Scholarlink

Background <p>In 2018, a nationwide survey carried out in 387 acute care hospitals from 16 out of 21 Italian regions, allowed defining an extended checklist for the participatory evaluation of person-centredness in hospital care. We aimed to validate a reduced set of core items for continuous use across the country.</p> Methods <p>Factor analysis was used to validate the construct of the checklist. Varimax rotation with eigenvalues &gt; 1 was used to optimize factor structure. Items with an item-total correlation &gt; 0.30 and factor loadings &gt; 0.4 were attributed to individual factors. Items with inter-item correlation coefficient &gt; 0.70 were submitted to expert opinion for final decision. Overall internal consistency was assessed through Cronbach’s alpha.</p> Results <p>A total of 183 out of 243 items in the original checklist were submitted to factor analysis. A subgroup of 67 items was retained in 4 main areas, allocated as follows: 16 items in 4 sub-areas of “Person-oriented organizational and care processes”, 16 items in 4 sub-areas of “Physical accessibility, liveability and comfort of the facilities”, 15 items in 3 sub-areas of “Access to information, streamlining and transparency”, and 20 items in 4 sub-areas of “Taking care of the relationship with patients and citizens”. Overall values of Cronbach’s alpha ranged between 0.77 and 0.90, showing high consistency.</p> Conclusions <p>This study validated a “core” checklist that can be routinely used to monitor the implementation of person-centred care in Italian hospitals. The tool can be applied more widely by multiple stakeholders as a measurement instrument for the participatory evaluation of person-centredness.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

A framework for the continuous monitoring of person-centred hospital care: validation of a checklist for participatory service improvement

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年1月14日

查看全文
  • F. Cardinali,
  • S. Carzaniga,
  • L. Martini,
  • M. T. Loiudice,
  • Fabrizio Carinci

摘要

Background

In 2018, a nationwide survey carried out in 387 acute care hospitals from 16 out of 21 Italian regions, allowed defining an extended checklist for the participatory evaluation of person-centredness in hospital care. We aimed to validate a reduced set of core items for continuous use across the country.

Methods

Factor analysis was used to validate the construct of the checklist. Varimax rotation with eigenvalues > 1 was used to optimize factor structure. Items with an item-total correlation > 0.30 and factor loadings > 0.4 were attributed to individual factors. Items with inter-item correlation coefficient > 0.70 were submitted to expert opinion for final decision. Overall internal consistency was assessed through Cronbach’s alpha.

Results

A total of 183 out of 243 items in the original checklist were submitted to factor analysis. A subgroup of 67 items was retained in 4 main areas, allocated as follows: 16 items in 4 sub-areas of “Person-oriented organizational and care processes”, 16 items in 4 sub-areas of “Physical accessibility, liveability and comfort of the facilities”, 15 items in 3 sub-areas of “Access to information, streamlining and transparency”, and 20 items in 4 sub-areas of “Taking care of the relationship with patients and citizens”. Overall values of Cronbach’s alpha ranged between 0.77 and 0.90, showing high consistency.

Conclusions

This study validated a “core” checklist that can be routinely used to monitor the implementation of person-centred care in Italian hospitals. The tool can be applied more widely by multiple stakeholders as a measurement instrument for the participatory evaluation of person-centredness.