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Research article
Validation and psychometric evaluation of the Dutch Person-centred care of Older People with cognitive impairment in Acute Care (POPAC)
Annette Keuning-Plantinga
NHL University of Applied Sciences
Corresponding Author
ORCiD: https://orcid.org/0000-0002-4361-3910
License:
This work is licensed under a CC BY 4.0 License. Read Full License
View the published version at BMC Health Services Research.
Background: Person-centred care is the preferred model for caring for people with dementia. Knowledge of the level of person-centred care is essential for improving the quality of care for patients with dementia. The person-centred care of older people with cognitive impairment in acute care (POPAC) scale is a tool to determine the level of person-centred care. This study aimed to translate and validate the Dutch POPAC scale and evaluate its psychometric properties to enable international comparison of data and outcomes.
Methods: After double-blinded forward and backward translations, a total of 159 nurses recruited from six hospitals (n=114) and via social media (n=45) completed the POPAC scale. By performing confirmatory factor analysis, construct validity was tested. Cronbach’s alpha scale was utilized to establish internal consistency.
Results: The confirmatory factor analysis showed that the comparative fit index (0.89) was slightly lower than 0.9. The root mean square error of approximation (0.075, p=0.012, CI 0.057-0.092) and the standardized root mean square residual (0.063) were acceptable, with values less than 0.08. The findings revealed a three-dimensional structure. The factor loadings (0.69-0.77) indicated that the items to be strongly associated with their respective factors. The results also indicated that deleting Item 5 improved the Cronbach’s alpha of the instrument as well as of the subscale ‘using cognitive assessments and care interventions’. Instead of deleting this item, we suggest rephrasing it into a positively worded item.
Conclusions: Our findings suggest that the Dutch POPAC scale is sufficiently valid and reliable and can be utilized for assessing person-centred care in acute care hospitals. The study enables nurses to interpret and compare person-centred care levels in wards and hospital levels nationally and internationally. The results form an important basis for improving the quality of care and nurse-sensitive outcomes, such as preventing complications and hospital stay length.
Keywords
Acute care, Dementia, Nurses, Person-centered care, Psychometrics, Quality of care
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Additional File 1 Dutch version of the POPAC
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CURRENT STATUS: Published
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Posted 07 Jan, 2021
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On 13 Jan, 2021
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Submission checks complete
On 24 Dec, 2020
Editorial decision: Accept
On 23 Dec, 2020
Version (no preprint)
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Editor assigned
On 16 Dec, 2020
Submission checks complete
On 16 Dec, 2020
Editor invited
On 16 Dec, 2020
This version was not preprinted
No comments provided
Editorial decision: Minor revision
On 02 Dec, 2020
Review #1 received
Received 29 Nov, 2020
Reviewers invited
Invitations sent on 10 Nov, 2020
Reviewer #1 agreed
On 10 Nov, 2020
Editor assigned
On 04 Nov, 2020
Submission checks complete
On 04 Nov, 2020
Editor invited
On 04 Nov, 2020
No comments provided
Editorial decision: Major revision
On 14 Oct, 2020
Reviewer #3 agreed
On 02 Aug, 2020
Reviewer #2 agreed
On 31 Jul, 2020
Review #1 received
Received 16 Feb, 2020
Reviewer #1 agreed
On 03 Feb, 2020
Editor assigned
On 01 Feb, 2020
Reviewers invited
Invitations sent on 01 Feb, 2020
Submission checks complete
On 31 Jan, 2020
Editor invited
On 31 Jan, 2020
First submitted
On 29 Jan, 2020
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Subject Areas
Health Economics & Outcomes Research
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This preprint is under consideration at BMC Health Services Research. A preprint is a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Research article
Validation and psychometric evaluation of the Dutch Person-centred care of Older People with cognitive impairment in Acute Care (POPAC)
Annette Keuning-Plantinga
NHL University of Applied Sciences
Corresponding Author
ORCiD: https://orcid.org/0000-0002-4361-3910
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Published
Version 3
Posted 07 Jan, 2021
Published
On 13 Jan, 2021
No community comments so far
Submission checks complete
On 24 Dec, 2020
Editorial decision: Accept
On 23 Dec, 2020
Version (no preprint)
Posted 16 Dec, 2020
Editor assigned
On 16 Dec, 2020
Submission checks complete
On 16 Dec, 2020
Editor invited
On 16 Dec, 2020
This version was not preprinted
No comments provided
Editorial decision: Minor revision
On 02 Dec, 2020
Review #1 received
Received 29 Nov, 2020
Reviewers invited
Invitations sent on 10 Nov, 2020
Reviewer #1 agreed
On 10 Nov, 2020
Editor assigned
On 04 Nov, 2020
Submission checks complete
On 04 Nov, 2020
Editor invited
On 04 Nov, 2020
No comments provided
Editorial decision: Major revision
On 14 Oct, 2020
Reviewer #3 agreed
On 02 Aug, 2020
Reviewer #2 agreed
On 31 Jul, 2020
Review #1 received
Received 16 Feb, 2020
Reviewer #1 agreed
On 03 Feb, 2020
Editor assigned
On 01 Feb, 2020
Reviewers invited
Invitations sent on 01 Feb, 2020
Submission checks complete
On 31 Jan, 2020
Editor invited
On 31 Jan, 2020
First submitted
On 29 Jan, 2020
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Health Economics & Outcomes Research
License:
This work is licensed under a CC BY 4.0 License. Read Full License
View the published version at BMC Health Services Research.
Background: Person-centred care is the preferred model for caring for people with dementia. Knowledge of the level of person-centred care is essential for improving the quality of care for patients with dementia. The person-centred care of older people with cognitive impairment in acute care (POPAC) scale is a tool to determine the level of person-centred care. This study aimed to translate and validate the Dutch POPAC scale and evaluate its psychometric properties to enable international comparison of data and outcomes.
Methods: After double-blinded forward and backward translations, a total of 159 nurses recruited from six hospitals (n=114) and via social media (n=45) completed the POPAC scale. By performing confirmatory factor analysis, construct validity was tested. Cronbach’s alpha scale was utilized to establish internal consistency.
Results: The confirmatory factor analysis showed that the comparative fit index (0.89) was slightly lower than 0.9. The root mean square error of approximation (0.075, p=0.012, CI 0.057-0.092) and the standardized root mean square residual (0.063) were acceptable, with values less than 0.08. The findings revealed a three-dimensional structure. The factor loadings (0.69-0.77) indicated that the items to be strongly associated with their respective factors. The results also indicated that deleting Item 5 improved the Cronbach’s alpha of the instrument as well as of the subscale ‘using cognitive assessments and care interventions’. Instead of deleting this item, we suggest rephrasing it into a positively worded item.
Conclusions: Our findings suggest that the Dutch POPAC scale is sufficiently valid and reliable and can be utilized for assessing person-centred care in acute care hospitals. The study enables nurses to interpret and compare person-centred care levels in wards and hospital levels nationally and internationally. The results form an important basis for improving the quality of care and nurse-sensitive outcomes, such as preventing complications and hospital stay length.
Figure 1