Development and Validation of a Person-Centered Perioperative Nursing Scale

Abstract

a b s t r a c tPurpose: The purpose of this study was to develop a scale to measure person-centered perioperative nursing (PCPON) and validate its psychometric properties. Methods: The preliminary items of the PCPON scale were developed through a literature review, indepth interviews, and content validity analysis. A total of 459 nurses working in the operating rooms of 21 hospitals in Korea responded to the questionnaire from September to October 2017. The collected data were analyzed by exploratory factor analysis (EFA) and confirmative factor analysis (CFA) using SPSS and AMOS programs. Results: The final PCPON scale consists of 20 items. Through EFA, five factors, compassionate interaction, respect, providing comfort, information sharing, and nursing expertise, were derived. The internal consistency of each factor of the PCPON scale, as represented by Cronbach a, was .76e.88. The model fit of the scale was satisfactory, and the items of the scale demonstrated convergent and discriminant validity. Conclusion: The evaluation of the new PCPON scale indicated good reliability and validity. The PCPON scale is easy to administer and implies factors of person-centered care. This scale can be used to assess the person-centered care in the perioperative nursing field.

The Development and Validation of the Healthcare Professional Humanization Scale (HUMAS) for Nursing

“…Several different focuses and studies have reported the need to seek a consensus with respect to the term, the humanization of care, which would contribute systematically to its development in the field of health [2]. In this respect, previous studies have agreed that the humanization of care is built upon people’s needs in the care relationship [4,10,11,16], for which purpose healthcare professionals must be committed to their work [17,21,22,23], which is promoted if they possess certain characteristics [27,28,29,34,39,40,46].…”

“…The approach to and use of the term “humanization” is very much present in the area of care, and has even come to be defined as the humanization of care, arising in response to the perception of a society where healthcare is dehumanized or depersonalized [1,2,3,4]. This is a situation that, even though considered multifactorial [5], may be associated to a great extent with emotional exhaustion, burnout [6,7,8], stress [2] or other factors more closely associated with the workplace, such as staffing ratios or the automation of care [2,9].…”

“…However, in spite of its rapid introduction and acceptance in the healthcare environment, there is still no clear definition of the concept of the humanization of care, which makes it somewhat vague, and has caused it to be considered a passing fashion by many. In this sense, there are various approaches directed toward the definition of the humanization of care, such as the one that defines care centered on the patient (patient-centered care) [2,10,11,12], or person-concentrated care [2,4], which makes it extrapolatable to healthcare professionals themselves, in addition to patients [3,13,14]. However, it should not be forgotten that the humanization of care is also understood as providing services and technologies, human resources and materials, and infrastructure for offering attention and ensuring the comfort and wellbeing of health service users [15].…”

Effects of a person‐centred care intervention in an intensive care unit: Using mixed methods to examine nurses’ perspectives

“…Various effects of PFCC have been reported; however, autonomous decision-making and family visitation are relatively difficult in Korea owing to doctor-centred intensive treatment, limited time and related policy (Lee & Yi, 2017). Several studies on PFCC in ICUs have been conducted worldwide, including analysing the concept , developing measures (Kang et al, 2018;Shin & Kang, 2019;Van Haitsma et al, 2014) and examining the effects of person-centred nursing interventions (Eaton, Roberts, & Turner, 2015). However, there are scant studies concerning PFCC in Korea (e.g.…”

“…However, there are scant studies concerning PFCC in Korea (e.g. Kang et al, 2018;Kang & Lim, 2019;Shin & Kang, 2019), and the existing research lacks an examination of ICU nurses' perspectives. Therefore, we examined nurses' experiences with and opinions concerning PFCC before and after applying a family-visiting programme, which was developed to reflect ICU characteristics, the Korean health care system and Korean family culture and relations.…”