Further psychometric testing of an instrument to measure emotional care in hospital

Williams, Anne M.; Pienaar, Catherine; Toye, Christine; Joske, David; Lester, Leanne

doi:10.1111/j.1365-2702.2011.03846.x

Cited by 8 publications

(18 citation statements)

References 27 publications

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“…Patient evaluation of emotional care during hospitalisation Williams et al (2011) Tool to evaluate quality of interpersonal interactions of staff that had been experienced during hospitalization. Originally containing 3 subscales of Level of Security, Level of Knowing, and Level of Personal Knowing.…”

Section: Recommendationsmentioning

confidence: 99%

State of the Science of Nursing Presence Revisited: Knowledge for Preserving Nursing Presence Capability

Turpin¹

2014

International Journal for Human Caring

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Nursing presence has been a central focus for theorists, researchers, educators, and practicing professional nurses for over a half a century . Knowledge development and measurement of this experience is crucial at a time when human communication is becoming more impersonal, and nursing presence capability is potentially declining . A literature search was conducted using Cumulative Index to Nursing and Allied Health Literature and other discipline-specific databases . Extensive manual review of all relevant journals, reference lists, and additional publications were explored and synthesized . This article provides an updated state of the science report on nursing presence in regard to cross-discipline conceptual comparison, nursing theoretic model development, and instrument development . AbstractNursing presence has been a central focus for theorists, researchers, educators, and practicing professional nurses for over a half a century . Knowledge development and measurement of this experience is crucial at a time when human communication is becoming more impersonal, and nursing presence capability is potentially declining . A literature search was conducted using Cumulative Index to Nursing and Allied Health Literature and other discipline-specific databases . Extensive manual review of all relevant journals, reference lists, and additional publications were explored and synthesized . This article provides an updated state of the science report on nursing presence in regard to cross-discipline conceptual comparison, nursing theoretic model development, and instrument development .

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Section: Recommendationsmentioning

confidence: 99%

State of the Science of Nursing Presence Revisited: Knowledge for Preserving Nursing Presence Capability

Turpin¹

2014

International Journal for Human Caring

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“…[15][16][17] Following an EFA of the instrument within four hospital services in England, a different internal structure to the PEECH instrument developed in Australia emerged. 19 The correlations between the factors and the PPE-15 were all in the expected direction.…”

Section: Discussionmentioning

confidence: 99%

“…A subsequent study, in an acutecare Australian public hospital, to further explore the psychometric properties of PEECH and to identify any differences between ward and hospital environments, found an identical factor/internal structure. 16 …”

Section: Strengths and Limitations Of This Studymentioning

confidence: 99%

Measuring relational aspects of hospital care in England with the ‘Patient Evaluation of Emotional Care during Hospitalisation’ (PEECH) survey questionnaire

et al. 2013

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ObjectivesTo first, validate in English hospitals the internal structure of the ‘Patient Evaluation of Emotional Care during Hospitalisation’ (PEECH) survey tool which was developed in Australia and, second, to examine how it may deepen the understanding of patient experience through comparison with results from the Picker Patient Experience Questionnaire (PPE-15).DesignA 48-item survey questionnaire comprising both PEECH and PPE-15 was fielded. We performed exploratory factor analysis and then confirmatory factor analysis using a number of established fit indices. The external validity of the PEECH factor scores was compared across four participating services and at the patient level, factor scores were correlated with the PPE-15.SettingFour hospital services (an Emergency Admissions Unit; a maternity service; a Medicine for the Elderly department and a Haemato-oncology service) that contrasted in terms of the reported patient experience performance.ParticipantsSelection of these acute service settings was based on achieving variation of the following factors: teaching hospital/district general hospital, urban/rural locality and high-performing/low-performing organisations (using results of annual national staff and patient surveys). A total of 423 surveys were completed by patients (26% response rate).ResultsA different internal structure to the PEECH instrument emerged in English hospitals. However, both the existing and new factor models were similar in terms of fit. The correlations between the new PEECH factors and the PPE-15 were all in the expected direction, but two of the new factors (personal interactions and feeling valued) were more strongly associated with the PPE-15 than the remaining two factors (feeling informed and treated as an individual).ConclusionsPEECH can help to build an understanding of complex interpersonal aspects of quality of care, alongside the more transactional and functional aspects typically captured by PPE-15. Further testing of the combined instrument should be undertaken in a wider range of healthcare settings.

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“…Patient-reported evaluations of emotional care were measured using the Patient Evaluation of Emotional Care during Hospitalisation (PEECH) survey tool. [100][101][102] Although a number of survey instruments are now available that measure patient experience, most are limited in their capacity to assess patient experiences of the more complex relational aspects of care. 100 Designed to address this gap, the PEECH tool focuses on the nature of interpersonal interactions with hospital staff and patient-reported assessment of the extent to which therapeutic emotional care has occurred.…”

Section: Patient-reported Evaluations Of Emotional Carementioning

confidence: 99%

Implementing the Creating Learning Environments for Compassionate Care (CLECC) programme in acute hospital settings: a pilot RCT and feasibility study

Bridges

Pickering

Barker

et al. 2018

Health Serv Deliv Res

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BackgroundConcerns about the degree of compassion in health care have become a focus for national and international attention. However, existing research on compassionate care interventions provides scant evidence of effectiveness or the contexts in which effectiveness is achievable.ObjectivesTo assess the feasibility of implementing the Creating Learning Environments for Compassionate Care (CLECC) programme in acute hospital settings and to evaluate its impact on patient care.DesignPilot cluster randomised trial (CRT) and associated process and economic evaluations.SettingSix inpatient ward nursing teams (clusters) in two English NHS hospitals randomised to intervention (n = 4) or control (n = 2).ParticipantsPatients (n = 639), staff (n = 211) and visitors (n = 188).InterventionCLECC is a workplace educational intervention focused on developing sustainable leadership and work team practices (dialogue, reflective learning, mutual support) theorised to support the delivery of compassionate care. The control setting involved no planned staff team-based educational activity.Main outcome measuresQuality of Interaction Schedule (QuIS) for staff–patient interactions, patient-reported evaluations of emotional care in hospital (PEECH) and nurse-reported empathy (as assessed via the Jefferson Scale of Empathy).Data sourcesStructured observations of staff–patient interactions; patient, visitor and staff questionnaires and qualitative interviews; and qualitative observations of CLECC activities.ResultsThe pilot CRT proceeded as planned and randomisation was acceptable to teams. There was evidence of potential contamination between wards in the same hospital. QuIS performed well, achieving a 93% recruitment rate, with 25% of the patient sample cognitively impaired. At follow-up there were more positive (78% vs. 74%) and fewer negative (8% vs. 11%) QuIS ratings for intervention wards than for control wards. In total, 63% of intervention ward patients achieved the lowest possible (i.e. more negative) scores on the PEECH connection subscale, compared with 79% of control group patients. These differences, although supported by the qualitative findings, are not statistically significant. No statistically significant differences in nursing empathy were observed, although response rates to staff questionnaire were low (36%). Process evaluation: the CLECC intervention is feasible to implement in practice with medical and surgical nursing teams in acute care hospitals. Strong evidence of good staff participation was found in some CLECC activities and staff reported benefits throughout its introductory period and beyond. Further impact and sustainability were limited by the focus on changing ward team behaviours rather than wider system restructuring. Economic evaluation: the costs associated with using CLECC were identified and it is recommend that an impact inventory be used in any future study.LimitationsFindings are not generalisable outside hospital nursing teams, and this feasibility work is not powered to detect differences attributable to the CLECC intervention.ConclusionsUse of the experimental methods is feasible. The use of structured observation of staff–patient interaction quality is a promising primary outcome that is inclusive of patient groups often excluded from research, but further validation is required. Further development of the CLECC intervention should focus on ensuring that it is adequately supported by resources, norms and relationships in the wider system by, for instance, improving the cognitive participation of senior nurse managers. Funding is being sought for a more definitive evaluation.Trial registrationCurrent Controlled Trials ISRCTN16789770.FundingThis project was funded by the National Institute for Health Research (NIHR) Health Services and Delivery Research programme and will be published in full inHealth Services and Delivery Research; Vol. 6, No. 33. See the NIHR Journals Library website for further project information. The systematic review reported inChapter 2was funded by the NIHR Collaboration for Leadership in Applied Health Research and Care Wessex, the University of Örebro and the Karolinska Institutet.

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Further psychometric testing of an instrument to measure emotional care in hospital

Abstract: The Patient Evaluation of Emotional Care during Hospitalisation is a reliable and valid tool with which the emotional care of patients in hospital can be measured and the effectiveness of interventions assessed.

Cited by 8 publications

References 27 publications

State of the Science of Nursing Presence Revisited: Knowledge for Preserving Nursing Presence Capability

State of the Science of Nursing Presence Revisited: Knowledge for Preserving Nursing Presence Capability

Measuring relational aspects of hospital care in England with the ‘Patient Evaluation of Emotional Care during Hospitalisation’ (PEECH) survey questionnaire

Implementing the Creating Learning Environments for Compassionate Care (CLECC) programme in acute hospital settings: a pilot RCT and feasibility study

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