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[Development and validation of the hospice palliative care performance scale]
1College of Nursing, Kyungpook National University, The Research Institute of Nursing Science, Daegu, Korea. sh235@knu.ac.kr
Journal of Korean Academy of Nursing
|August 2, 2011
Summary
A new Hospice Palliative Care Performance Scale (HPCPS) was developed and validated. This tool effectively measures patient well-being across physical, emotional, spiritual, social, and patient rights domains in hospice care.
Area of Science:
- Palliative Care Medicine
- Health Outcomes Research
- Psychometrics
Background:
- Hospice and palliative care aim to improve the quality of life for patients with terminal illnesses.
- Existing performance measures often focus narrowly on physical symptoms or general quality of life.
- There is a need for comprehensive performance measures that encompass multiple dimensions of care.
Purpose of the Study:
- To develop and validate a comprehensive performance measure for hospice-palliative care.
- To create a scale that assesses physical, emotional, spiritual, social, and patient rights domains.
- To establish a reliable and valid tool for evaluating hospice care effectiveness.
Main Methods:
- Literature review to identify relevant domains and questions.
- Content validation by 15 hospice-palliative care professionals.
- Administration of a 20-question preliminary scale (Hospice Palliative Care Performance Scale - HPCPS) to 134 patient-caregiver dyads.
- Validation study including construct validity and internal consistency analysis.
Main Results:
- Factor analysis identified 14 significant questions across five subscales: Physical, Emotional, Spiritual, Social, and Patient' rights.
- High agreement between patient and family caregiver ratings, with minor discrepancies in three questions.
- The HPCPS demonstrated strong construct validity and internal consistency, with Cronbach's alpha values ranging from .73 to .79 for subscales.
Conclusions:
- The Hospice Palliative Care Performance Scale (HPCPS) exhibits acceptable validity and reliability.
- The HPCPS is suitable for assessing the effectiveness of hospice-palliative care for terminal cancer patients.
- This validated measure can be utilized in both clinical practice and research settings.
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