1
|
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. Int J Environ Res 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] [What about the content of this article? (0)] [Affiliation(s)] [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.
Collapse
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
| |
Collapse
|
2
|
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] [What about the content of this article? (0)] [Affiliation(s)] [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.
Collapse
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
| |
Collapse
|
3
|
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] [What about the content of this article? (0)] [Affiliation(s)] [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.
Collapse
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
| |
Collapse
|
4
|
Sanchez-Balcells S, Lluch-Canut MT, Del Campo MD, Moreno-Poyato AR, Tomás-Jiménez M, Lundqvist LO, Schröder A, Puig-Llobet M, Roldan-Merino JF. Correction to: A Spanish adaptation of the Quality in Psychiatric Care-Inpatient (QPC-IP) instrument: Psychometric properties and factor structure. BMC Nurs 2022; 21:83. [PMID: 35410216 PMCID: PMC8996518 DOI: 10.1186/s12912-022-00829-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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, Nursing School, 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-Child Nursing, Nursing School, University of Barcelona, Health Sciences Campus Bellvitge, L'Hospitalet de Llobregat, Barcelona, 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
- 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
| | - Montserrat Puig-Llobet
- Department of Public Health, Mental Health and Maternal-Child Nursing, Nursing School, University of Barcelona, Health Sciences Campus Bellvitge, L'Hospitalet de Llobregat, Barcelona, Spain.
| | - J F Roldan-Merino
- Campus Docent Sant Joan de Déu‑Fundació Privada, University of Barcelona, Barcelona, Spain
| |
Collapse
|
5
|
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] [What about the content of this article? (0)] [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.
Collapse
|
6
|
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] [What about the content of this article? (0)] [Affiliation(s)] [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.
Collapse
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
| |
Collapse
|
7
|
Sanchez-Balcells S, Lundqvist LO, Roldán-Merino JF, Lluch-Canut MT, Callarisa Roca M, Rodríguez Zunino NF, Tomás-Jiménez M, Schröder A, Puig-Llobet M. A Spanish adaptation of the Quality in Psychiatric Care - Inpatient Staff (QPC-IPS) instrument: Psychometric properties and factor structure. An Sist Sanit Navar 2020; 43:307-321. [PMID: 33180053 DOI: 10.23938/assn.0921] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
BACKGROUND Western countries share an interest in evaluating quality of care in the healthcare field. In spite of this, there is a lack of intercultural comparison of the perceptions of professionals. One reason for this may be the lack of standardized instruments. The objective of this study was to investigate the psychometric properties and dimensions of the Spanish version of the Quality in Psychiatric Care-Inpatients Staff (QPC-IPS) instrument. METHODS After translation and revision of the instrument by a panel of experts, a questionnaire was obtained in Spanish that was administered to a pilot sample. A total of 163 professionals participated in the study. RESULTS After conducting pilot testing and a cognitive interview with 30 professionals, it was determined that the QPC-IPS was adequate and could be self-administered. Confirmatory factor analysis confirmed six factors that explained 60.9% of the variation. In terms of internal consistency, a Cronbach's alpha of 0.92 was obtained for the full instrument. For test re-test reliability, the intraclass correlation coefficient for the overall questionnaire was 0.91. Convergent validity was analyzed using the NTP394 satisfaction instrument, yielding a positive correlation (0.58). CONCLUSIONS The results demonstrated that the psychometric properties in terms of internal consistency, temporal stability (test-retest), content validity, and construct validity (confirmatory factor analysis) were adequate. These results confirm that the structure of the Spanish version is similar to the original Swedish version of the QPC-IP.
Collapse
Affiliation(s)
- S Sanchez-Balcells
- Parc Sanitari Sant Joan de Deu. Universidad de Barcelona. Sant Boi de Llobregat. Spain.
| | | | | | | | | | | | | | | | | |
Collapse
|
8
|
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] [What about the content of this article? (0)] [Affiliation(s)] [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.
Collapse
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
| |
Collapse
|