Factor Structure and Psychometric Properties of the Danish Adaptation of the Instrument Quality in Psychiatric Care-Forensic In-Patient Staff (QPC-FIPS)

Abstract

There is a need for an internationally standardized and psychometrically tested instrument to measure the perceptions of staff members on the quality of forensic inpatient care provided. The aim of the present study was to adapt the Swedish instrument Quality of Psychiatric Care-Forensic In-Patient Staff (QPC-FIPS) to the Danish context and to evaluate its psychometric properties and factor structure in this context. All permanently employed staff members at all 27 forensic inpatient wards in Denmark were invited to answer the Danish version of the QPC-FIPS. In total, 641 staff members participated, resulting in a response rate of 80%. The Danish version of the QPC-FIPS showed adequate psychometric properties and excellent goodness of fit of the hypothesised factor structure. Hence, the Danish QPC-FIPS is an excellent instrument for evaluating quality of forensic inpatient care both in clinical practice and in cross-cultural research. The members of staff generally reported that the care provided to patients was of high quality. The quality of the forensic-specific dimension was rated the highest, followed by the support, secluded environment, encounter, discharge and participation. The quality of the secure environment dimension was perceived to be the worst. The QPC-FIPS includes important aspects of staff members' assessments of quality of care and offers a simple and inexpensive way to evaluate psychiatric forensic inpatient care. The QPC-FIPS can be used together with the Quality of Psychiatric Care-Forensic In-Patient (QPC-FIP) instrument, which covers the same items and dimensions as the QPC-FIPS, to iden-* Corresponding author. L.-O. Lundqvist et al. 879 tify patients' and staff members' views on quality of care and to improve the quality of forensic psychiatric care and benchmarking.

The Relationships between Health Professionals’ Perceived Quality of Care, Family Involvement and Sense of Coherence in Community Mental Health Services

“…A large number of the mental health professionals (82%) perceived the quality of care as high. This finding is in line with other studies using the QPC instrument as an inpatient staff instrument reporting from various mental health service contexts and cultures, for example in Indonesia (Lundqvist et al, 2019) and in Denmark (Lundqvist et al, 2014). Moreover, some specific results related to the mental health professionals' QPC perceptions caught our interest.…”

The attendees’ view of quality in community-based day centre services for people with psychiatric disabilities

“…Before analysis, imputation was performed by replacing missing data points in questionnaires with the mean of that item in questionnaires having less than 30% missing items. Based on previous research on users perception of the quality of health services [16][17][18][19][20][21][22][23][24][25][26][27][28], we used 80% positive ratings (i.e. a score of at least 3 on QPC-DA items) as a cut off value defining satisfactory quality of service.…”

“…The QPC-DA is part of a family of instruments built on a definition of psychiatric care from interviews with psychiatric in-patients and outpatients [13]. In addition to day centre service, the QPC family of instruments currently cover a number of psychiatric service contexts such as in-patient [14], outpatient [15,16], forensic inpatient [17][18][19][20][21][22] and housing services [23,24]. The QPC-DA has been psychometrically tested and shows adequate reliability and validity [12], which makes it suitable for assessing the quality of day centre service from the attendees' perspective.…”

Structure and predictors of in-hospital nursing care leading to reduction in early readmission among patients with schizophrenia in Japan: A cross-sectional study

“…Revealing the structure of such in-hospital care will facilitate the development of intervention programs that support this transition. Previous studies have identified the structure of the following six types of in-hospital psychiatric care: care and management of inpatients who exhibit self-cutting behaviors [ 23 ]; case management practice [ 24 ]; health services to promote mental health [ 25 , 26 ]; psychiatric services in forensic inpatient care [ 27 ]; therapeutic attitudes of professionals working with drug abusers [ 28 ]; and rehabilitative care in longer term mental health facilities [ 29 – 32 ]. However, the structure of in-hospital care leading to reduction in early readmission is unclear.…”