The Relational Aspects of Care Questionnaire: item reduction and scoring using inpatient and accident and emergency data in England
| Autor: | Jenny King, Steve Sizmur, Crispin Jenkinson, Susanne Käsbauer, Robyn Cooper, Laura Kelly, Chris Graham |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Intraclass correlation emergency care Poison control 03 medical and health sciences 0302 clinical medicine Cronbach's alpha real-time feedback surveys Injury prevention Patient experience Medicine 030212 general & internal medicine Original Research lcsh:R5-920 business.industry patient experience Human factors and ergonomics Missing data Exploratory factor analysis Patient Related Outcome Measures Family medicine business lcsh:Medicine (General) 030217 neurology & neurosurgery hospital care |
| Zdroj: | Patient Related Outcome Measures Patient Related Outcome Measures, Vol Volume 9, Pp 173-181 (2018) |
| ISSN: | 1179-271X |
| Popis: | Laura Kelly,1 Steve Sizmur,2 Susanne Käsbauer,2 Jenny King,2 Robyn Cooper,2 Crispin Jenkinson,1 Chris Graham2 1Health Services Research Unit, Nuffield Department of Population Health, University of Oxford, Oxford, UK; 2Research Division, Picker Institute Europe, Oxford, UK Purpose: The Relational Aspects of Care Questionnaire (RAC-Q) is an electronic instrument which has been developed to assess staff’s interactions with patients when delivering relational care to inpatients and those accessing accident and emergency (A&E) services. The aim of this study was to reduce the number of questionnaire items and explore scoring methods for “not applicable” response options.Patients and methods: Participants (n=3928) were inpatients or A&E attendees across six participating hospital trusts in England during 2015–2016. The instrument, consisting of 20 questionnaire items, was administered by trained hospital volunteers over a period of 10 months. Items were subjected to exploratory factor analysis to confirm unidimensionality, and the number of items was reduced using a range of a priori psychometric criteria. Two alternative approaches to scoring were undertaken, one treated “not applicable” responses as missing data, while the second adopted a problem score approach where “not applicable” was considered “no problem with care.”Results: Two short-form RAC-Qs with alternative scoring options were identified. The first (the RAC-Q-12) contained 12 items, while the second scoring option (the RAC-Q-14) contained 14 items. Scores from both short forms correlated highly with the full 20-item parent form score (RAC-Q-12, r=0.93 and RAC-Q-14, r=0.92), displayed high internal consistency (Cronbach’s α: RAC-Q-12=0.92 and RAC-Q-14=0.89) and had high levels of agreement (intraclass correlation coefficient [ICC]=0.97 for both scales).Conclusion: The RAC-Q is designed to offer near-real-time feedback on staff’s interactions with patients when delivering relational care. The new short-form RAC-Qs and their respective method of scoring are reflective of scores derived using the full 20-item parent form. The new short-form RAC-Qs may be incorporated into inpatient surveys to enable the comparison of ward or hospital performance. Using either the RAC-Q-12 or the RAC-Q-14 offers a method to reduce missing data and response fatigue. Keywords: real-time feedback, patient experience, surveys, hospital care, emergency care |
| Databáze: | OpenAIRE |
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