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Patient-Centered Care in Primary Care Scale*: Pilot Development and Psychometric Assessment

Radwin, Laurel E., PhD, RN; Cabral, Howard J., PhD; Seibert, Marjorie Nealon, MS; Stolzmann, Kelly, MS; Meterko, Mark, PhD; Evans, Leigh, MS; Barker, Anna, MS; Bokhour, Barbara, PhD

doi: 10.1097/NCQ.0000000000000341
Original Article: PDF Only

Background: Nurse contributions to patient-centered care in primary care clinics are all but ignored in standard patient experience surveys.

Purpose: 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.

Method: 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.

Results: 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.

Conclusions: 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 (laurel.e.radwin@gmail.com).

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.

Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal's Web site (www.jncqjournal.com).

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

Copyright © 2018 Wolters Kluwer Health, Inc. All rights reserved