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Title: Psychometric evaluation of the Chinese version of the Person-centred Climate Questionnaire - Staff version (PCQ-S).
Austin Authors: Cai, Le;Ahlström, Gerd;Tang, Pingfen;Ma, Ke;Edvardsson, David ;Behm, Lina;Fu, Haiyan;Zhang, Jie;Yang, Jiqun
Affiliation: School of Public Health, Kunming Medical University, Kunming, China
Northern Health Clinical School of Nursing, College of Science, Health and Engineering, La Trobe University, Bundoora, Victoria, Australia
Department of Health Sciences, Faculty of Medicine, Lund University, Lund, Sweden
Division of Palliative Care, The Third People's Hospital of Kunming, Kunming, China
Austin Health Clinical School of Nursing, La Trobe University, Heidelberg, Victoria, Australia
Issue Date: 28-Aug-2017
Date: 2017-08-28
Publication information: BMJ Open 2017; 7(8): e017250
Abstract: The aim of the study was to evaluate the psychometric properties of a Chinese translation of the English version of the Person-centred Climate Questionnaire - Staff version (PCQ-S) for Chinese palliative care staff in a hospital context. This was a cross-sectional design. The 14-item English PCQ-S was translated and backtranslated using established procedures. Construct validity and reliability including internal consistency and test-retest reliability were assessed among hospital staff. Construct validity was tested using principal component analysis (PCA), internal consistency was assessed using Cronbach's alpha, and test-retest reliability was evaluated with the weighted kappa (Kp), Pearson correlation coefficient (r) and intra-class correlation coefficient (ICC). This study was conducted in three hospitals in Kunming, the capital of Yunnan province in south-west China. A sample of hospital staff (n=163) on duty in the palliative care departments of three hospitals in Kunming consented to participate in the study. The 14-item Chinese PCQ-S consists of the three subscales also present in other language versions. It showed strong internal consistency, with a Cronbach's alpha of 0.94 for the total scale, 0.87 for the safety subscale, 0.90 for the everydayness subscale and 0.88 for the community subscale. The Chinese PCQ-S had high test-retest reliability as evidenced by a high Kp coefficient and a high correlation coefficient for all scales between test and retest scores, on 'a climate of safety' (Kp=0.77, r=0.88, p<0.01), 'a climate of everydayness' (Kp=0.82, r=0.91, p<0.01), 'a climate of community' (Kp=0.75, r=0.79, p<0.01), and on overall scale scores (Kp=0.85, r=0.93, p<0.01). The ICC to evaluate the test-retest reliability was 0.97 (95% CI 0.95 to 0.98). The Chinese version of the PCQ-S showed satisfactory reliability and validity for assessing staff perceptions of person-centred care in Chinese hospital environments.
DOI: 10.1136/bmjopen-2017-017250
ORCID: 0000-0002-0656-2691
Journal: BMJ Open
PubMed URL: 28851797
Type: Journal Article
Subjects: China
Geriatric Medicine
Nursing Staff
Palliative Care
Person-centred Care
Psychometric Evaluation
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