Further psychometric testing of an instrument to measure emotional care in hospital

Authors

  • Anne M Williams,

    1. Authors:Anne M Williams, BSc, MSc, PhD, RN, Associate Professor, Clinical Nursing and Midwifery Research Centre, Edith Cowan University, Joondalup, Centre for Nursing Research, Innovation and Quality, Sir Charles Gairdner Hospital, SolarisCare Foundation, Nedlands and Curtin Health Innovation Research Institute, Curtin University, Bentley; Catherine Pienaar, BSc, MSc, RN, Research Assistant, Clinical Nursing and Midwifery Research Centre, Edith Cowan University, Joondalup; Christine Toye, BN, PhD, RN, Associate Professor, Curtin Health Innovation Research Institute, Curtin University, Bentley, Centre for Nursing Research, Innovation and Quality, Sir Charles Gairdner Hospital, Nedlands and Clinical Nursing and Midwifery Research Centre, Edith Cowan University, Joondalup; David Joske, MBBS, FRACP, FRCPA, Head, Department of Haematology, Sir Charles Gairdner Hospital, Nedlands and University of Western Australia, Crawley; Leanne Lester, BSc, MAppEpi, Doctoral Student, Child Health Promotion Research Centre, Edith Cowan University, Mount Lawley, Western Australia, Australia
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  • Catherine Pienaar,

    1. Authors:Anne M Williams, BSc, MSc, PhD, RN, Associate Professor, Clinical Nursing and Midwifery Research Centre, Edith Cowan University, Joondalup, Centre for Nursing Research, Innovation and Quality, Sir Charles Gairdner Hospital, SolarisCare Foundation, Nedlands and Curtin Health Innovation Research Institute, Curtin University, Bentley; Catherine Pienaar, BSc, MSc, RN, Research Assistant, Clinical Nursing and Midwifery Research Centre, Edith Cowan University, Joondalup; Christine Toye, BN, PhD, RN, Associate Professor, Curtin Health Innovation Research Institute, Curtin University, Bentley, Centre for Nursing Research, Innovation and Quality, Sir Charles Gairdner Hospital, Nedlands and Clinical Nursing and Midwifery Research Centre, Edith Cowan University, Joondalup; David Joske, MBBS, FRACP, FRCPA, Head, Department of Haematology, Sir Charles Gairdner Hospital, Nedlands and University of Western Australia, Crawley; Leanne Lester, BSc, MAppEpi, Doctoral Student, Child Health Promotion Research Centre, Edith Cowan University, Mount Lawley, Western Australia, Australia
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  • Christine Toye,

    1. Authors:Anne M Williams, BSc, MSc, PhD, RN, Associate Professor, Clinical Nursing and Midwifery Research Centre, Edith Cowan University, Joondalup, Centre for Nursing Research, Innovation and Quality, Sir Charles Gairdner Hospital, SolarisCare Foundation, Nedlands and Curtin Health Innovation Research Institute, Curtin University, Bentley; Catherine Pienaar, BSc, MSc, RN, Research Assistant, Clinical Nursing and Midwifery Research Centre, Edith Cowan University, Joondalup; Christine Toye, BN, PhD, RN, Associate Professor, Curtin Health Innovation Research Institute, Curtin University, Bentley, Centre for Nursing Research, Innovation and Quality, Sir Charles Gairdner Hospital, Nedlands and Clinical Nursing and Midwifery Research Centre, Edith Cowan University, Joondalup; David Joske, MBBS, FRACP, FRCPA, Head, Department of Haematology, Sir Charles Gairdner Hospital, Nedlands and University of Western Australia, Crawley; Leanne Lester, BSc, MAppEpi, Doctoral Student, Child Health Promotion Research Centre, Edith Cowan University, Mount Lawley, Western Australia, Australia
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  • David Joske,

    1. Authors:Anne M Williams, BSc, MSc, PhD, RN, Associate Professor, Clinical Nursing and Midwifery Research Centre, Edith Cowan University, Joondalup, Centre for Nursing Research, Innovation and Quality, Sir Charles Gairdner Hospital, SolarisCare Foundation, Nedlands and Curtin Health Innovation Research Institute, Curtin University, Bentley; Catherine Pienaar, BSc, MSc, RN, Research Assistant, Clinical Nursing and Midwifery Research Centre, Edith Cowan University, Joondalup; Christine Toye, BN, PhD, RN, Associate Professor, Curtin Health Innovation Research Institute, Curtin University, Bentley, Centre for Nursing Research, Innovation and Quality, Sir Charles Gairdner Hospital, Nedlands and Clinical Nursing and Midwifery Research Centre, Edith Cowan University, Joondalup; David Joske, MBBS, FRACP, FRCPA, Head, Department of Haematology, Sir Charles Gairdner Hospital, Nedlands and University of Western Australia, Crawley; Leanne Lester, BSc, MAppEpi, Doctoral Student, Child Health Promotion Research Centre, Edith Cowan University, Mount Lawley, Western Australia, Australia
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  • Leanne Lester

    1. Authors:Anne M Williams, BSc, MSc, PhD, RN, Associate Professor, Clinical Nursing and Midwifery Research Centre, Edith Cowan University, Joondalup, Centre for Nursing Research, Innovation and Quality, Sir Charles Gairdner Hospital, SolarisCare Foundation, Nedlands and Curtin Health Innovation Research Institute, Curtin University, Bentley; Catherine Pienaar, BSc, MSc, RN, Research Assistant, Clinical Nursing and Midwifery Research Centre, Edith Cowan University, Joondalup; Christine Toye, BN, PhD, RN, Associate Professor, Curtin Health Innovation Research Institute, Curtin University, Bentley, Centre for Nursing Research, Innovation and Quality, Sir Charles Gairdner Hospital, Nedlands and Clinical Nursing and Midwifery Research Centre, Edith Cowan University, Joondalup; David Joske, MBBS, FRACP, FRCPA, Head, Department of Haematology, Sir Charles Gairdner Hospital, Nedlands and University of Western Australia, Crawley; Leanne Lester, BSc, MAppEpi, Doctoral Student, Child Health Promotion Research Centre, Edith Cowan University, Mount Lawley, Western Australia, Australia
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Anne M Williams, Associate Professor, Clinical Research and Innovation, Clinical Nursing and Midwifery Research Centre, School of Nursing and Midwifery, Faculty of Computing, Health and Science, Edith Cowan University, 270 Joondalup Drive, Joondalup, Western Australia 6027, Australia. Telephone: +61 8 6304 3544.
E-mail:a.williams@ecu.edu.au

Abstract

Aims and objectives.  This paper describes further testing of the instrument Patient Evaluation of Emotional Care during Hospitalisation.

Background.  In 2005, a questionnaire was developed that could be completed by patients to evaluate the quality of emotional care received during their time in hospital. This questionnaire was tested at an acute care private hospital in Perth, Western Australia, with encouraging estimates of reliability and validity. The purpose of this study was to further test this questionnaire in a larger sample of inpatients at a public hospital in the same state.

Design.  Psychometric evaluation.

Method.  A hospital-wide survey of 13 wards of a public hospital was conducted. Two hundred and fifty-one patients completed the questionnaire.

Results.  Psychometric testing of the Patient Evaluation of Emotional Care during Hospitalisation demonstrated acceptable internal consistency reliability. Confirmatory factor analysis substantiated the four sub-scales as follows: Level of Security, Level of Knowing, Level of Personal Value and Level of Connection. The Level of Connection sub-scale was assessed for the first time in this study. This sub-scale had the lowest mean score of all the sub-scales across the hospital as well as in each of the wards surveyed. Qualitative data substantiated, from the patients’ perspective, a lack of connection with hospital staff.

Conclusions.  Further psychometric testing of the Patient Evaluation of Emotional Care during Hospitalisation instrument has confirmed its psychometric properties and usefulness as an instrument to measure emotional care during hospitalisation.

Relevance to clinical practice.  The Patient Evaluation of Emotional Care during Hospitalisation is a reliable and valid tool with which the emotional care of patients in hospital can be measured and the effectiveness of interventions assessed.

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