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Selvin M, Almqvist K, Fogelkvist M, Lundqvist LO, Schröder A. Patient Participation in Forensic Psychiatric Care: The Initial Development and Content Validity of a New Instrument. JOURNAL OF FORENSIC NURSING 2023; 19:204-213. [PMID: 37590943 PMCID: PMC10453349 DOI: 10.1097/jfn.0000000000000409] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/01/2022] [Accepted: 08/08/2022] [Indexed: 06/15/2023]
Abstract
ABSTRACT Patient participation is central in modern health care. However, it is a complex phenomenon that lacks a clear definition, and what constitutes participation varies depending on the context and theoretical perspective. It is known that patient participation in forensic psychiatric care is often rated as low by both patients and professionals, and it can be assumed that interventions to increase it are beneficial. In this process, management and staff could benefit from assessing perceived patient participation, and reliable and valid measurement instruments are essential. The aim of this study was to develop an instrument that could be used to measure experiences of participation in forensic psychiatric care from a patient perspective and test it for content validity. A definition of patient participation in forensic psychiatric care was formulated and operationalized in an instrument that an expert group, consisting of patients with ongoing care, evaluated for content validity. In total, 50 items were sorted into five different dimensions: to have good communication, to be involved, to have mutual trust, to trust the care, and to take responsibility. After psychometric testing, the instrument has the potential to become a tool to use in research, clinical work, and development work in the field of forensic psychiatric care. In addition to being used as a measure, the Patient Participation in Forensic Psychiatric Care can also be used to encourage a dialogue about their care and to make both patients and staff more aware of patient participation.
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Affiliation(s)
- Mikael Selvin
- Author Affiliations:University Health Care Research Center, Faculty of Medicine and Health, Örebro University
| | - Kjerstin Almqvist
- Department for Social and Psychological Studies, Karlstad University
| | - Maria Fogelkvist
- Author Affiliations:University Health Care Research Center, Faculty of Medicine and Health, Örebro University
| | - Lars-Olov Lundqvist
- Author Affiliations:University Health Care Research Center, Faculty of Medicine and Health, Örebro University
| | - Agneta Schröder
- Author Affiliations:University Health Care Research Center, Faculty of Medicine and Health, Örebro University
- Faculty of Health, Care and Nursing, Department of Nursing, Norwegian University of Science and Technology (NTNU)
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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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Domínguez Del Campo M, Moreno-Poyato AR, Puig-Llobet M, Lluch-Canut MT, Rodríguez Zunino N, Tomás-Jiménez M, Sanchez-Balcells S, Schröder A, Lundqvist LO, Escuder-Romeva G, Roldán-Merino J. Cross-cultural adaptation and psychometric properties of the Spanish Quality in Psychiatric Care Forensic Inpatient Staff (QPC-FIPS) instrument. Sci Rep 2022; 12:13302. [PMID: 35922547 PMCID: PMC9349319 DOI: 10.1038/s41598-022-17422-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2022] [Accepted: 07/25/2022] [Indexed: 11/25/2022] Open
Abstract
"Quality in Psychiatric Care-Forensic Inpatient Staff (QPC-FIPS) is an instrument of Swedish origin validated to measure the perception of the quality of mental health care provided by forensic psychiatry professionals. The aim of this study was to cross-culturally adapt the QPC-FIPS instrument and to evaluate the psychometric properties of the Spanish version of the instrument. A psychometric study was carried out. For validity, content validity, convergent validity and construct validity were included. For reliability, the analysis of internal consistency and temporal stability was included. The sample consisted of 153 mental health professionals from four Forensic Psychiatry units. The adapted Spanish version of the QPC-FIPS scale was configured with the same number of items and dimensions as the original. The psychometric properties, in terms of temporal stability and internal consistency, were adequate and the factor structure, such as the homogeneity of the dimensions of the Spanish version of the QPC-FIPS, was equivalent to the original Swedish version. We found that the QPC_FIPS-Spanish is a valid, reliable and easy-to-apply instrument for assessing the self-perception of professionals regarding the care they provide.
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Affiliation(s)
- Marta Domínguez Del Campo
- Parc Sanitari Sant Joan de Déu, Dr. Antoni Pujades 42, 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.,Fundació Privada Per La Recerca Sant Joan de Déu, Santa Rosa 39-57, 08950, Esplugues del Llobregat, Spain
| | - Antonio R Moreno-Poyato
- Public Health, Mental Health and Maternal-Infant Nursing Department, Nursing College, Universitat de Barcelona, Health Sciences Campus Bellvitge, Hospitalet de Llobregat, Barcelona, Spain.
| | - Montserrat Puig-Llobet
- Public Health, Mental Health and Maternal-Infant Nursing Department, Nursing College, Universitat de Barcelona, Health Sciences Campus Bellvitge, Hospitalet de Llobregat, Barcelona, Spain
| | - Maria Teresa Lluch-Canut
- Public Health, Mental Health and Maternal-Infant Nursing Department, Nursing College, Universitat de Barcelona, Health Sciences Campus Bellvitge, Hospitalet de Llobregat, Barcelona, Spain.,Research Group GEIMAC (Consolidated Group 2017-1681: Group of Studies of Invarianza of the, Instruments of Measurement and Analysis of Change in the Social and Health Areas), Barcelona, Spain
| | | | - Manuel Tomás-Jiménez
- Parc Sanitari Sant Joan de Déu, Dr. Antoni Pujades 42, 08830, Sant Boi de Llobregat, Spain
| | - Sara Sanchez-Balcells
- Parc Sanitari Sant Joan de Déu, Dr. Antoni Pujades 42, 08830, Sant Boi de Llobregat, Spain
| | - Agneta Schröder
- University Health Care Research Center, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.,Department of Nursing, Faculty of Health Care and Nursing, Norwegian University of Science and Technology (NTNU), Trondheim, Norway
| | - Lars-Olov Lundqvist
- University Health Care Research Center, Faculty of Medicine and Health, Örebro University, Örebro, Sweden
| | - Gemma Escuder-Romeva
- Parc Sanitari Sant Joan de Déu, Dr. Antoni Pujades 42, 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
| | - Juan Roldán-Merino
- Public Health, Mental Health and Maternal-Infant Nursing Department, Nursing College, Universitat de Barcelona, Health Sciences Campus Bellvitge, Hospitalet de Llobregat, Barcelona, Spain.,Campus Docent Sant Joan de Déu, Miret i Sans, 10-16, 08034, Barcelona, Spain.,Research Group GIES (Grupo de Investigación en Enfermería, Educación y Sociedad), 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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Sanchez-Balcells S, Lluch-Canut MT, Domínguez Del Campo M, Moreno-Poyato AR, Tomás-Jiménez M, Lundqvist LO, Schröder A, Puig-Llobet M, Roldan-Merino JF. A Spanish adaptation of the Quality in Psychiatric Care-Inpatient (QPC-IP) instrument: Psychometric properties and factor structure. BMC Nurs 2021; 20:191. [PMID: 34625079 PMCID: PMC8501705 DOI: 10.1186/s12912-021-00710-3] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2021] [Accepted: 08/28/2021] [Indexed: 11/30/2022] Open
Abstract
Background and aim Western countries share an interest in evaluating and improving quality of care in the healthcare field. The aim was to develop and examine the psychometric properties and factor structure of the Spanish version of the Quality in Psychiatric Care–Inpatient (QPC-IP) instrument. Methods A psychometric study was conducted, translating the QPC-IPS instrument into Spanish, revision of the instrument by a panel of experts, and assessing its psychometric properties. 150 psychiatric inpatients completed the QPC-IP. Test-retest reliability was assessed by re-administering the questionnaire to 75 of these patients. Results After conducting pilot testing and a cognitive interview with 30 inpatients, it was determined that the QPC-IPS was adequate and could be self-administered. A Cronbach’s alpha of 0.94 was obtained for the full instrument and values of 0.52–0.89 for the various dimensions of the questionnaire. Test re test reliability: The Intraclass Correlation Coefficient for the full questionnaire was 0.69, while for the individual dimensions values between 0.62 and 0.74 were obtained, indicating acceptable temporal stability. Convergent validity was analysed using 10-point numerical satisfaction scale, giving a positive correlation (0.49). Confirmatory factor analysis revealed six factors consistent with the original scale. The Spanish version yielded adequate results in terms of validity and reliability. Conclusion Our findings provide evidence of the convergent validity, reliability, temporal stability and construct validity of the Spanish QPC-IP for measuring patient quality in psychiatric care in Spanish hospitals. Hospital administrators can use this tool to assess and identify areas for improvement to enhance quality in psychiatric care.
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Affiliation(s)
- Sara Sanchez-Balcells
- Community mental health nurse and case manager of the continuity of care program, Parc Sanitari Sant Joan de Déu, Sant Boi del Llobregat, Spain
| | - Maria-Teresa Lluch-Canut
- Department of Public Health, Mental Health and Maternal-Child Nursing, School of Nursing, University of Barcelona, Health Sciences Campus Bellvitge, L'Hospitalet de Llobregat, Barcelona, Spain
| | | | - A R Moreno-Poyato
- Department of Public Health, Mental Health and Maternal and Child Health Nursing, Nursing School, University of Barcelona, L'Hospitalet de Llobregat, Spain
| | - M Tomás-Jiménez
- Parc Sanitari Sant Joan de Déu, Sant Boi del Llobregat, Spain
| | - Lars-Olov Lundqvist
- University Health Care Research Center, Faculty of Medicine and Health, Örebro University, Örebro, Sweden
| | - Agneta Schröder
- Department of Health Science, Faculty of Health, Care and Nursing, Norwegian University of Science and Technology (NTNU), Gjövik, Norway.,University Health Care Research Center, Faculty of Medicine and Health, Örebro University, Örebro, Sweden
| | - Montserrat Puig-Llobet
- Department of Public Health, Mental Health and Maternal-Child Nursing, School of Nursing, University of Barcelona, Health Sciences Campus Bellvitge, L'Hospitalet de Llobregat, Barcelona, Spain.
| | - J F Roldan-Merino
- Department of Mental Health, Campus Docent Sant Joan de Déu-Fundació Privada, University of Barcelona, Barcelona, Spain
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Selvin M, Almqvist K, Kjellin L, Schröder A. Patient participation in forensic psychiatric care: Mental health professionals' perspective. Int J Ment Health Nurs 2021; 30:461-468. [PMID: 33098186 PMCID: PMC7984362 DOI: 10.1111/inm.12806] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/30/2020] [Revised: 09/29/2020] [Accepted: 10/02/2020] [Indexed: 11/26/2022]
Abstract
Patient participation is a central concept in modern health care and an important factor in theories/models such as person-centred care, shared decision-making, human rights approaches, and recovery-oriented practice. Forensic psychiatric care involves the treatment of patients with serious mental illnesses who also have committed a crime, and there are known challenges for mental health staff to create a health-promoting climate. The aim of the present study was to describe mental health professionals' perceptions of the concept of patient participation in forensic psychiatric care. Interviews were conducted with 19 professionals and were analysed with a phenomenographic approach. The findings are presented as three descriptive categories comprising five conceptions in an hierarchic order: 1. create prerequisites - to have good communication and to involve the patient, 2. adapt to forensic psychiatric care conditions - to take professional responsibility and to assess the patient's current ability, and 3. progress - to encourage the patient to become more independent. The findings highlight the need for professionals to create prerequisites for patient participation through good communication and involving the patient, whilst adapting to forensic psychiatric care conditions by taking professional responsibility, assessing the patient's ability, and encouraging the patient to become more independent without adding any risks to the care process. By creating such prerequisites adapted to the forensic psychiatric care, it is more likely that the patients will participate in their care and take more own responsibility for it, which also may be helpful in the patient recovery process.
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Affiliation(s)
- Mikael Selvin
- University Health Care Research CenterFaculty of Medicine and HealthÖrebro UniversityÖrebroSweden
| | - Kjerstin Almqvist
- Department for Social and Psychological StudiesKarlstad UniversityKarlstadSweden
| | - Lars Kjellin
- University Health Care Research CenterFaculty of Medicine and HealthÖrebro UniversityÖrebroSweden
| | - Agneta Schröder
- University Health Care Research CenterFaculty of Medicine and HealthÖrebro UniversityÖrebroSweden
- Department of Health ScienceFaculty of Health, Care and NursingNorwegian University of Science and Technology (NTNU)GjövikNorway
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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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Marklund L, Wahlroos T, Looi GME, Gabrielsson S. 'I know what I need to recover': Patients' experiences and perceptions of forensic psychiatric inpatient care. Int J Ment Health Nurs 2020; 29:235-243. [PMID: 31642598 DOI: 10.1111/inm.12667] [Citation(s) in RCA: 23] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/29/2019] [Revised: 09/25/2019] [Accepted: 09/30/2019] [Indexed: 01/10/2023]
Abstract
Patients find forensic psychiatric care inadequate in that they are not treated as individuals and not involved in their own care. The purpose of this study was to describe patients' experiences and perceptions of forensic psychiatric inpatient care. Semi-structured interviews were conducted with 11 inpatients. A qualitative content analysis resulted in a recurring theme, 'I know what I need to recover', and three main categories: 'A need for meaning in a meagre existence', 'A need to be a person in an impersonal context', and 'A need for empowerment in a restricted life'. Participants experienced and perceived forensic care as predominantly monotonous, predetermined, and not adapted to them as individuals, forcing them to fight and adapt to get through it and not lose themselves. Perceived needs were largely ignored or opposed by staff due to the content and structure of care. Findings suggest a need for reflective practices and patient involvement in order to develop and maintain a person-centred and recovery-oriented nursing practice. The study adds to previous research showing the importance of patients in forensic psychiatric inpatient care being listened to and involved in their care. The study is reported in accordance with the COREQ guidelines.
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Affiliation(s)
- Lisa Marklund
- Department of Forensic Psychiatric Care, Region Norrbotten, Piteå, Sweden
| | - Terese Wahlroos
- Department of Forensic Psychiatric Care, Region Norrbotten, Piteå, Sweden
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A psychometric evaluation of the Indonesian version of the Quality in Psychiatric Care-Inpatient Staff (QPC-IPS) instrument. Asian J Psychiatr 2019; 46:29-33. [PMID: 31590006 DOI: 10.1016/j.ajp.2019.09.027] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/08/2019] [Revised: 09/24/2019] [Accepted: 09/26/2019] [Indexed: 11/24/2022]
Abstract
AIM The aim of the present study was to evaluate the psychometric properties and factor structure of the Indonesian version of the Quality of Psychiatric Care - Inpatient Staff (QPC-IPS) instrument. METHODS A sample of 192 permanently employed members of staff at two general psychiatric wards in Indonesia completed the QPC-IPS, which consists of 30 items covering six dimensions of quality. RESULTS Confirmatory factor analysis revealed that the factor structure of the Indonesian version was equivalent to that proposed from the original Swedish QPC-IPS. Internal consistency for the full QPC-IPS was adequate, but poor for some of the factors. The results thus demonstrate that the concept of quality of care expressed in the QPC-IPS is to a large extent equivalent among staff in fundamentally different health care systems and cultural contexts. CONCLUSION The Indonesian QPC-IPS is a useful instrument for evaluating staff perception of psychiatric inpatient care in Indonesia, and thus contributes to health care improvement in the field of psychiatry. The QPC-IPS can be used together with the Quality of Psychiatric Care- In-Patient (QPC-IP) instrument, which is completed by the inpatients themselves, to improve the quality of psychiatric inpatient care and national as well as international benchmarking.
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Selvin M, Almqvist K, Kjellin L, Lundqvist LO, Schröder A. Patient and staff experiences of quality in Swedish forensic psychiatric care: a repeated cross-sectional survey with yearly sampling at two clinics. Int J Ment Health Syst 2019; 13:8. [PMID: 30733827 PMCID: PMC6359846 DOI: 10.1186/s13033-019-0265-z] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/17/2018] [Accepted: 01/24/2019] [Indexed: 01/20/2023] Open
Abstract
Background Systematic efforts to improve the quality, safety and value of health care have increased over the last decades. Even so, it is hard to choose priorities and to know when the desired results are reached, especially in forensic psychiatric care where there can be a discrepancy between patient and staff expectations of what good quality of care is and how it should be reached. The aim of the present study was to describe and compare patient and staff experiences of quality of care in two forensic psychiatric clinics over a period of 4 years. Methods A quantitative design was used and yearly between 2011 and 2014, a total of 105 questionnaires were answered by patients and 598 by staff. Results The sample consisted of four different groups; patient and staff in Clinic A and Clinic B respectively. The repeated measurements showed that quality of care, as described by the patients, varied over time, with significant changes over the 4 years. The staff evaluations of the quality of care were more stable over time in both clinics compared with the patients. Generally, the staff rated the quality as being better than the patients but these differences tended to decrease when efforts were made to improve the care. Conclusions It is important to highlight both what staff and patients perceive as both high and low quality care. With regular measurements and sufficient resources, training, support and leadership, the chances of successful improvement work increase. This knowledge is important in forensic nursing practice, for teaching and for management and decision makers in the constant work of improving forensic psychiatric care.
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Affiliation(s)
- Mikael Selvin
- 1University Health Care Research Center, Faculty of Medicine and Health, Örebro University, 701 85 Örebro, Sweden
| | - Kjerstin Almqvist
- 2Department for Social and Psychological studies, Karlstad University, Karlstad, Sweden
| | - Lars Kjellin
- 1University Health Care Research Center, Faculty of Medicine and Health, Örebro University, 701 85 Örebro, Sweden
| | - Lars-Olov Lundqvist
- 1University Health Care Research Center, Faculty of Medicine and Health, Örebro University, 701 85 Örebro, Sweden
| | - Agneta Schröder
- 1University Health Care Research Center, Faculty of Medicine and Health, Örebro University, 701 85 Örebro, Sweden.,3Department of Nursing, Faculty of Health, Care and Nursing, Norwegian University of Science and Technology (NTNU), Gjövik, Norway
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Wijk H, Deglʼ Innocenti A, Kullgren A, Alexiou E. Evidence-Based Design Has a Sustainable Positive Effect on Patients' Perceptions of Quality of Care in Forensic Psychiatry: A 3-Year Follow-Up Study. JOURNAL OF FORENSIC NURSING 2019; 15:60-68. [PMID: 30653189 DOI: 10.1097/jfn.0000000000000226] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
This prospective longitudinal study aimed to assess the sustainable effect on patients' assessment of ward atmosphere and quality of care at three forensic psychiatric clinics relocated to new facilities built with the latest evidence-based healthcare environment design to support recovery. Baseline data were collected in the old facilities and during three follow-ups after relocation, between 2010 and 2016. Of 74 patients who gave informed consent to participate, 58 patients (100%) answered the questionnaires at baseline, with 25 patients (43%) completing them at Follow-up 1, 11 patients (19%) at Follow-up 2, and seven patients (12%) at Follow-up 3. This study provides evidence that the mean values of patients' perceptions of care quality in these forensic psychiatric facilities increased when moving to new buildings and were stable up to 3 years after relocation, which was statistically significant in the domain of secluded environment (p < 0.05). The sample size at Follow-up 3 was small, and thus the results are limited, which indicates that further research is needed to confirm the findings.
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Affiliation(s)
- Helle Wijk
- Department Quality Assurance, Sahlgrenska University Hospital
| | - Alessio Deglʼ Innocenti
- Center for Ethics, Law, and Mental Health, Sahlgrenska Academy, University of Gothenburg
- Gothia Forum for Clinical Trials, Sahlgrenska University Hospital
| | | | - Eirini Alexiou
- Center for Ethics, Law, and Mental Health, Sahlgrenska Academy, University of Gothenburg
- Forensic Psychiatric Clinic, Sahlgrenska University Hospital
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Sanchez-Balcells S, Callarisa Roca M, Rodriguez-Zunino N, Puig-Llobet M, Lluch-Canut MT, Roldan-Merino JF. Psychometric properties of instruments measuring quality and satisfaction in mental health: A systematic review. J Adv Nurs 2018; 74:2497-2510. [PMID: 30043479 DOI: 10.1111/jan.13813] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2017] [Revised: 05/27/2018] [Accepted: 06/26/2018] [Indexed: 10/28/2022]
Abstract
AIM To identify the methodological quality of each study and analyse the psychometric properties of instruments measuring quality and satisfaction with care from the perspective of mental health patients and professionals. BACKGROUND In recent years, interest in rigorously assessing quality of care in mental health and nursing has increased. Health professionals and researchers should select the most adequate instrument based on knowledge of its measurement properties. REVIEW DESIGN A psychometric review was conducted of the instruments from the perspectives of both patients and professionals according to the COnsensus-based Standards for the selection of health Measurement INstruments panel (COSMIN). DATA SOURCES Articles published from January 2005 - September 2016 were identified in a search of MEDLINE, CINAHL, and SCOPUS. We included studies in English, Spanish, and Portuguese. REVIEW METHODS Inclusion criteria were applied to all articles validated and reviewed by a second independent reviewer. The analysis included the use of the COSMIN checklist and the Terwee quality criteria. RESULTS In the 34 studies selected, a total of 22 instruments which measure quality and satisfaction with care provided, according to patients and/or professionals, were identified. Most are instruments with sound, contemporary theoretical foundations. They vary to the extent to which they have been used in empirical studies and with respect to evaluation of their validity and reliability, although five instruments stand out as yielding good-excellent values in quality criteria. CONCLUSION The present psychometric review found that five of the instruments met valid psychometric criteria. In light of the current economic situation, future reviews should include analysis of the usefulness of instruments based on cost-effectiveness, acceptability, and educational impact.
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Affiliation(s)
| | - Marta Callarisa Roca
- Department of Mental Health, Sant Joan de Déu School of Nursing, University of Barcelona, Barcelona, Spain
| | | | - Montserrat Puig-Llobet
- Department of Public Health, Mental Health and Maternal-Child Nursing, School of Nursing, University of Barcelona, Health Sciences Campus Bellvitge, L'Hospitalet de Llobregat, Barcelona, Spain
| | - Maria-Teresa Lluch-Canut
- Department of Public Health, Mental Health and Maternal-Child Nursing, School of Nursing, University of Barcelona, Health Sciences Campus Bellvitge, L'Hospitalet de Llobregat, Barcelona, Spain
| | - Juan F Roldan-Merino
- Department of Mental Health, Campus Docent Sant Joan de Déu-Fundació Privada, University of Barcelona, Barcelona, Spain.,Faculty of Nursing, Rovira i Virgili University of Tarragona, Tarragona, Spain.,Universitat Autònoma de Barcelona, Barcelona, Spain
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16
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Miglietta E, Belessiotis-Richards C, Ruggeri M, Priebe S. Scales for assessing patient satisfaction with mental health care: A systematic review. J Psychiatr Res 2018; 100:33-46. [PMID: 29482063 DOI: 10.1016/j.jpsychires.2018.02.014] [Citation(s) in RCA: 48] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/22/2017] [Revised: 02/15/2018] [Accepted: 02/16/2018] [Indexed: 01/18/2023]
Abstract
BACKGROUND Patient satisfaction with mental health care has become an important construct in research and routine care. Both as a process measure and as an outcome criterion in its own right, it needs to be assessed with appropriate scales. PURPOSE To provide a review of scales for assessing patient satisfaction in different settings, their characteristics and the content of care that they cover. METHOD A systematic search of electronic databases was conducted to identify studies that used a scale to assess patient satisfaction with care in mental health services. Peer reviewed articles were screened by two independent reviewers and included when they met predetermined criteria. Data on the characteristics of scales found in at least two studies were extracted and a qualitative analysis was performed to identify the contents of included scales. RESULTS Twenty-eight scales were identified. They vary substantially in terms of structure, length, focus and quality. The qualitative analyses identified a total of 19 contents of care that were covered in the scales. The most consistent contents across scales were overall satisfaction, followed by relationship with staff and staff skills. DISCUSSION A wide range of scales have been used to assess patient satisfaction with mental health care in different settings. Whilst some scales have been frequently used, there is no consensus on a gold standard one. The choice of the most appropriate scale depends on the aim of the assessment, the setting, the content that should be covered, and the time available for the assessment.
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Affiliation(s)
- Elisabetta Miglietta
- Section of Psychiatry, Department of Neuroscience, Biomedicine and Movement Science, University of Verona, Verona, Italy.
| | - Clara Belessiotis-Richards
- Unit for Social and Community Psychiatry (World Health Organisation Collaborating Centre for Mental Health Services Development), Queen Mary University of London, London, UK
| | - Mirella Ruggeri
- Section of Psychiatry, Department of Neuroscience, Biomedicine and Movement Science, University of Verona, Verona, Italy
| | - Stefan Priebe
- Unit for Social and Community Psychiatry (World Health Organisation Collaborating Centre for Mental Health Services Development), Queen Mary University of London, London, UK
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Lundqvist LO, Anna N, Rafiyah I, Schröder A. Indonesian adaptation of the Quality in Psychiatric Care-Inpatient (QPC-IP) instrument: Psychometric properties and factor structure. Asian J Psychiatr 2018; 34:1-5. [PMID: 29550549 DOI: 10.1016/j.ajp.2018.03.006] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/25/2017] [Revised: 12/05/2017] [Accepted: 03/01/2018] [Indexed: 11/30/2022]
Abstract
AIM The aim of the present study was to adapt and evaluate the psychometric properties and factor structure of the Indonesian version of the Quality in Psychiatric Care - Inpatient (QPC-IP) instrument. METHODS The QPC-IP is based on a definition of quality of care from the patient's perspective; it consists of 30 items covering six factors. A sample of 150 inpatients at general psychiatric wards in Indonesia completed the QPC-IP questionnaire. RESULTS Confirmatory factor analysis revealed that the factor structure of the Indonesian version was equivalent to that of the original Swedish QPC-IP, with the exception of the secluded environment factor. The results thus demonstrate that the concept of quality of care expressed in the QPC-IP is to a large extent equivalent among inpatients in fundamentally different health care systems and cultural contexts. Internal consistency for the full QPC-IP was adequate, but poor for the separate factors. CONCLUSION The Indonesian QPC-IP is a useful instrument for evaluating psychiatric inpatient care, and thus contributes to health care improvement in the field of psychiatry.
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Affiliation(s)
- Lars-Olov Lundqvist
- University Health Care Research Center, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.
| | - Nur Anna
- Faculty of Nursing, Padjajaran University, Padjajaran, Indonesia
| | - Imas Rafiyah
- Faculty of Nursing, Padjajaran University, Padjajaran, Indonesia
| | - Agneta Schröder
- University Health Care Research Center, Faculty of Medicine and Health, Örebro University, Örebro, Sweden; Department of Health Science, Faculty of Health, Care and Nursing, Norwegian University of Science and Technology (NTNU), Gjövik, Norway
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18
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Askola R, Nikkonen M, Paavilainen E, Soininen P, Putkonen H, Louheranta O. Forensic Psychiatric Patients' Perspectives on Their Care: A Narrative View. Perspect Psychiatr Care 2018; 54:64-73. [PMID: 27901274 DOI: 10.1111/ppc.12201] [Citation(s) in RCA: 20] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/10/2016] [Revised: 10/16/2016] [Accepted: 11/05/2016] [Indexed: 11/29/2022] Open
Abstract
PURPOSE The purpose of this study is to describe forensic psychiatric patients' experiences of and perspectives on forensic psychiatric treatment. DESIGN AND METHODS Eight forensic psychiatric patients were interviewed, and the resultant research material was analyzed by narrative analysis. FINDINGS Patients' narratives contain different themes telling different things and the personnel need to pay attention to these. PRACTICE IMPLICATIONS The findings of the present study should direct the forensic psychiatric personnel's attention to the notion that forensic psychiatric patients' experiences of their treatment can improve the quality of patient-centered care and reduce bureaucracy.
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Affiliation(s)
- Riitta Askola
- Riitta Askola, MNSc, RN, is Nurse Manager, Psychiatry Center, Helsinki University Hospital, Helsinki, Finland.,PhD student, Department of Nursing Science, School of Health Sciences, University of Tampere, Tampere, Finland
| | - Merja Nikkonen
- Merja Nikkonen, PhD, is Adjunct Professor, Department of Nursing Science, School of Health Sciences, University of Tampere, Tampere, Finland
| | - Eija Paavilainen
- Eija Paavilainen, PhD, is Professor, Department of Nursing Science, School of Health Sciences, University of Tampere, Tampere, Finland
| | - Päivi Soininen
- Päivi Soininen, PhD, MhSC, RN, is Nursing Director, Helsinki University Hospital, Helsinki, Finland
| | - Hanna Putkonen
- Hanna Putkonen, PhD, is Senior Researcher, Vanha Vaasa Hospital, Vaasa, Finland
| | - Olavi Louheranta
- Olavi Louheranta, ThM, PhD, is Supervisor, Niuvanniemi Hospital, Niuvankuja, Kuopio, Finland
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Lundqvist LO, Ivarsson AB, Rask M, Brunt D, Schröder A. The attendees' view of quality in community-based day centre services for people with psychiatric disabilities. Scand J Occup Ther 2017; 25:162-171. [PMID: 28145145 DOI: 10.1080/11038128.2017.1283441] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
BACKGROUND/AIMS Community-based day centres in Sweden are well-established arenas for psychiatric rehabilitation, but little is known of the attendees' perception of the quality of the service provided. The aim of the study was thus to describe and investigate the quality of the services in community-based day centre for people with psychiatric disabilities. METHODS A sample of 218 attendees in 14 community-based day centre services in Sweden completed the Quality in Psychiatric Care - Daily Activities (QPC-DA). RESULTS The results showed that people with psychiatric disabilities perceived the quality of community-based day centre services as high. Most notably, quality of service was rated higher by those with lower educational level, had waited shorter time to attend the centre, and had better mental and physical health. However, particularly aspects of a secluded environment and participation (information) may be areas with potential for improvement. CONCLUSION/SIGNIFICANCE From an occupational science perspective, the results adhere to the importance of occupational balance, with periods of rest/privacy during the time at the centre.
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Affiliation(s)
- Lars-Olov Lundqvist
- a Faculty of Medicine and Health , University Health Care Research Center, Örebro University , Örebro , Sweden
| | - Ann-Britt Ivarsson
- b School of Health and Medical Sciences , Örebro University , Örebro , Sweden
| | - Mikael Rask
- c School of Health and Caring Sciences , Linnaeus University , Växjö , Sweden
| | - David Brunt
- c School of Health and Caring Sciences , Linnaeus University , Växjö , Sweden
| | - Agneta Schröder
- a Faculty of Medicine and Health , University Health Care Research Center, Örebro University , Örebro , Sweden.,d Department of Nursing, Faculty of Health, Care and Nursing , Norwegian University of Science and Technology (NTNU) , Gjövik , Norway
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20
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Rask M, Schröder A, Lundqvist LO, Ivarsson AB, Brunt D. Residents' View of Quality in Ordinary Housing with Housing Support for People with Psychiatric Disabilities. Issues Ment Health Nurs 2017; 38:132-138. [PMID: 27936987 DOI: 10.1080/01612840.2016.1253806] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
The aim of the present study was to investigate the quality of housing support provided in housing services for people with psychiatric disabilities living in ordinary housing with housing support from the residents' perspective, by using the QPC-H instrument. A sample of 174 residents in ordinary housing, receiving housing support from 22 housing support services in nine Swedish municipalities, participated in this study. The results show that the quality of psychiatric care in housing services was mainly rated highly as measured with the QPC-H instrument. The dimensions Encounter and Secluded Environment were the aspects that were rated as the two with the highest quality of housing service. The dimensions Participation and Secure Environment were rated as those with the lowest quality. There were more residents who totally disagreed with the statements in the dimensions Participation and Housing Specific than in the other dimensions. The perceived lower quality in Encounter, Participation, Support and the Housing Specific dimensions was associated with a low frequency of psychiatric outpatient clinic contacts. A conclusion is that the support staff could be more observant regarding the residents' need for support and also talk more with them about what could be done to assist them. It also seems important that the support staff discuss with the residents regarding how they can help them to feel more secure in their accommodation.
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Affiliation(s)
- Mikael Rask
- a Linnaeus University, School of Health and Caring Sciences , Växjö , Sweden
| | - Agneta Schröder
- c Örebro University, University Health Care Research Center, Faculty of Medicine and Health, Örebro, Sweden Norwegian University of Science and Technology (NTNU), Department of Nursing, Faculty of Health, Care and Nursing , Gjövik , Norway
| | - Lars-Olov Lundqvist
- b Örebro University, University Health Care Research Center, Faculty of Medicine and Health , Örebro , Sweden
| | - Ann-Britt Ivarsson
- d Örebro University, School of Health and Medical Sciences , Örebro , Sweden
| | - David Brunt
- a Linnaeus University, School of Health and Caring Sciences , Växjö , Sweden
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The impact of facility relocation on patients' perceptions of ward atmosphere and quality of received forensic psychiatric care. J Forensic Leg Med 2016; 42:1-7. [DOI: 10.1016/j.jflm.2016.04.014] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2015] [Revised: 02/16/2016] [Accepted: 04/27/2016] [Indexed: 11/20/2022]
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Measuring quality in community based housing support - the QPC-H instrument. Int J Health Care Qual Assur 2016; 29:267-75. [DOI: 10.1108/ijhcqa-05-2015-0067] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Purpose
The purpose of the study was to test the psychometric properties and dimensionality of the instrument Quality in Psychiatric Care – Housing (QPC–H) and briefly describe the residents perception of quality of housing support.
Design/methodology/approach
A sample of 174 residents from 22 housing support services in nine Swedish municipalities participated in the study. Confirmatory factor analysis revealed that the QPC–H consisted of six dimensions and had a factor structure largely corresponding to that found among other instruments in the Quality in Psychiatric Care family of instruments
Findings
Confirmatory factor analysis revealed that the QPC–H consisted of six dimensions and had a factor structure largely corresponding to that found among other instruments in the Quality in Psychiatric Care family of instruments. The internal consistency of the factors was acceptable except in the case of secure and secluded environment, probably due to few numbers of items. With this exception, the QPC–H shows adequate psychometric properties.
Originality/value
The QPC–H includes important aspects of residents’ assessment of quality of housing service and offers a simple and inexpensive way to evaluate housing support services from the residents’ perspective.
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Selvin M, Almqvist K, Kjellin L, Schröder A. The Concept of Patient Participation in Forensic Psychiatric Care: The Patient Perspective. JOURNAL OF FORENSIC NURSING 2016; 12:57-63. [PMID: 27088759 DOI: 10.1097/jfn.0000000000000107] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
The importance of patient participation is advocated in medical treatment and nursing care and has been linked to increased quality of care, increased patient satisfaction, and treatment adherence. Still, patients in forensic psychiatric care often report being unhappy with their experienced level of participation. The concept of patient participation is complex and has several definitions, thus it is important to investigate it from different perspectives in different contexts. The aim of this study was to describe patients' perceptions of the concept of patient participation in forensic psychiatric care. A qualitative design with a phenomenographic approach was used, and interviews with 19 participants in a Swedish setting were completed. The participants described the concept of patient participation in forensic psychiatric care as follows: influence, to have good communication and to be involved; confidence, to have mutual trust and to trust the care; and own responsibility, to participate in activities and to take the initiative. On the basis of the results of this study, improved patient participation in forensic psychiatric care may be achieved with active communication, by building up and maintaining trust for professional competence and by encouraging patients' own responsibility. It is important that knowledge about patients' views of the concept of patient participation is included in the planning and improvement of forensic care.
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Affiliation(s)
- Mikael Selvin
- Author Affiliations: 1University Health Care Center, Faculty of Medicine and Health, Örebro University, Örebro, Sweden; and 2Department for Social and Psychological studies, Karlstad University, Karlstad, Sweden
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Lundqvist LO, Ivarsson AB, Brunt D, Rask M, Schröder A. Quality of community-based day centre services for people with psychiatric disabilities: psychometric properties of the Quality in Psychiatric Care – Daily Activities (QPC–DA). Scand J Occup Ther 2015; 23:91-6. [DOI: 10.3109/11038128.2015.1075066] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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Lundqvist LO, Schröder A. Patient and staff views of quality in forensic psychiatric inpatient care. JOURNAL OF FORENSIC NURSING 2015; 11:51-58. [PMID: 25695210 DOI: 10.1097/jfn.0000000000000060] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
The study describes and compares perceived quality of care among patients and staff using the Quality in Psychiatric Care-Forensic In-Patient and the Quality in Psychiatric Care-Forensic In-Patient Staff questionnaires. The questionnaires are both based on the perception of the quality of the forensic psychiatric care given to the patients, but the wording is adjusted to fit patients or staff. The study sample consisted of 66 patients and 202 staff members from 12 forensic units in Sweden. Using multiple regression analyses to adjust for demographic variables, it was found that patients perceived the quality of support and secluded environment lower than did staff, whereas staff had lower perceptions than patients of the quality of secure environment. The combination of these questionnaires provides new possibilities for assessing the quality of forensic psychiatric care and evaluating interventions, important factors in the management and planning of forensic care.
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Affiliation(s)
- Lars-Olov Lundqvist
- Author Affiliations: 1Centre for Rehabilitation Research, Örebro County Council; 2School of Law, Psychology and Social work, Örebro University; 3School of Health and Medical Sciences, Örebro University; and 4Psychiatric Research Centre, Örebro County Council
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Lundqvist LO, Riiskjaer E, Lorentzen K, Schröder A. Factor Structure and Psychometric Properties of the Danish Adaptation of the Instrument Quality in Psychiatric Care-Forensic In-Patient Staff (QPC-FIPS). ACTA ACUST UNITED AC 2014. [DOI: 10.4236/ojn.2014.412093] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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