Effect of an intervention on the congruence of nurses' and patients' perceptions of patient‐centred care: A pre‐test post‐test study

E.M. Castro*, R.F.M. Van Regenmortel, K. Vanhaecht, W. Sermeus, C. Kiekens, K. Claes, L. Bruyneel

*Corresponding author for this work

Research output: Contribution to journalArticleScientificpeer-review

Abstract

Aims and Objectives
To evaluate measurement invariance of the Individualized Care Scale (ICS) across patients and nurses, and assess the degree of congruence in nurses' and patients' perceptions on patient‐centredness and the impact of an intervention there on.

Methods
A pre‐post intervention study design with an expert by experience intervention was conducted in 2016 to 2017. Nurses (n = 138) and patients (n = 199) of two hospital departments in Belgium were surveyed. Patient‐centredness was measured using the ICS (ICS‐Nurse and ICS‐Patient). Measurement invariance was evaluated by conducting multiple‐group confirmatory factor analysis. Unpaired t tests and difference in difference analysis were used to evaluate the degree of congruence in nurses' and patients' perceptions on patient‐centredness and assess pre‐post changes in nurses' and patients' scores, respectively. SQUIRE guidelines were followed to report the study.

Results
There was no evidence of measurement non‐invariance. Nurses perceived the individuality of care more positively than patients both before and after the implementation of the intervention. Pre‐post changes in nurses' and patients' scores were not statistically significant.

Conclusion
There is a significant gap between the perceptions of nurses and patients regarding the support and provision of individual care: nurses consider provided care as more individualized than patients do. To orient nurses' perspectives more towards their patients' perspective, multicomponent interventions are needed. Researchers and hospital managers may use the ICS to evaluate interventions that have the ability to close the gap in nurses' and patients' perceptions of patient‐centredness. Embedding experts by experience in the professionals' team has the potential to foster patient‐centredness but needs to focus on patients and nurses equally.
Original languageEnglish
JournalJournal of Evaluation in Clinical Practice
DOIs
Publication statusE-pub ahead of print - 2020

Fingerprint

Nurses
Individuality
Statistical Factor Analysis

Keywords

  • INDIVIDUALIZED CARE
  • MEASUREMENT INVARIANCE
  • experts by experience
  • measurement invariance
  • nursing
  • patient-centredness
  • pre-post intervention research
  • statistics

Cite this

@article{8d420933d5974ccda0df6a1095777fea,
title = "Effect of an intervention on the congruence of nurses' and patients' perceptions of patient‐centred care: A pre‐test post‐test study",
abstract = "Aims and ObjectivesTo evaluate measurement invariance of the Individualized Care Scale (ICS) across patients and nurses, and assess the degree of congruence in nurses' and patients' perceptions on patient‐centredness and the impact of an intervention there on.MethodsA pre‐post intervention study design with an expert by experience intervention was conducted in 2016 to 2017. Nurses (n = 138) and patients (n = 199) of two hospital departments in Belgium were surveyed. Patient‐centredness was measured using the ICS (ICS‐Nurse and ICS‐Patient). Measurement invariance was evaluated by conducting multiple‐group confirmatory factor analysis. Unpaired t tests and difference in difference analysis were used to evaluate the degree of congruence in nurses' and patients' perceptions on patient‐centredness and assess pre‐post changes in nurses' and patients' scores, respectively. SQUIRE guidelines were followed to report the study.ResultsThere was no evidence of measurement non‐invariance. Nurses perceived the individuality of care more positively than patients both before and after the implementation of the intervention. Pre‐post changes in nurses' and patients' scores were not statistically significant.ConclusionThere is a significant gap between the perceptions of nurses and patients regarding the support and provision of individual care: nurses consider provided care as more individualized than patients do. To orient nurses' perspectives more towards their patients' perspective, multicomponent interventions are needed. Researchers and hospital managers may use the ICS to evaluate interventions that have the ability to close the gap in nurses' and patients' perceptions of patient‐centredness. Embedding experts by experience in the professionals' team has the potential to foster patient‐centredness but needs to focus on patients and nurses equally.",
keywords = "INDIVIDUALIZED CARE, MEASUREMENT INVARIANCE, experts by experience, measurement invariance, nursing, patient-centredness, pre-post intervention research, statistics",
author = "E.M. Castro and {Van Regenmortel}, R.F.M. and K. Vanhaecht and W. Sermeus and C. Kiekens and K. Claes and L. Bruyneel",
year = "2020",
doi = "10.1111/jep.13348",
language = "English",
journal = "Journal of Evaluation in Clinical Practice",
issn = "1356-1294",
publisher = "Wiley-Blackwell",

}

Effect of an intervention on the congruence of nurses' and patients' perceptions of patient‐centred care : A pre‐test post‐test study. / Castro, E.M.; Van Regenmortel, R.F.M.; Vanhaecht, K.; Sermeus, W.; Kiekens, C.; Claes, K.; Bruyneel, L.

In: Journal of Evaluation in Clinical Practice, 2020.

Research output: Contribution to journalArticleScientificpeer-review

TY - JOUR

T1 - Effect of an intervention on the congruence of nurses' and patients' perceptions of patient‐centred care

T2 - A pre‐test post‐test study

AU - Castro, E.M.

AU - Van Regenmortel, R.F.M.

AU - Vanhaecht, K.

AU - Sermeus, W.

AU - Kiekens, C.

AU - Claes, K.

AU - Bruyneel, L.

PY - 2020

Y1 - 2020

N2 - Aims and ObjectivesTo evaluate measurement invariance of the Individualized Care Scale (ICS) across patients and nurses, and assess the degree of congruence in nurses' and patients' perceptions on patient‐centredness and the impact of an intervention there on.MethodsA pre‐post intervention study design with an expert by experience intervention was conducted in 2016 to 2017. Nurses (n = 138) and patients (n = 199) of two hospital departments in Belgium were surveyed. Patient‐centredness was measured using the ICS (ICS‐Nurse and ICS‐Patient). Measurement invariance was evaluated by conducting multiple‐group confirmatory factor analysis. Unpaired t tests and difference in difference analysis were used to evaluate the degree of congruence in nurses' and patients' perceptions on patient‐centredness and assess pre‐post changes in nurses' and patients' scores, respectively. SQUIRE guidelines were followed to report the study.ResultsThere was no evidence of measurement non‐invariance. Nurses perceived the individuality of care more positively than patients both before and after the implementation of the intervention. Pre‐post changes in nurses' and patients' scores were not statistically significant.ConclusionThere is a significant gap between the perceptions of nurses and patients regarding the support and provision of individual care: nurses consider provided care as more individualized than patients do. To orient nurses' perspectives more towards their patients' perspective, multicomponent interventions are needed. Researchers and hospital managers may use the ICS to evaluate interventions that have the ability to close the gap in nurses' and patients' perceptions of patient‐centredness. Embedding experts by experience in the professionals' team has the potential to foster patient‐centredness but needs to focus on patients and nurses equally.

AB - Aims and ObjectivesTo evaluate measurement invariance of the Individualized Care Scale (ICS) across patients and nurses, and assess the degree of congruence in nurses' and patients' perceptions on patient‐centredness and the impact of an intervention there on.MethodsA pre‐post intervention study design with an expert by experience intervention was conducted in 2016 to 2017. Nurses (n = 138) and patients (n = 199) of two hospital departments in Belgium were surveyed. Patient‐centredness was measured using the ICS (ICS‐Nurse and ICS‐Patient). Measurement invariance was evaluated by conducting multiple‐group confirmatory factor analysis. Unpaired t tests and difference in difference analysis were used to evaluate the degree of congruence in nurses' and patients' perceptions on patient‐centredness and assess pre‐post changes in nurses' and patients' scores, respectively. SQUIRE guidelines were followed to report the study.ResultsThere was no evidence of measurement non‐invariance. Nurses perceived the individuality of care more positively than patients both before and after the implementation of the intervention. Pre‐post changes in nurses' and patients' scores were not statistically significant.ConclusionThere is a significant gap between the perceptions of nurses and patients regarding the support and provision of individual care: nurses consider provided care as more individualized than patients do. To orient nurses' perspectives more towards their patients' perspective, multicomponent interventions are needed. Researchers and hospital managers may use the ICS to evaluate interventions that have the ability to close the gap in nurses' and patients' perceptions of patient‐centredness. Embedding experts by experience in the professionals' team has the potential to foster patient‐centredness but needs to focus on patients and nurses equally.

KW - INDIVIDUALIZED CARE

KW - MEASUREMENT INVARIANCE

KW - experts by experience

KW - measurement invariance

KW - nursing

KW - patient-centredness

KW - pre-post intervention research

KW - statistics

U2 - 10.1111/jep.13348

DO - 10.1111/jep.13348

M3 - Article

JO - Journal of Evaluation in Clinical Practice

JF - Journal of Evaluation in Clinical Practice

SN - 1356-1294

ER -