The person-centred care of older people with cognitive impairment in acute care scale (POPAC)
Article first published online: 4 MAY 2012
© 2012 Blackwell Publishing Ltd
Journal of Nursing Management
Special Issue: This issue: Promoting excellence - Evidence-based Practice at the Bedside and Beyond Issue editors: Kristiina Hyrkas and James P. Rhudy Jr
Volume 21, Issue 1, pages 79–86, January 2013
How to Cite
EDVARDSSON, D., NILSSON, A., FETHERSTONHAUGH, D., NAY, R. and CROWE, S. (2013), The person-centred care of older people with cognitive impairment in acute care scale (POPAC). Journal of Nursing Management, 21: 79–86. doi: 10.1111/j.1365-2834.2012.01422.x
- Issue published online: 22 JAN 2013
- Article first published online: 4 MAY 2012
- Accepted for publication: 13 March 2012
- evidence-based practice;
- nurse’s practice patterns;
Aim To construct and evaluate psychometric properties of the person-centred care of older people with cognitive impairment in acute care settings (POPAC) scale.
Background Older people with cognitive impairment are admitted frequently to acute care, with needs not always met through standard practice. Best practice models have been suggested, but few assessment scales exist.
Methods Psychometric evaluation using statistical estimates of validity and reliability based on an Australian sample of acute care nursing staff (n = 212).
Results The final 15-item questionnaire consists of three subscales, ‘using cognitive assessments and care interventions’, ‘using evidence and cognitive expertise’ and ‘individualizing care’. Estimates of validity and reliability were highly satisfactory.
Conclusion The POPAC scale makes a valuable contribution by providing valid and reliable measures of the extent to which acute nursing staff report using best practice care processes to identify and consider cognitive impairment and to employ nursing interventions to meet the needs associated with old age and cognitive impairment.
Implications for nursing management The POPAC scale is short, easy to administer and not time consuming to complete, but still provides clinically relevant information. It can be used as a conceptual fundament in developing best practice nursing care in the acute clinical setting, as well as for nursing research.