The person-centred care of older people with cognitive impairment in acute care scale (POPAC)

Authors

  • DAVID EDVARDSSON RN, PhD,

    1. Associate Professor/Director of Nursing Research, School of Nursing and Midwifery, La Trobe University, Melbourne, Victoria, Australia
    2. Associate Professor, Department of Nursing, Umeå University, Umeå, Sweden
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  • ANITA NILSSON RN, PhD,

    1. PhD Candidate, Department of Nursing, Umeå University, Umea, Sweden
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  • DEIRDRE FETHERSTONHAUGH RN, PhD,

    1. Deputy Director/Senior Research Fellow, Australian Centre for Evidence Based Aged Care (ACEBAC), La Trobe University, Melbourne, Victoria
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  • RHONDA NAY RN, PhD,

    1. Professor and Director, Australian Institute for Primary Care and Ageing (AIPCA), La Trobe University, Melbourne, Victoria
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  • SHANE CROWE RN

    1. Deputy Director, Ambulatory and Nursing Services, Austin Health, Heidelberg, Victoria, Australia
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David Edvardsson
School of Nursing and Midwifery
La Trobe University
Level 4
Austin Tower, PO Box 5555
Heidelberg
Victoria 3084
Australia
E-mail: d.edvardsson@latrobe.edu.au

Abstract

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 (= 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.

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