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Translation and Psychometric Properties of the Turkish Version of the Person-Centred Climate Questionnaire-Patient
Nur Güven Özdemir1, Ayşe Aydin2, Münevver Sönmez3
1Fundamentals of Nursing Department, Faculty of Health Sciences, Zonguldak Bülent Ecevit University, Zonguldak, Türkiye.
Aims:
To translate, culturally adapt and evaluate the psychometric properties of the Turkish version of the Person-Centred Climate Questionnaire-Patient Version (PCQ-P-Tur).
Design:
A methodological and descriptive study design.
Methods:
The PCQ-P was translated and culturally adapted into Turkish, followed by content and face validity assessment. Subsequently, psychometric evaluation was conducted in a sample of 300 patients recruited from the acute care settings of a public hospital. Data were collected using a Patient Information Form, the PCQ-P-Tur and the Individualized Care Scale (ICS-Patient-B). Analyses included descriptive statistics, exploratory and confirmatory factor analyses, Spearman's rho correlations for concurrent validity, and reliability assessments using Cronbach's alpha and item-total correlations.
Results:
Expert evaluation indicated strong content validity (I-CVI = 0.857-1.00; S-CVI = 0.969), while face validity assessment with 30 patients supported the clarity and relevance of the items. Factor analyses revealed that, unlike the original version, the PCQ-P-Tur consisted of two factors, Climate of Safety and Climate of Everydayness, forming a 16-item structure. The PCQ-P-Tur demonstrated substantial concurrent validity, with significant positive correlations between the total PCQ-P-Tur score and the total ICS-B score. Reliability was excellent, with Cronbach's α = 0.965 and item-total correlations ranging from 0.538 to 0.878. Patients reported high levels of person-centred care, with Climate of Safety and Climate of Everydayness subscales receiving the highest ratings, indicating a care climate perceived as consistently safe, supportive and aligned with person-centred principles.
Conclusion:
The PCQ-P-Tur is a valid and reliable scale for assessing patients' perceptions of the person-centred care climate in Turkish healthcare settings.
Implications For The Profession And/Or Patient Care:
The PCQ-P-Tur can support nurses, healthcare professionals, and managers in assessing the person-centred care climate, identifying opportunities for improvement and informing quality improvement initiatives. It may also help explore how the physical and social dimensions of care climate shape patient experience and support safe, supportive and individualized patient care.
Impact:
This study addressed the lack of a Turkish instrument for assessing patients' perceptions of the person-centred care climate. The findings provide a basis for further validation and application of the PCQ-P-Tur among patients in Turkish acute care settings.
Reporting Method:
This study was reported in accordance with the COSMIN Reporting Guideline for Studies on Measurement Properties of Patient-Reported Outcome Measures: version 2.0.
Patient Or Public Contribution:
No patient involvement beyond participation in the study.
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