Development and Validation of a Patient Version of Person-Centered Critical Care Nursing Questionnaire: A Methodological Study

Abstract

This study aimed to develop a questionnaire to evaluate person-centered critical care nursing from a patient perspective (PCCNPq). We created a 26-item preliminary questionnaire based on a literature review and qualitative interviews and administered it to 411 patients who had experienced critical care. We assessed the questionnaire’s reliability and validity using exploratory factor analysis and confirmatory factor analysis and tested internal consistency and test–retest reliability. The final version of the PCCNPq comprised five factors: compassion, expertise, communication, comfort, and respect. The model fit was satisfactory, and the items demonstrated good convergent and discriminant validity. In conclusion, the 20-item PCCNPq has acceptable reliability and validity and is applicable for assessing person-centered critical care nursing from a patient perspective.

The Factors Affecting Person-centered Care Nursing in Intensive Care Unit Nurses

“…중환자실 간호사는 중증도가 높은 환자와 특수한 환경 을 다룸으로 다른 의료분야와 구별되며 [3], 생명과 관련 된 긴급한 업무와 고도의 생명유지 기구들에 둘러싸여 있는 환자를 돌보면서, 그들을 하나의 인간이기보다는 단순한 치료의 대상으로 느끼기도 한다 [4]. 중환자실에 서 인간중심 간호를 수행하기 위해 치료 및 간호의 방 향은 생존에 국한되지 않고 환자의 가치를 인식하고 존 중하며, 신뢰 관계를 구축함으로써 환자가 자신의 치료 에 대한 의사결정에 참여하도록 개선되어야 한다는 목 소리가 높아지고 있다 [5].…”

Emotional response of critically-ill cardiac patients during hygiene procedures in intensive care: a prospective and descriptive study

“…Health care should be individualized and patientcentered care must be implemented; it is for this reason that studies focused on the patients' experience gain increasing relevance (4)(5)9) . There is not much evidence about ICU Nursing care experiences, and it is mainly limited to qualitative studies (13,25) .…”

“…Care Units (ICUs) is to be offered individualized and respectful care by physicians and nurses (14) . Oftentimes, activities such as patients' hygiene in bed can be routinely performed by the Nursing personnel and produce negative emotions in the patients (5,(15)(16)(17) . Some patients are conscious in CICUs; for them, losing their autonomy while performing the hygiene procedures might suppose an invasion to their intimacy.…”

“…It is for this reason that, currently, the individuals that are admitted to a CICU are very complex patients and, due to their criticality, require a series of Nursing care measures that ensure their safety on the one hand and, on the other, technical and perceived assistance quality at all times. The objective of all health providers is to offer patient-centered care seeking to improve the perceived quality of the assistance provided and to obtain better health results (4)(5)(6)(7)(8)(9) . Skin and mucosa hygiene and care are part of the everyday activities that Nursing workers should perform, generally in charge of two professionals, in order to help these patients meet their self-care deficit, with the possibility of generating feelings of dependence and vulnerability (10)(11)(12)(13) .…”

Effects of person-centred care and intensive care experience on post-intensive care syndrome in critical care survivors: a multi-centre prospective cohort study

“…PCC is professional care that respects patients as unique individuals while providing empathy, communication, advocacy and comfort [12]. It is also called patient-and family-centred care (PFCC) in the ICU [13].…”