IDEAS home Printed from https://ideas.repec.org/a/wly/jocnur/v27y2018i1-2p65-76.html
   My bibliography  Save this article

Extending the assessment of patient‐centredness in health care: Development of the updated Valuing Patients as Individuals Scale using exploratory factor analysis

Author

Listed:
  • Martyn C Jones
  • Brian Williams
  • Janice Rattray
  • Steve MacGillivray
  • Debbie Baldie
  • Abdul‐Razak Abubakari
  • Joanne Coyle
  • Susan Mackie
  • Eileen McKenna

Abstract

Aims and objectives To update and re‐validate the Valuing Patients as Individuals Scale for use as a patient appraisal of received healthcare. Background Healthcare in the United Kingdom and beyond is required to deliver high quality, person‐centred care that is clinically effective and safe. However, patient experience is not uniform, and complaints often focus on the way patients have been treated. Legislation in United Kingdom requires health services to gather and use patients' evaluations of care to improve services. Design This study uses scoping literature reviews, cognitive testing of questionnaire items with patient and healthcare staff focus groups, and exploratory factor analysis. Methods/Setting/Participants Data were collected from 790 participants across 34 wards in two acute hospitals in one National Health Service Health Board in Scotland from September 2011–February 2012. Ethics and Research and Development approval were obtained. Results Fifty six unique items identified through literature review were added to 72 original Valuing Patients as Individuals Scale items. Face validity interviews removed ambiguous or low relevance items leaving 88 items for administration to patients. Two hundred and ninety questionnaires were returned, representing 37% response rate, 71 were incomplete. Thus 219 complete data were used for Exploratory Factor Analysis with varimax orthogonal rotation. This revealed a 31 item, three factor solution, Care and Respect; Understanding and Engagement; Patient Concerns, with good reliability, concurrent and discriminant validity in terms of gender. A shortened 10 item measure based on the top 3 or 4 loading items on each scale was comparable. Conclusions The Updated Valuing Patients as Individuals Scale is sufficiently developed to capture patient appraisals of received care. Relevance to clinical practice The short scale version is now being routinized in real‐time evaluation of patient experience contributing to this United Kingdom, National Health Service setting meeting its policy and legislative requirements.

Suggested Citation

  • Martyn C Jones & Brian Williams & Janice Rattray & Steve MacGillivray & Debbie Baldie & Abdul‐Razak Abubakari & Joanne Coyle & Susan Mackie & Eileen McKenna, 2018. "Extending the assessment of patient‐centredness in health care: Development of the updated Valuing Patients as Individuals Scale using exploratory factor analysis," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(1-2), pages 65-76, January.
    • Handle: RePEc:wly:jocnur:v:27:y:2018:i:1-2:p:65-76
    DOI: 10.1111/jocn.13845
    as

    Download full text from publisher

    File URL: https://doi.org/10.1111/jocn.13845
    Download Restriction: no
    File URL: https://libkey.io/10.1111/jocn.13845?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Williams, Brian, 1994. "Patient satisfaction: A valid concept?," Social Science & Medicine, Elsevier, vol. 38(4), pages 509-516, February.
    2. Tanya McCance & Jack Hastings & Hilda Dowler, 2015. "Evaluating the use of key performance indicators to evidence the patient experience," Journal of Clinical Nursing, John Wiley & Sons, vol. 24(21-22), pages 3084-3094, November.
    3. Dufrene, Roxane L., 2000. "An evaluation of a patient satisfaction survey: validity and reliability," Evaluation and Program Planning, Elsevier, vol. 23(3), pages 293-300, August.
    4. Williams, Brian & Coyle, Joanne & Healy, David, 1998. "The meaning of patient satisfaction: An explanation of high reported levels," Social Science & Medicine, Elsevier, vol. 47(9), pages 1351-1359, November.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Hekkert, Karin Dorieke & Cihangir, Sezgin & Kleefstra, Sophia Martine & van den Berg, Bernard & Kool, Rudolf Bertijn, 2009. "Patient satisfaction revisited: A multilevel approach," Social Science & Medicine, Elsevier, vol. 69(1), pages 68-75, July.
    2. Alibrandi, Angela & Gitto, Lara & Limosani, Michele & Mustica, Paolo Fabrizio, 2023. "Patient satisfaction and quality of hospital care," Evaluation and Program Planning, Elsevier, vol. 97(C).
    3. Richard Eckersley, 2000. "The Mixed Blessings of Material Progress: Diminishing Returns in the Pursuit of Happiness," Journal of Happiness Studies, Springer, vol. 1(3), pages 267-292, September.
    4. Röttger, Julia & Blümel, Miriam & Fuchs, Sabine & Busse, Reinhard, 2014. "Assessing the responsiveness of chronic disease care - Is the World Health Organization's concept of health system responsiveness applicable?," Social Science & Medicine, Elsevier, vol. 113(C), pages 87-94.
    5. Sohail, Mohammad, 2005. "Accessibility and Quality of Government Primary Health Care: Achievement and Constraints," Bangladesh Development Studies, Bangladesh Institute of Development Studies (BIDS), vol. 31(3-4), pages 63-98, Sept-Dec.
    6. Magnus Lindelow, 2003. "Understanding spatial variation in the utilization of health services: does quality matter?," Economics Series Working Papers WPS/2004-12, University of Oxford, Department of Economics.
    7. Atkinson, Sarah & Medeiros, Regianne L., 2009. "Explanatory models of influences on the construction and expression of user satisfaction," Social Science & Medicine, Elsevier, vol. 68(11), pages 2089-2096, June.
    8. Bereket Yakob & Busisiwe Purity Ncama, 2016. "Correlates of perceived access and implications for health system strengthening – lessons from HIV/AIDS treatment and care services in Ethiopia," PLOS ONE, Public Library of Science, vol. 11(8), pages 1-19, August.
    9. Ishikawa, Hirono & Hashimoto, Hideki & Kiuchi, Takahiro, 2013. "The evolving concept of “patient-centeredness” in patient–physician communication research," Social Science & Medicine, Elsevier, vol. 96(C), pages 147-153.
    10. Agneta Schröder & Gerd Ahlström & Bodil Wilde Larsson, 2006. "Patients’ perceptions of the concept of the quality of care in the psychiatric setting: a phenomenographic study," Journal of Clinical Nursing, John Wiley & Sons, vol. 15(1), pages 93-102, January.
    11. Mauro Serapioni & Pedro Lopes Ferreira & Patrícia Antunes, 2014. "Participação em Saúde: Conceitos e Conteúdos," Notas Económicas, Faculty of Economics, University of Coimbra, issue 40, pages 26-42, December.
    12. Liliana Hawrysz & Grażyna Gierszewska & Agnieszka Bitkowska, 2021. "The Research on Patient Satisfaction with Remote Healthcare Prior to and during the COVID-19 Pandemic," IJERPH, MDPI, vol. 18(10), pages 1-14, May.
    13. Bentur, Netta & Gross, Revital & Brammli-Greenberg, Shuli, 2004. "Satisfaction with and access to community care of the chronically ill in Israel's health system," Health Policy, Elsevier, vol. 67(2), pages 129-136, February.
    14. Murante, Anna Maria & Vainieri, Milena & Rojas, Diana & Nuti, Sabina, 2014. "Does feedback influence patient - professional communication? Empirical evidence from Italy," Health Policy, Elsevier, vol. 116(2), pages 273-280.
    15. Valérie Buthion & Nathalie Dumet & Stéphanie Verfay-Bertaud & Mélissa Amate & Nathalie Havet, 2018. "EFFICARD - L’organisation des soins et la vie avec l’insuffisance cardiaque Etude exploratoire sur les interactions entre les patients et leur prise en charge," Working Papers hal-01989323, HAL.
    16. Santos, Eleonora & Khan, Shahed, 2018. "Patients' Satisfaction with the NHS: A Novel Indicator for Portugal," EconStor Open Access Articles and Book Chapters, ZBW - Leibniz Information Centre for Economics, vol. 5(1), pages 12-17.
    17. Schutt, Russell K. & Goldfinger, Stephen M. & Penk, Walter E., 1997. "Satisfaction with residence and with life: When homeless mentally ill persons are housed," Evaluation and Program Planning, Elsevier, vol. 20(2), pages 185-194, May.
    18. McKillip, Jack & Cox, Caryl, 1998. "Strengthening the criterion-related validity of professional certifications," Evaluation and Program Planning, Elsevier, vol. 21(2), pages 191-197, May.
    19. GOLDBACH Dumitru & RADULIAN Andreea & POPA Mircea, 2023. "Characteristics Of Consumer Behaviour In Services Sector," Revista Economica, Lucian Blaga University of Sibiu, Faculty of Economic Sciences, vol. 75(1), pages 19-29, April.
    20. Prussing, Erica & Sobo, Elisa J. & Walker, Elizabeth & Kurtin, Paul S., 2005. "Between 'desperation' and disability rights: a narrative analysis of complementary/alternative medicine use by parents for children with Down syndrome," Social Science & Medicine, Elsevier, vol. 60(3), pages 587-598, February.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:wly:jocnur:v:27:y:2018:i:1-2:p:65-76. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Wiley Content Delivery (email available below). General contact details of provider: https://doi.org/10.1111/(ISSN)1365-2702 .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.