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Examining the Theoretical Relationship between Constructs in the Person-Centred Practice Framework: A Structural

Tanya McCance1, Brendan McCormack2, Paul Slater1

  • 1Istitute of Nursing and Health Research, Ulster University, Belfast BT37 0QB, UK.

International Journal of Environmental Research and Public Health
|December 24, 2021
PubMed
Summary

This study statistically validates the Person-centred Practice Framework, a global model for healthcare. Findings confirm its theoretical propositions and the effectiveness of the Person-Centred Practice Index for Staff.

Keywords:
person-centred practicestructural equation modelsurvey

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Area of Science:

  • Healthcare research
  • Nursing practice
  • Health professional studies

Background:

  • Person-centred practice is expanding globally, yet lacks robust statistical validation.
  • Existing research on person-centred practice models requires empirical support.
  • The Person-centred Practice Framework is a widely adopted midrange theory.

Purpose of the Study:

  • To statistically examine the relationships within the Person-centred Practice Framework.
  • To provide empirical evidence for the validity of the Person-centred Practice Framework.
  • To assess the alignment of the Person-Centred Practice Index for Staff with the framework.

Main Methods:

  • Cross-sectional survey design utilizing a standardized tool.
  • Purposive sampling of 1283 multi-disciplinary health professionals in Ireland.
  • Structural equation modeling to analyze survey construct scores and test the theoretical model.

Main Results:

  • The structural model explained 60.5% of the total variance.
  • Factor loadings and fit statistics confirmed the acceptability of the measurement model.
  • Statistically significant positive relationships were found between components of the framework, supporting its propositions.

Conclusions:

  • The study provides statistical evidence supporting the Person-centred Practice Framework.
  • Findings confirm the framework's theoretical propositions across a multi-disciplinary sample.
  • The Person-Centred Practice Index for Staff is validated as an instrument aligned with the framework.