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Open Access Patients' Perceptions of Individualized Care: Evaluating Psychometric Properties and Results of the Individualized Care Scale Les perceptions des patients concernant les soins individualisés : une évaluation des propriétés et des résultats psychométriques de l'échelle de soins individualisés

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Health-care organizations aim to provide patient-centred care, yet measurement of this aspect of care quality remains a challenge. This cross-sectional study investigated the reliability and validity of the bipartite Individualized Care Scale (ICS-A, ICS-B) in a Canadian hip and knee arthroplasty population. Internal consistency of the ICS-A and ICS-B was high; however, factorial validity was not fully supported. Twenty-five percent of participants provided additional open-ended comments to describe individual perceptions, needs, and suggestions, noting that the Likert-scale approach required them to aggregate their feedback about rather than share their perceptions of individual nurses. The findings indicate that it is important to patients to be able to share their individual stories when evaluating nursing care. Future qualitative studies should examine the nurse perspective on the provision of patient-centred care, including investigation of systems and process-related features that foster or hinder more individualized care.

Les organisations de services de santé désirent offrir des soins centrés sur le patient. Toutefois, il reste difficile de mesurer cet aspect de la qualité des soins. Cette étude transversale a examiné la fiabilité et la validité de l'échelle bipartite de mesure des soins individualisés (ESI-A, ESI-B) (bipartite Individualized Care Scale [ICS-A, ICS-B]) dans une population canadienne ayant subi une arthroplastie genou-hanche. La cohérence interne des ESI-A et ESI-B était élevée; cependant, la validité factorielle n'était pas entièrement étayée. Vingt-cinq pour cent des participantes et des participants ont fourni des commentaires additionnels ouverts afin de décrire leurs perceptions, leurs besoins et leurs suggestions, et noté que l'échelle de Likert les obligeait à regrouper leurs commentaires et ne leur permettait pas de communiquer leur perception de chaque membre du personnel infirmier. Les conclusions de l'étude indiquent que lorsqu'ils évaluent les soins infirmiers, les patientes et les patients trouvent important de pouvoir partager leur histoire personnelle. Les études qualitatives qui seront effectuées dans l'avenir devraient examiner ce que pense le personnel infirmier des soins centrés sur le patient, ainsi que comporter une investigation sur les systèmes et les aspects liés au processus qui favorisent ou gênent la prestation de soins plus individualisés.


Document Type: Research Article

Publication date: 2011-06-01

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