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  • 1.
    Cai, Le
    et al.
    China.
    Ahlström, Gerd
    Lund University.
    Tang, Pingfen
    China.
    Ma, Ke
    China.
    Edvardsson, David
    Australia.
    Behm, Lina
    Lund University.
    Fu, Haiyan
    China.
    Zhang, Jie
    China.
    Yang, Jiqun
    China.
    Psychometric evaluation of the Chinese version of the person-centred climate questionnaire: staff version (PCQ-S)2017Ingår i: BMJ Open, E-ISSN 2044-6055, Vol. 7, nr 8, artikel-id e017250Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    OBJECTIVES: 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.

    DESIGN: 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).

    SETTING: This study was conducted in three hospitals in Kunming, the capital of Yunnan province in south-west China.

    PARTICIPANTS: 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.

    RESULTS: 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).

    CONCLUSIONS: The Chinese version of the PCQ-S showed satisfactory reliability and validity for assessing staff perceptions of person-centred care in Chinese hospital environments.

  • 2.
    Cronström, Anna
    et al.
    Lund University.
    Dahlberg, Leif E
    Lund University.
    Nero, Håkan
    Lund University.
    Ericson, Jennifer
    Lund University.
    Sjödahl Hammarlund, Catharina
    Högskolan Kristianstad, Fakulteten för hälsovetenskap, Forskningsmiljön PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Lund University.
    'I would never have done it if it hadn't been digital': a qualitative study on patients' experiences of a digital management programme for hip and knee osteoarthritis in Sweden.2019Ingår i: BMJ Open, E-ISSN 2044-6055, Vol. 9, nr 5Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    OBJECTIVES: To investigate the experiences of a digital management programme for hip and knee osteoarthritis (OA), including education and exercises as well as an option to chat with an assigned physical therapist for feedback, questions and support.

    SETTING: This study was conducted at a regional hospital in the southern part of Sweden.

    METHODS: Nineteen patients (10 women), median age of 66 (q1-q3, 57-71) years, with confirmed hip or knee OA were interviewed after completing their first 6 weeks in the programme, using a semistructured interview guide. The interviews were transcribed verbatim and were qualitatively analysed using systematic text condensation.

    RESULTS: Three categories emerged during the interviews:(1) Management options for mitigating the consequences of OA; (2) Experiences of the digital programme and (3) Perceived effects of the digital programme over time. The participants had mostly positive experiences of the programme. Particularly important for these experiences were no waiting list, the flexibility of taking part in the programme with regards to location and time and the possibility to have daily contact with a physical therapist. These aspects were also emphasised as advantages compared with traditional care.

    CONCLUSIONS: Digital management of OA, including education and exercise, was experienced as a valid alternative to traditional treatment in enabling the implementation of OA guidelines in a wider community. Easy access, exercising at one's own convenience, flexible options, daily follow-up and support by a physical therapist were mentioned as the most important features. In addition, the results will contribute to further development and improvement of digital OA management programmes.

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  • 3.
    Le, Cai
    et al.
    Kina.
    Ma, Ke
    Kina.
    Tang, Pingfen
    Kina.
    Edvardsson, David
    Australien.
    Behm, Lina
    Högskolan Kristianstad, Fakulteten för hälsovetenskap, Forskningsmiljön Människa - Hälsa - Samhälle (MHS). lina.behm@hkr.se .
    Zhang, Jie
    Kina.
    Yang, Jiqun
    Fu, Haiyan
    Kina.
    Ahlström, Gerd
    Lunds universitet.
    Psychometric evaluation of the Chinese version of the Person-Centred Care Assessment Tool2020Ingår i: BMJ Open, E-ISSN 2044-6055, Vol. 10, nr 7Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    OBJECTIVE: This study aims to test a Chinese cross-cultural adaptation of the English version of the Person-Centred Care Assessment Tool (P-CAT) and evaluate its psychometric properties.

    DESIGN: P-CAT was translated/back-translated using established procedures before the psychometric evaluation of the Chinese version was made.

    SETTING: Two hospitals covering urban and suburban areas of Kunming in the Yunnan province of China.

    PARTICIPANTS: 152 female hospital staff completed the survey.

    MAIN OUTCOME MEASURES: Construct validity and reliability, including internal consistency and test-retest reliability, were assessed among a sample of hospital staff.

    RESULTS: The factor analysis resulted in a two-component solution that consisted of two subscales. The corrected item-total correlations for all of the items ranged from 0.14 to 0.44, with six items not meeting the cut-off level for item-total correlation (>0.3). The Chinese P-CAT demonstrated strong reliability, with a Cronbach's alpha of 0.91-0.94 for the scales and a test-retest reliability coefficient of 0.88 for the overall scale scores. The intraclass correlation was 0.92 (95% CI 0.90 to 0.95).

    CONCLUSION: P-CAT appears to be a promising measure for evaluating staff perceptions of person-centredness in Chinese hospital environments. The results show that P-CAT can be a useful tool for improving the quality of healthcare in terms of person-centred care in the Chinese context.

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  • 4.
    Lood, Qarin
    et al.
    Göteborgs universitet & Australien.
    Haak, Maria
    Högskolan Kristianstad, Fakulteten för hälsovetenskap, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap. Högskolan Kristianstad, Forskningsplattformen för Hälsa i samverkan. Högskolan Kristianstad, Fakulteten för hälsovetenskap, Forskningsmiljön Människa - Hälsa - Samhälle (MHS). Lunds universitet.
    Dahlin-Ivanoff, Synneve
    Göteborgs universitet.
    Everyday life in a Swedish nursing home during the COVID-19 pandemic: a qualitative interview study with persons 85 to 100 years2021Ingår i: BMJ Open, E-ISSN 2044-6055, Vol. 11, nr 6, s. 1-7, artikel-id e048503Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    OBJECTIVE: To understand and report on the impact of the COVID-19 pandemic on the everyday lives of frail older persons living in nursing homes by exploring their experiences of how the pandemic-related restrictions had influenced them and in what way.

    DESIGN: Empirical qualitative interview study.

    SETTING: A publicly run nursing home in an urban area in Sweden in June 2020. The nursing home had visitor restrictions, cancelled activities and physical distancing requirements since March 2020.

    PARTICIPANTS: A total of 10 persons, 85-100 years, living in a Swedish nursing home during the COVID-19 pandemic, were recruited through nursing home management and interviewed in June 2020 using medically approved visors and physical distancing.

    ANALYSIS: Interviews were analysed using thematic analysis, which involves familiarisation, coding and definition of themes. Transcripts were coded into data-driven categories before being organised into categories that described and explained the data.

    RESULTS: The analysis resulted in the main theme 'It is like living in a bubble', that describes everyday life in the nursing home during the pandemic as a world of its own in which the older persons felt both protected and isolated. This is described in four subthemes: living 1 day at a time, without fear of the virus; feeling taken care of; having limited freedom and missing out on the little extras.

    CONCLUSIONS: Contributing to the growing area of COVID-19-related research, our findings provide novel insights into how pandemic-related restrictions in nursing homes represent a risk of isolating older people from the outside world and diminishing their freedom. Put in relation to the previous research, these findings could be applied beyond the pandemic, to develop research and practice that puts focus on how to support older people to decide for themselves how to spend the rest of their lives.

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