric care-Addiction outpatient instrument: Psychometric properties and patient views of the quality of care. Nurs Open 2021; 8:1920-1927. [PMID: 33721421 PMCID: PMC8186673 DOI: 10.1002/nop2.861] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2020] [Revised: 01/31/2021] [Accepted: 02/15/2021] [Indexed: 12/13/2022] Open
Abstract
Aim The aim of the study was to evaluate the psychometric properties and factor structure of the Quality in Psychiatric Care—Addiction Outpatient (QPC‐AOP) instrument and to describe the experiences with the quality of care among addiction outpatients. Design The study has a cross‐sectional design. Methods A sample of 244 patients with addiction and psychiatric disorders completed the QPC‐AOP. Results Confirmatory factor analysis showed adequate to excellent goodness‐of‐fit indices supporting the 9‐factor structure of the QPC‐AOP. The results thus demonstrate that the concept of quality of care to a large extent is equivalent among outpatients from general psychiatry and from outpatient addiction services. Internal consistency for the full QPC‐AOP was adequate, but poor for some of the separate factors. The patients’ ratings of quality of care were generally high; the highest rating was for Encounter and the lowest for Discharge.
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Affiliation(s)
- Agneta Schröder
- Faculty of Medicine and Health, University Health Care Research Center, Örebro University, Örebro, Sweden.,Department of Health Science, Faculty of Health, Care and Nursing, Norwegian University of Science and Technology (NTNU), Gjövik, Norway
| | - Kurt Skårberg
- Faculty of Medicine and Health, University Health Care Research Center, Örebro University, Örebro, Sweden
| | - Lars-Olov Lundqvist
- Faculty of Medicine and Health, University Health Care Research Center, Örebro University, Örebro, Sweden
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