Validation of the Patient-Centred Care Competency Scale Instrument for Finnish Nurses

Abstract

Patient-centredness in care is a core healthcare value and an effective healthcare delivery design requiring specific nurse competences. The aim of this study was to assess (1) the reliability, validity, and sensitivity of the Finnish version of the Patient-centred Care Competency (PCC) scale and (2) Finnish nurses’ self-assessed level of patient-centred care competency. The PCC was translated to Finnish (PCC-Fin) before data collection and analyses: descriptive statistics; Cronbach’s alpha coefficients; item analysis; exploratory and confirmatory factor analyses; inter-scale correlational analysis; and sensitivity. Cronbach’s alpha coefficients were acceptable, high for the total scale, and satisfactory for the four sub-scales. Item analysis supported the internal homogeneity of the items-to-total and inter-items within the sub-scales. Explorative factor analysis suggested a three-factor solution, but the confirmatory factor analysis confirmed the four-factor structure (Tucker–Lewis index (TLI) 0.92, goodness-of-fit index (GFI) 0.99, root mean square error of approximation (RMSEA) 0.065, standardized root mean square residual (SRMR) 0.045) with 61.2% explained variance. Analysis of the secondary data detected no differences in nurses’ self-evaluations of contextual competence, so the inter-scale correlations were high. The PCC-Fin was found to be a reliable and valid instrument for the measurement of nurses’ patient-centred care competence. Rasch model analysis would provide some further information about the item level functioning within the instrument.

Effectiveness of the “Person First – Please” educational intervention for nurses in older people long-term care –protocol for a cluster RCT v1

“…The sample size calculation is based on 0.8 effect size, power of 0.8 and statistical significance of 0.05, including three main hypotheses; the sample size needed for the intervention group is 68 and for the control group, 128. ICC of 0.1 was used based on a previous sample (Suhonen et al 2021).…”

“…The primary outcome, individual competence, will be measured using the Patient-centred Care Competency (PCC) scale (Hwang 2015;Suhonen et al 2021). The PCC scale measures PCC competence and consists of 17 items using a 5-point Likert-type scale (1 = minimal competence -5 = excellent competence) divided into four subscales: respecting patients' perspectives, promoting patient involvement in care processes, providing for patient comfort, and advocating for patients.…”

“…The PCC scale measures PCC competence and consists of 17 items using a 5-point Likert-type scale (1 = minimal competence -5 = excellent competence) divided into four subscales: respecting patients' perspectives, promoting patient involvement in care processes, providing for patient comfort, and advocating for patients. The PCC scale has been validated in Finnish (Suhonen et al 2021). Permission to use the PCC scale was obtained from the copyright holder (Hwang).…”

Core competencies of healthcare professionals in Oman: Research and evidence‐based practice needs attention

“…This study aimed to examine the core competencies of both nurses and physicians working at clinical settings in Oman. This investigation is based on an adopted and extensive instrument that consisted of 11 core competencies while the available literature focuses predominantly on the core competencies of either an individual profession (nurses or physicians) (Albarqouni et al, 2018;Faraji et al, 2019;Keykha et al, 2016;Mirlashari et al, 2016;Wei et al, 2018) or covers selective competence sub-scales (Al Lawati et al, 2019;Al-Busaidi et al, 2019;Al-Saadi et al, 2019;Alvarez et al, 2021;Fu et al, 2020;Kanerva et al, 2015;Kantanen et al, 2017;Khezri & Abdekhoda, 2019;Mert Boğa et al, 2020;Mohamed et al, 2020;Rouse & Al-Maqbali, 2014;Suhonen et al, 2021;Ylitörmänen et al, 2019). This shall add to the body of knowledge an insight for crossintegration and a reflective measure of the overall quality care delivery system.…”

Personalized Nursing and Health Care: Advancing Positive Patient Outcomes in Complex and Multilevel Care Environments

“…The individuality of care and services is essential for the realisation of healthcare quality, ethical obligations and the development of a deeper understanding of user perspectives necessary for health care, health policy development and increasing patient choice [3]. Healthcare systems in countries should be based on the comprehensive need assessment of individual clients [4,5] and patients to provide individualised, personalised or tailored care [6]. Personalized medical care should not only improve the patient's situation by providing the right diagnosis, prevention or treatment; it also needs to be tailored according to individual characteristics, situation, context, and environment to support people's health power, health careers and thus, their self-management and independent living [7,8].…”