Dataset Information

Measuring compassionate healthcare with the 12-item Schwartz Center Compassionate Care Scale.

ABSTRACT:

Background

Patients and clinicians endorse the importance of compassionate healthcare but patients report gaps between its perceived importance and its demonstration. Empathy and compassion have been associated with quality of life and significant health outcomes but these characteristics are not optimally measured or used for performance and organizational improvement.

Objective

To address these gaps, we conducted a study with the objective of evaluating the properties of the 12-item Schwartz Center Compassionate Care Scale® using psychometric analysis and cognitive debriefing.

Methods

Non-hospitalized patients with multiple chronic conditions were sampled using an on-line platform. Classical test theory and Rasch measurement theory were used to evaluate psychometric properties of the scale. Structured questions elicited cognitive responses regarding clarity of each item.

Results

Classical test theory analysis confirmed that the 12-item Schwartz Center Compassionate Care Scale is a unidimensional scale with excellent internal consistency and test-retest reliability. Patients' ratings of compassionate behaviors using the Schwartz Center Compassionate Care Scale correlated significantly with a related instrument designed to measure empathy, demonstrating convergent validity. Rasch measurement theory showed that reducing the number of response options on 3 items in the scale would improve respondents' discrimination between responses on these items. Although person-item threshold distribution analysis showed that patients may wish to rate compassionate care at levels both higher and lower than the scale permits, items could be ordered on an interval scale from low to high levels of compassionate care.

Conclusions

The current 12-item Schwartz Center Compassionate Care Scale demonstrates excellent psychometric properties by Classical Test Theory and Rasch measurement theory. The 12-item Schwartz Center Compassionate Care Scale adds questions related to understanding and discussing emotional, contextual issues and the needs of the patient and family. Easily completed on-line, it could be used for work-place based assessment and feedback to clinicians and performance or quality improvement.

SUBMITTER: Rodriguez AM

PROVIDER: S-EPMC6728044 | biostudies-literature | 2019

REPOSITORIES: biostudies-literature

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Publications

Measuring compassionate healthcare with the 12-item Schwartz Center Compassionate Care Scale.

Rodriguez Ana Maria AM Lown Beth A BA

PloS one 20190905 9

<h4>Background</h4>Patients and clinicians endorse the importance of compassionate healthcare but patients report gaps between its perceived importance and its demonstration. Empathy and compassion have been associated with quality of life and significant health outcomes but these characteristics are not optimally measured or used for performance and organizational improvement.<h4>Objective</h4>To address these gaps, we conducted a study with the objective of evaluating the properties of the 12- ...[more]

PMID: 31487300

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Project description:BackgroundSchwartz Center Rounds® (henceforce Rounds) were developed in the United States (US) in 1995 to provide a regular, structured time and safe place for staff to meet to share the emotional, psychological and social challenges of working in healthcare. Rounds were adopted in the United Kingdom (UK) in 2009 and have been subsequently implemented in over 180 healthcare organisations. Using Rounds as a case study, we aim to inform current debates around maintaining fidelity when an intervention developed in one country is transferred and implemented in another.MethodsInterpretive design using nine qualitative interviews (UK = 3, US = 6) and four focus groups (UK: Focus group 1 (4 participants), Focus group 2 (5 participants; US: focus group 1 (5 participants) focus group 2 (2 participants) with participants involved in Rounds design and implementation, for example, programme architects, senior leaders, mentors and trainers. We also conducted non-participant observations of Rounds (UK = 42: USA = 2) and training days (UK = 2). Data were analysed using thematic analysis.ResultsWe identified four core and seven sub-core Rounds components, based upon the US design, and seven peripheral components, based on our US and UK fieldwork. We found high core component fidelity and examples of UK adaptations. We identified six strategies used to maintain high fidelity during Rounds transfer and implementation from the US to UK settings: i) having a legal contract between the two national bodies overseeing implementation, ii) requiring adopting UK healthcare organisations to sign a contract with the national body, iii) piloting the intervention in the UK context, iv) emphasising the credibility of the intervention, v) promoting and evaluating Rounds, and vi) providing implementation support and infrastructure.ConclusionsThis study identifies how fidelity to the core components of a particular intervention was maintained during transfer from one country to another by identifying six strategies which participants argued had enhanced fidelity during transfer of Rounds to a different country, with contractual agreements and legitimacy of intervention sources key. Potential disadvantages include limitations to further innovation and adaptation.

Project description:Background and objectivesTechnology has the potential to provide assistance and enrichment to older people; however, the desired outcomes are dependent on users' acceptance and usage. The senior technology acceptance model (STAM) was developed as a multidimensional measure assessing older people's acceptance of general technology. It contained 11 constructs measured by 38 items and had shown satisfactory psychometric properties. However, the length of the questionnaire increased respondent burden and limited its utilization. The study aimed to develop a brief, reliable, and valid version of scale to measure older people's technology acceptance by shortening the full, 38-item STAM questionnaire.Research design and methodsThe research method included (1) a sequential item-reduction strategy maximizing internal consistency, (2) convergent and discriminant validity analysis based on confirmative factor analysis, and (3) an expert review of resultant items. Data previously collected for developing the original STAM questionnaire were used to create the brief version. The data were collected from 1,012 community-dwelling individuals aged 55 and older in Hong Kong. Internal consistency and construct validity of the shortened questionnaire were examined. Two experts were invited for reviewing content validity.ResultsThe final 14-item, brief version of the STAM questionnaire consisted of a 4-factor structure, representing classical technology acceptance constructs and age-related health characteristics. Theoretical relationships in the brief version showed similar patterns to the original STAM. The 14-item STAM demonstrated robustness in psychometrics by preserving the reliability and validity of the original STAM questionnaire.Discussion and implicationsThe availability of a reliable and valid assessment tool of the short STAM can help researchers and practitioners to measure older adults' acceptance of technology and its effective usage. The short STAM could save administration time, reduce the burden on respondents, and be included in large-scale surveys.

Dataset Information

Measuring compassionate healthcare with the 12-item Schwartz Center Compassionate Care Scale.

Background

Objective

Methods

Results

Conclusions

Publications

Measuring compassionate healthcare with the 12-item Schwartz Center Compassionate Care Scale.

Similar Datasets

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