Validation and Test–Retest Reliability of a Health Measure, Health as Ability of Acting, Based on the Welfare Theory of Health

Snellman, Ingrid; Jonsson, Bosse; Wikblad, Karin

doi:10.1177/0163278711414049

Cited by 3 publications

(3 citation statements)

References 19 publications

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“…The tool contains 12 items that are used to construct physical component summary (PCS) and the mental component summary (MCS) scores. The SF-12 has demonstrated reliability and validity [ 29 , 30 ], including in Australia [ 31 , 32 ]. The instrument has been used previously for investigation of patients with non-cardiac chest pain [ 33 ] and for patients managed by the ENP service in Australia [ 34 ].…”

Section: Methodsmentioning

confidence: 99%

The effectiveness of emergency nurse practitioner service in the management of patients presenting to rural hospitals with chest pain: a multisite prospective longitudinal nested cohort study

Roche

Gardner

Jack

2017

BMC Health Serv Res

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BackgroundHealth reforms in service improvement have included the use of nurse practitioners. In rural emergency departments, nurse practitioners work to the full scope of their expanded role across all patient acuities including those presenting with undifferentiated chest pain. Currently, there is a paucity of evidence regarding the effectiveness of emergency nurse practitioner service in rural emergency departments. Inquiry into the safety and quality of the service, particularly regarding the management of complex conditions is a priority to ensure that this service improvement model meets health care needs of rural communities.MethodsThis study used a prospective, longitudinal nested cohort study of rural emergency departments in Queensland, Australia. Sixty-one consecutive adult patients with chest pain who presented between November 2014 and February 2016 were recruited into the study cohort. A nested cohort of 41 participants with suspected or confirmed acute coronary syndrome were identified. The primary outcome was adherence to guidelines and diagnostic accuracy of electrocardiograph interpretation for the nested cohort. Secondary outcomes included service indicators of waiting times, diagnostic accuracy as measured by unplanned representation rates, satisfaction with care, quality-of-life, and functional status. Data were examined and compared for differences for participants managed by emergency nurse practitioners and those managed in the standard model of care.ResultsThe median waiting time was 8.0 min (IQR 20) and length-of-stay was 100.0 min (IQR 64). Participants were 2.4 times more likely to have an unplanned representation if managed by the standard service model. The majority of participants (91.5%) were highly satisfied with the care that they received, which was maintained at 30-day follow-up measurement. In the evaluation of quality of life and functional status, summary scores for the SF-12 were comparable with previous studies. No differences were demonstrated between service models.ConclusionsThere was a high level of adherence to clinical guidelines for the emergency nurse practitioner service model and a concomitant high level of diagnostic accuracy. Nurse practitioner service demonstrated comparable effectiveness to that of the standard care model in the evaluation of the service indicators and patient reported outcomes. These findings provide a foundation for the beginning evaluation of rural emergency nurse practitioner service in the delivery of safe and effective beyond the setting of minor injury and illness presentations.Trial registrationAustralian New Zealand Clinical Trials Registry, ACTRN12616000823471 (Retrospectively registered).Electronic supplementary materialThe online version of this article (doi:10.1186/s12913-017-2395-9) contains supplementary material, which is available to authorized users.

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Section: Methodsmentioning

confidence: 99%

The effectiveness of emergency nurse practitioner service in the management of patients presenting to rural hospitals with chest pain: a multisite prospective longitudinal nested cohort study

Roche

Gardner

Jack

2017

BMC Health Serv Res

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“…The semi-structured interview guide was inspired by the questionnaire HACT (health as ability to act) (Snellman, Jonsson, and Wikblad 2012), a validated measurement of health within welfare theory of health, focusing on life goals and the ability/resources needed to reach them. The interview guide was constructed to go beyond if a person has goals and can reach them, towards what the goals are, and how they prefer to reach them.…”

Section: Methodsmentioning

confidence: 99%

Spotting good ageing: using welfare theory of health to frame the agency of older adults with immigrant backgrounds to attain good ageing

Johansson

Morell

Lindberg

et al. 2021

Nordic Social Work Research

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Care providers for older immigrants in Sweden find themselves in a paradox. Individuals and associations call for culturally sensitive elderly care. However, implementing this comes at the risk of over-culturizing needs and behaviours, drawing a negative picture of 'the problem of immigrants' that needs to be solved with special interventions. To find a balance in this paradox, we applied the welfare theory of health to grasp a new understanding of the phenomena and draw a holistic picture of a person's needs and resources available to achieve good ageing, reaching beyond the cultural paradox. Semi-structured qualitative interviews were conducted with older adults with immigrant backgrounds in Sweden. The interviews were analysed using content analysis. Combining welfare theory of health with immaterial capital theories offered a holistic theoretical approach to good ageing. This took its departure from the agency of older adults, mitigating the gap between their vital life goals and available resources to reach these goals. Although informants wanted caring interventions from close family, we identified distinct responses to mitigate the diminished trust older adults had in the capability of welfare institutions to provide adequate elderly care.

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“…Functional health and well-being will be measured using the SF-12, a copyrighted instrument of QualityMetric Incorporated. 23 Internationally, the SF-12 survey has demonstrated reliability and validity, 24 25 including in Australia. 26 27 The instrument has been using previously for investigation of patients with non-cardiac chest pain 28 and for patients managed by the ENP service in Australia.…”

Section: Methods and Analysismentioning

confidence: 99%

Effectiveness of an emergency nurse practitioner service for adults presenting to rural hospitals with chest pain: protocol for a multicentre, longitudinal nested cohort study

2015

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IntroductionChest pain is common in emergency department (ED) patients and represents a considerable burden for rural health services. Health services reforms to improve access to care need appropriately skilled and supported clinicians in the delivery of safe and effective care, including the use of emergency nurse practitioners (ENPs). Despite increasing use of ENPs, little is known about the safety and quality of the service in the rural ED context. The aims of this study are (1) to examine the safety and quality of the ENP service model in the provision of care in the rural environment and (2) to evaluate the effectiveness of the service in the management of patients presenting with undifferentiated chest pain.Methods and analysisThis is the protocol for a prospective longitudinal nested cohort study to compare the effectiveness of ENP service with that of standard care. Adults presenting to three rural EDs in Queensland, Australia with a primary presenting complaint of atraumatic chest pain will be eligible for enrolment. We will measure (1) clinician's use of evidence-based guidelines (2) diagnostic accuracy of ECG interpretation for the management of patients with suspected or confirmed ACS (3) service indicators of waiting times, length-of-stay and did-not-wait rates and (4) clinician's diagnostic accuracy as measured by rates of unplanned representation within 7 days (5) satisfaction with care, (6) quality-of-life and (7) functional status. To assess these outcomes we will use a combination of measures collected from routinely collected data, medical record review and questionnaires (with 30-day follow-up).Ethics and disseminationQueensland Health Human Research Ethics Committee (HREC) has approved this protocol. The results will be published in peer-reviewed scientific journals and presented at one or more scientific conferences.

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Validation and Test–Retest Reliability of a Health Measure, Health as Ability of Acting, Based on the Welfare Theory of Health

Cited by 3 publications

References 19 publications

The effectiveness of emergency nurse practitioner service in the management of patients presenting to rural hospitals with chest pain: a multisite prospective longitudinal nested cohort study

The effectiveness of emergency nurse practitioner service in the management of patients presenting to rural hospitals with chest pain: a multisite prospective longitudinal nested cohort study

Spotting good ageing: using welfare theory of health to frame the agency of older adults with immigrant backgrounds to attain good ageing

Effectiveness of an emergency nurse practitioner service for adults presenting to rural hospitals with chest pain: protocol for a multicentre, longitudinal nested cohort study

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