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The development and structural validity testing of the Person-centred Practice Inventory-Care (PCPI-C).

Brendan George McCormack1, Paul F Slater2, Fiona Gilmour3

  • 1Faculty of Medicine and Health, Susan Wakil School of Nursing and Midwifery/Sydney Nursing School, The University of Sydney, Camperdown Campus, New South Wales, Australia.

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PubMed
Summary
This summary is machine-generated.

A new instrument, the Person-centred Practice Inventory-Care (PCPI-C), was developed to measure patient experiences of person-centred care. This psychometrically sound tool supports a five-factor model, offering a valuable service user perspective for healthcare evaluations.

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Area of Science:

  • Healthcare Quality and Patient Experience
  • Psychometrics and Measurement in Health Services
  • Health Services Research

Background:

  • Person-centred healthcare prioritizes service user beliefs and values in decision-making.
  • Measuring person-centred care outcomes is complex, often requiring multiple perspectives.
  • Existing measurement frameworks often lack a strong theoretical grounding in person-centredness.

Purpose of the Study:

  • To develop a valid and reliable instrument to measure service users' experiences of person-centred care.
  • The instrument, the Person-centred Practice Inventory-Care (PCPI-C), is based on the established Person-centred Practice Framework (PCPF).

Main Methods:

  • An exploratory sequential mixed-methods design was employed.
  • Instrument development involved iterative item selection, focus groups, and expert review across international sites.
  • Structural validity was tested using confirmatory factor analysis on data from 452 service users in diverse healthcare settings.

Main Results:

  • A final 18-item instrument, the PCPI-C, was established.
  • The PCPI-C demonstrated psychometric soundness.
  • Confirmatory factor analysis supported a five-factor model reflecting the service user's perspective on person-centred care.

Conclusions:

  • The PCPI-C is a psychometrically sound, generic instrument for evaluating person-centred care from the service user's viewpoint.
  • It can be applied across various healthcare contexts and organizational levels.
  • The instrument enhances organization-wide evaluation frameworks by incorporating the crucial service user perspective.