Nurse contributions to patient-centered care in primary care clinics are all but ignored in standard patient experience surveys.
The purpose was to conduct a pilot study to develop and psychometrically assess a scale measuring nurses' and other providers' patient-centered care in Veteran Affairs primary care clinics.
We developed a patient experience survey composed of original items and previous studies' items and scales. The survey was field tested online with patients who had a recent clinic appointment. The nonrandom analytic sample comprised 221 patients.
Exploratory factor analyses yielded a 36-item, 4-factor solution explaining 76% of the variance. The factors were: (1) Provider Knowing the Person/Individualizing Care (18 items; α = 0.98); (2) Nurse Knowing the Person (8; 0.95); (3) Nurse Individualizing Care (7; 0.94); and (4) Continuity of Care (3; not calculated). A short form with 23 items was created using stepwise regression. It had the same 4 factors as the long form with 76% of the variance explained.
Patients reported distinctive nurse contributions that have not been routinely measured.
Center for Health Care Organization & Implementation Research, VA Boston Health Care System, Boston, Massachusetts (Dr Radwin [Formerly] and Mss Seibert and Stolzmann); Boston University School of Public Health, Massachusetts (Dr Cabral and Ms Evans); Department of Veteran Affairs, Washington, District of Columbia (Dr Meterko); and Center for Health Care Organization & Implementation Research, VA Bedford, Massachusetts (Ms Barker and Dr Bokhour).
Correspondence: Laurel E. Radwin, PhD, RN, c/o Mr Shawne Finley, Program Support Assistant VA Boston CHOIR, HSR&D Center of Innovation (ADPAC), 150 S. Huntington Ave (152M), Boston, MA 02130 (firstname.lastname@example.org).
The authors thank Gregory Makoul, PhD, Ally Gittens, BS, David Mohr, PhD, Juliet Wu, BS, and Kim Harvey, MS.
This work was supported by Partnered Evaluation Center funding: award # PEC13-001 from the United States Department of Veterans Affairs. The contents do not represent the views of the US Department of Veterans Affairs or the United States Government.
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The authors declare no conflicts of interest.
*Express written permission from Dr Radwin is required before using the Patient Centered Care in Primary Care Scale.
Accepted for publication: May 1, 2018
Published ahead of print: July 24, 2018