Abstract
The aim of the present study was to evaluate the psychometric properties and dimensionality of the instrument Quality in Psychiatric Care-Forensic In-Patient Staff (QPC-FIPS) and to describe the perceived quality of psychiatric care among forensic inpatient service staff. A sample of 348 forensic inpatient staff from 18 forensic wards in Sweden participated in the study. A confirmatory factor analysis revealed a seven-factor structure with item loadings > 0.50 on expected factors, indicating adequate psychometric properties. The staff’s ratings of quality of care were high, 94% being positive. The highest ratings were found for the secluded-environment dimension and the lowest for the secure-environment dimension. Several factors influenced the ratings of quality of care, for instance, staff’s time to perform their duties and staff’s age. It is concluded that the QPC-FIPS can give valuable information about staff’s perceptions of the quality of care provided at inpatient forensic psychiatric care services, which can be used to identify areas for quality improvement. Use of the QPC-FIPS is an easy and inexpensive way to evaluate quality in forensic inpatient care, preferably in conjunction with the QPC-FIP instrument developed for forensic inpatients and covering the same items and dimensions.
Highlights
Quality of care in psychiatric care is considered to be a multifaceted concept [1] consisting of many aspects [2]
Confirmatory factor analysis was performed on the model that represents the factor structure based on the QPCFIP factor structure
The a priori seven first-order factor model with 34 items was regarded as a satisfactory representation of the factor structure of the Quality in Psychiatric Care (QPC)-FIPS and was considered the final model
Summary
Quality of care in psychiatric care is considered to be a multifaceted concept [1] consisting of many aspects [2]. The staff’s experience of the care they provide can be seen as one aspect of quality of care and could be used as an additional indicator of quality of care [5]. It has been shown, that the different professions in general psychiatric care have dissimilar views on what characterizes quality of care [6,7]. That the different professions in general psychiatric care have dissimilar views on what characterizes quality of care [6,7] In spite of this discrepancy, staff are expected to cooperate to give the patient good quality of care [8]. Patients’ assessments of quality of care in psychiatric services are often used as an important outcome [10], while staff’s assessment of quality of care rarely is used in psychiatric services [7,11]
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