Abstract
BackgroundPerson-centred care is the preferred model for caring for people with dementia. Knowledge of the level of person-centred care is essential for improving the quality of care for patients with dementia. The person-centred care of older people with cognitive impairment in acute care (POPAC) scale is a tool to determine the level of person-centred care. This study aimed to translate and validate the Dutch POPAC scale and evaluate its psychometric properties to enable international comparison of data and outcomes.MethodsAfter double-blinded forward and backward translations, a total of 159 nurses recruited from six hospitals (n=114) and via social media (n=45) completed the POPAC scale. By performing confirmatory factor analysis, construct validity was tested. Cronbach’s alpha scale was utilized to establish internal consistency.ResultsThe confirmatory factor analysis showed that the comparative fit index (0.89) was slightly lower than 0.9. The root mean square error of approximation (0.075, p=0.012, CI 0.057–0.092) and the standardized root mean square residual (0.063) were acceptable, with values less than 0.08. The findings revealed a three-dimensional structure. The factor loadings (0.69–0.77) indicated the items to be strongly associated with their respective factors. The results also indicated that deleting Item 5 improved the Cronbach’s alpha of the instrument as well as of the subscale ‘using cognitive assessments and care interventions’. Instead of deleting this item, we suggest rephrasing it into a positively worded item.ConclusionsOur findings suggest that the Dutch POPAC scale is sufficiently valid and reliable and can be utilized for assessing person-centred care in acute care hospitals. The study enables nurses to interpret and compare person-centred care levels in wards and hospital levels nationally and internationally. The results form an important basis for improving the quality of care and nurse-sensitive outcomes, such as preventing complications and hospital stay length.
Highlights
Person-centred care is the preferred model for caring for people with dementia
Nursing care for people with dementia should be based on evidence, best-practice care, and processes combined with person-centred care to prevent complications [6, 8,9,10,11]
Characteristics of the sample In total, 159 hospital nurses completed the people with cognitive impairment in acute care (POPAC) scale; 114 nurses were recruited directly from hospitals, and 45 nurses were recruited through social media
Summary
Knowledge of the level of person-centred care is essential for improving the quality of care for patients with dementia. People with dementia are regularly hospitalized due to comorbidities; they occupy approximately 25% of the hospital beds [2, 3] This population is at risk for falls during a hospital stay, inadequate hydration and nutrition, delirium, infection, and functional decline [4,5,6]. Specific knowledge about person-centred care, referred to as patient-centred or client-centred care, is limited in hospitals [11] Worldwide, it is the paragon in the care of people with dementia [10, 12]. In the care for people with dementia, Brooker’s definition and framework are often used [3, 18]
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