Browsing by Person "Slater, Paul F."

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Danish translation and adaptation of the Context Assessment Index (CAI) with implications for evidence-based practice
(Wiley, 2019-01-28) Hølge-Hazelton, Bibi; Bucknall, Tracey; Bruun, Line Zacho; Slater, Paul F.; McCormack, Brendan; Klausen, Susanne Hwiid; Thomsen, Thora Skodshøj
Background: Healthcare contexts are rapidly changing with growing demand for health services to accommodate an ageing population and financial pressures. Assessment of context in healthcare set-tings has been the subject of increasing debate. The Context Assessment Index (CAI) examines three interconnected contextual elements derived from the PARIHS-Framework with the purpose of providing practitioners with an understanding of the context in which they work. Aims: 1: To describe the translation of the CAI into Danish and adapt the instrument for use in Danish hospitals. 2: To evaluate the psychometric properties of the Danish version of the CAI. Methods: Translation and adaption included an expert panel and a translation/back-translation pro-cess. The CAI was then sent to 4416 nurses in the Region Zealand, Denmark. There are two alternative measurement models to explain the factor structure of the CAI, the five-factor model and the three-factor model. In order to provide the best explanation for the data both measurement models were examined using confirmatory factor analysis. Results: The CAI was translated and modified based on expert review and usability testing. 2261 nurses completed the CAI. For both models, factor loadings and fit statistics were acceptable, appropriate and statistically significant, and the measurement models were confirmed (5-factor model RMSEA 0.07, CFI=0.923; 3-factor model RMSEA 0.07, CFI=0.924). Cronbach alpha scores showed the models to have broadly acceptable scores (5-factor 0.64 – 0.89; 3-factor model 0.72 – 0.89). Linking Evidence to Action: The three-factor model can advantageously be used when the PARIHS framework is part of the project. In a translation process, differences in cultural specificity, language, and working environment have to be considered. By understanding the context of practice, nurses may enable person-centered care and improve patient outcomes.
Determining older people's needs for care by Registered Nurses: the Nursing Needs Assessment Tool
(Blackwell, 2005-12) Slater, Paul F.; McCormack, Brendan
Background.- In 2001, the United Kingdom government introduced 'free nursing care' legislation, eligibility for which was subject to a nursing needs assessment. This paper outlines the search for and subsequent development of an appropriate tool for assessing older people's eligibility for free nursing care in Northern Ireland. Methods.- Following a systematic search of the literature, existing tools used in ascertaining older people's nursing needs were identified. Each tool was systematically assessed in accordance with criteria of validity, reliability, usability, comprehensiveness of assessment and ability to quantify nursing care needs. From the findings, an assessment instrument, Nursing Needs Assessment Tool was subsequently developed and tested. Paired assessments of older people were undertaken independently by assessor dyads and evaluated statistically. Assessors' opinions on the usability of the instrument were sought through a focus group. Results.- One hundred and ten paired assessments were returned (63%). Overall there was 65% agreement between assessors. Kappa scores indicated good levels of inter-rater reliability. Correlation co-efficient measures reinforced these results. Findings from the focus group confirmed the validity, usability and comprehensiveness of the tool. Conclusions.- The Nursing Needs Assessment Tool is a reliable, valid and usable instrument. This has major implications for the standardization of assessment for older people.
The development and structural validity testing of the Person-centred Practice Inventory–Care (PCPI-C)
(Public Library of Science, 2024-05-10) McCormack, Brendan; Slater, Paul F.; Gilmour, Fiona; Edgar, Denise; Gschwenter, Stefan; McFadden, Sonyia; Hughes, Ciara; Wilson, Val; McCance, Tanya
Background: Person-centred healthcare focuses on placing the beliefs and values of service users at the centre of decision-making and creating the context for practitioners to do this effectively. Measuring the outcomes arising from person-centred practices is complex and challenging and often adopts multiple perspectives and approaches. Few measurement frameworks are grounded in an explicit person-centred theoretical framework. Aims: In the study reported in this paper, the aim was to develop a valid and reliable instrument to measure the experience of person-centred care by service users (patients)–The Person-centred Practice Inventory-Care (PCPI-C). Methods: Based on the ‘person-centred processes’ construct of an established Person-centred Practice Framework (PCPF), a service user instrument was developed to complement existing instruments informed by the same theoretical framework–the PCPF. An exploratory sequential mixed methods design was used to construct and test the instrument, working with international partners and service users in Scotland, Northern Ireland, Australia and Austria. A three-phase approach was adopted to the development and testing of the PCPI-C: Phase 1 –Item Selection: following an iterative process a list of 20 items were agreed upon by the research team for use in phase 2 of the project; Phase 2 –Instrument Development and Refinement: Development of the PCPI-C was undertaken through two stages. Stage 1 involved three sequential rounds of data collection using focus groups in Scotland, Australia and Northern Ireland; Stage 2 involved distributing the instrument to members of a global community of practice for person-centred practice for review and feedback, as well as refinement and translation through one: one interviews in Austria. Phase 3: Testing Structural Validity of the PCPI-C: A sample of 452 participants participated in this phase of the study. Service users participating in existing cancer research in the UK, Malta, Poland and Portugal, as well as care homes research in Austria completed the draft PCPI-C. Data were collected over a 14month period (January 2021-March 2022). Descriptive and measures of dispersion statistics were generated for all items to help inform subsequent analysis. Confirmatory factor analysis was conducted using maximum likelihood robust extraction testing of the 5-factor model of the PCPI-C. Results: The testing of the PCPI-C resulted in a final 18 item instrument. The results demonstrate that the PCPI-C is a psychometrically sound instrument, supporting a five-factor model that examines the service user’s perspective of what constitutes person-centred care. Conclusion and implications: This new instrument is generic in nature and so can be used to evaluate how person-centredness is perceived by service users in different healthcare contexts and at different levels of an organisation. Thus, it brings a service user perspective to an organisation-wide evaluation framework.
Training Pack for the Northern Ireland Single Assessment Tool (NISAT) for the Health and Social Care of Older People
(University of Ulster, 2008) McCormack, Brendan; Taylor, Brian J.; McConville, Joanne E.; Slater, Paul F.; Murray, Bridget J.