Psychometric properties of the Persian language person-centered climate questionnaire – Patient version (PCQ-P)

Abstract

Background Person-centered care is a valuable approach to improve the quality of care of the elderly and is a starting point for maintaining the dignity of people needing care. Objectives This study aimed at translation, cultural adaptation, and validation of the Persian version of the Person-centered Climate Questionnaire–Patient questionnaire in elderly patients admitted to the Eastern Guilan hospitals from 2017-2018. Design This research was a cross-sectional study. The Persian version of Person-centered Climate Questionnaire –Patient version was completed by 200 older adults admitted to different wards of the hospitals. They were selected through convenient sampling. Data were collected in 5 hospitals affiliated to Guilan University of Medical Sciences, East of Guilan located in the north of Iran, from November 2017 to February 2018. Methods This study was carried out in two phases. In the first phase, the original questionnaire with 17 items was translated from English into Persian using Forward-Backward translation method. In the second phase, the psychometric properties of the questionnaire were evaluated using face, content, and construct validity, as well as reliability (internal consistency and stability). Data were analyzed via SPSS software v.16. Results The results of exploratory factor analysis (EFA) led to retaining 17 items with three factors of “Safety”, “Hospitality”, and “Everydayness” which explained 47.69% of the total variance. Cronbach's alpha coefficient was calculated for each factor (0.85, 0.70, and 0.64, respectively) as well as the whole instrument (0.85), to ensure internal consistency. Stability was confirmed by calculating the intra-class correlation coefficient as 0.99. Conclusions The current study found support for assessing the person-centered climate from the perspective of the elderly patients by using the Persian version of the Person-centered Climate Questionnaire–Patient that has an appropriate cultural adaptation, validity, and reliability.

Person-centered climate from the perspective of hemodialysis patients and nurses working in hemodialysis units

“…Based on the results of the study, the mean total score of PCC climate from the patients' point of view was 81.49 ± 7.14 out of 102, which indicates the high PCC climate in hemodialysis wards of the studied units. Kobrai-Abkenar et al [48] conducted a study to evaluate the PCC climate among patients admitted to internal medicine, surgery, and ENT wards. The mean total score of PCC in these units was 80.46 ± 5.62 which is similar to our results.…”

“…A previous study by Kobrai-Abkenar et al [48] using the PCQ-P found that "in assessing the quality of health care from the patient's perspective, physical environmental factors such as well-groomed staff, neat and clean hospital environment, modern medical equipment, harmonious physical layout and appropriate signage, and the presence of windows are important. In addition to the known evidence that physical environmental factors such as a harmonious physical layout, appropriate signage, and windows are important in assessing the quality of health care from the patient's perspective," the PCQ-P items "a place where the staff talk to me (the patient) in a way that I can understand" and "a place where the staff make efforts to make me feel comfortable" scored high.…”