Development and Validation of WeCares, a Survey Instrument to Assess Hospitalized Patients’ and Family Members’ 'Willingness to Engage in Your Care and Safety'
| Autor: | Brittany Couture, Esteban Gershanik, William Martinez, Patricia C. Dykes, Julia E. Snyder, Ann Debord Smith, Po-Yin Yen, Sarah Collins Rossetti, Kumiko O. Schnock, Lisa Soleymani Lehmann, David W. Bates, Nicole Pearl |
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| Rok vydání: | 2020 |
| Předmět: |
Patients
Psychometrics Leadership and Management media_common.quotation_subject MEDLINE Article 03 medical and health sciences 0302 clinical medicine Nursing Cronbach's alpha Surveys and Questionnaires Perception Humans Family Quality (business) Conversation 030212 general & internal medicine media_common Communication 030503 health policy & services Reproducibility of Results Construct validity Exploratory factor analysis Survey instrument Factor Analysis Statistical 0305 other medical science Psychology |
| Zdroj: | Jt Comm J Qual Patient Saf |
| ISSN: | 1553-7250 |
| Popis: | Background Patient engagement is recognized as a method to improve care quality and safety. A research team developed WeCares (Willingness to Engage in Your Care and Safety), a survey instrument assessing patients’ and families’ engagement in the safety of their care during their hospital stay. The objective of this study is to establish the preliminary construct validity and internal consistency of WeCares. Methods WeCares was distributed to patients and families. With the survey responses, exploratory factor analysis (EFA) was performed to identify the factorial structure of WeCares. The internal consistency was assessed using Cronbach's alpha. Descriptive and comparative analysis was also performed to summarize patients’ and families’ responses. Results A total of 247 patients and families responded to the WeCare survey, of which 224 were used for EFA. EFA resulted in a 13-item, four-factor structure, including (1) comfortable sharing concerns, (2) responsibility for preventing errors, (3) perception of care team members’ attitude, and (4) patients’/families’ role in preventing errors. The Cronbach alphas were 0.716–0.866, indicating acceptable internal consistency. Overall, patients and families were comfortable sharing concerns with clinicians but preferred to remain anonymous. They believed that the care team members hold most responsibility for error prevention, however, and agreed on their ability to help prevent errors. Conclusion WeCares was developed to assess patients’ and families’ willingness to engage. WeCares can also be used to facilitate conversation about safety concerns and shared responsibility. The study team believes this would lead to patient activation in guarding their own care and ultimately improve patient outcomes and safety. |
| Databáze: | OpenAIRE |
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