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Published byJeffry McKenzie Modified over 8 years ago
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Assessing person-centredness: the Person-centred Practice Index by Dr Paul Slater
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Background Person-centred Practice Evidence relating to Person-centred Practice A dearth of psychometrically acceptable instruments to measure Person-centred Practice
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Background The Proxy measures: PCNI/PCCI tools measured: 1.Work Stress 2.Job Satisfaction 3.Organisational Traits 4.Perceptions of caring Proxy measures – not direct measures
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Background Summary Need to develop a tool that effectively measures person-centred practice Establish the psychometric properties of the instrument
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PCPI Development Instrument Design: 5 Stage Process 1.Exploration of Theoretical Principles 2.Mapping to sample (Delphi technique) 3.Questionnaire development 4.Testing for reliability and validity 5.Amendment and acceptance
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Person-centred Practice Framework (PCPF)
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Delphi Technique Two stages: 1.To gain agreement on the 17 definitions of PCPF 2.Gain consensus on questionnaire items aligned to the definitions
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Delphi Technique Definitions generated Sample: International Expert Panel (n = 36) 1.Recognised Expert in the field 2.At least one publication in area 3.Willing to participate 4.Expert in questionnaire development (stage II only)
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Delphi Technique Definition rated on 4-point Likert scale Consensus achieved at 80% (Keeney et al 2011) Median of 3.25 (Green 1982) Accepted definitions removed at each round
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Consensus Round 1 - 11 definitions accepted (n = 26) Round 2 – 2 definitions accepted (n = 21) Round 3 – 4 definitions accepted (n = 19)
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Item generation 108 potential items generated PCPRG and Expert Panel (Research Week) 5-point Likert Scale “How well the items accurately measure the definition” Response rate n = 26 14 items removed:
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The Person-centred Practice Index (PCPI) Maps directly to PCPF Comprises 94 closed question items Measuring 17 Constructs Rated on 5-point Likert Scale
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The Person-centred Practice Index (PCPI) Currently testing psychometric properties: Large scale study in 4 Trusts Registered Nurses Finalise instrument items Initial findings very encouraging Strong measures of reliability and validity Questionnaire available Nov 2013
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