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Assessing person-centredness: the Person-centred Practice Index by Dr Paul Slater

Assessing person-centredness: the Person-centred Practice Index by Dr Paul Slater. Background. Person-centred Practice Evidence relating to Person-centred Practice A dearth of psychometrically acceptable instruments to measure Person-centred Practice. Background.

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Assessing person-centredness: the Person-centred Practice Index by Dr Paul Slater

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  1. Assessing person-centredness: the Person-centred Practice Indexby Dr Paul Slater

  2. Background • Person-centred Practice • Evidence relating to Person-centred Practice • A dearth of psychometrically acceptable instruments to measure Person-centred Practice

  3. Background • The Proxy measures: PCNI/PCCI tools measured: • Work Stress • Job Satisfaction • Organisational Traits • Perceptions of caring • Proxy measures – not direct measures

  4. Background Summary • Need to develop a tool that effectively measures person-centred practice • Establish the psychometric properties of the instrument

  5. PCPI Development • Instrument Design: 5 Stage Process • Exploration of Theoretical Principles • Mapping to sample (Delphi technique) • Questionnaire development • Testing for reliability and validity • Amendment and acceptance

  6. Person-centred Practice Framework (PCPF)

  7. Delphi Technique Two stages: • To gain agreement on the 17 definitions of PCPF • Gain consensus on questionnaire items aligned to the definitions

  8. Delphi Technique • Definitions generated • Sample: International Expert Panel (n = 36) • Recognised Expert in the field • At least one publication in area • Willing to participate • Expert in questionnaire development (stage II only)

  9. Delphi Technique Definition rated on 4-point Likert scale Consensus achieved at • 80% (Keeney et al 2011) • Median of 3.25 (Green 1982) • Accepted definitions removed at each round

  10. Consensus • Round 1 - 11 definitions accepted (n = 26) • Round 2 – 2 definitions accepted (n = 21) • Round 3 – 4 definitions accepted (n = 19)

  11. Item generation 108 potential items generated • PCPRG and Expert Panel (Research Week) • 5-point Likert Scale • “How well the items accurately measure the definition” • Response rate n = 26 • 14 items removed:

  12. The Person-centred Practice Index (PCPI) • Maps directly to PCPF • Comprises 94 closed question items • Measuring 17 Constructs • Rated on 5-point Likert Scale

  13. The Person-centred Practice Index (PCPI) • Currently testing psychometric properties: • Large scale study in 4 Trusts • Registered Nurses • Finalise instrument items • Initial findings very encouraging • Strong measures of reliability and validity • Questionnaire available Nov 2013

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