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Research paper| Volume 30, ISSUE 2, P213-221, April 2023

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Development of the Australian hospital patient experience question set for parents

Published:September 15, 2022DOI:https://doi.org/10.1016/j.colegn.2022.09.003

      ABSTRACT

      Background

      The Australian Commission on Safety and Quality in Health Care developed the Australian Hospital Patient Experience Question Set to ask adult patients about their experience of inpatient care. This question set was not validated for paediatric care.

      Aim

      To adapt and validate the Australian Hospital Patient Experience Question Set for parents and carers of children who received inpatient care.

      Methods

      Interviews with fourteen parents and carers were conducted. Content analysis was used to revise the question set and to identify experience specific to children and parents. The Question Set was revised, including three new questions to reflect parent experience. Content validity of each new question was assessed. Data was split and construct validity assessed using exploratory and confirmatory factor analysis (n = 1500).

      Findings

      Two main qualitative categories of care included ‘parent experience’ and ‘children being heard’. Emotional support was an integral aspect of parent experience. The revised question set (13-question, one-factor model of good fit) demonstrated construct validity (n = 500: Root Mean Square Error of Approximation = 0.042, Confirmatory Fit Index = 0.997, Tucker Lewis Index = 0.996, Composite reliability = 0.962).

      Discussion

      This study adds empirical support for a common measurement framework for experience of care in children's health services. Parents spoke of the value of having a parent and a child reported survey. The next step is for children to report on their own experience.

      Conclusion

      The revised (parent-reported) question set provides a validated tool which reflects the unique experience of parents and facilitates consistent monitoring and improvement of patient experience in a paediatric inpatient setting.

      Keywords

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      References

        • Ali H.
        • Cole A.
        • Sienkiewicz A.E.
        • Rosene S.
        • Shaffer R.
        • Thames R.
        Collecting child-patient feedback: a systematic review on the patient-reported outcome measures for hospitalized children.
        Patient Experience Journal. 2020; 7: 58-70
        • Anhang Price R.
        • Elliott M.N.
        • Zaslavsky A.M.
        • Hays R.D.
        • Lehrman W.G.
        • Rybowski L.
        • et al.
        Examining the role of patient experience surveys in measuring health care quality.
        Medical Care Research and Review. 2014; 71: 522-554https://doi.org/10.1177/1077558714541480
        • Australian Commission on Safety and Quality in Health Care
        Australian hospital patient experience question set (AHPEQS): summary of development and testing.
        ACSQHC, Sydney2017
        • Australian Commission on Safety and Quality in Health Care
        National Safety and Quality Health Service Standards: user guide for acute and community health service organisations that provide care for children.
        ACSQHC, Sydney2018
        • Australian Human Rights Commission
        Children's rights report: national children's commissioner.
        A. H. R. Commission, 2017
        • Bengtsson M.
        How to plan and perform a qualitative study using content analysis.
        NursingPlus Open. 2016; 2: 8-14https://doi.org/10.1016/j.npls.2016.01.001
        • Berger S.
        • Saut A.M.
        • Berssaneti F.T.
        Using patient feedback to drive quality improvement in hospitals: a qualitative study.
        BMJ open. 2020; 10e037641https://doi.org/10.1136/bmjopen-2020-037641
        • Boateng G.O.
        • Neilands T.B.
        • Frongillo E.A.
        • Melgar-Quiñonez H.R.
        • Young S.L.
        Best practices for developing and validating scales for health, social, and behavioral research: a primer.
        Front Public Health. 2018; 6: 149https://doi.org/10.3389/fpubh.2018.00149
        • Burns K.E.A.
        • Kho M.E.
        How to assess a survey report: A guide for readers and peer reviewers.
        CMAJ: Canadian Medical Association journal  =  journal de l'Association medicale canadienne. 2015; 187: E198-E205https://doi.org/10.1503/cmaj.140545
        • Byrne B.M.
        Structural equation modelling with MPlus: basic concepts, application, and programming.
        Routledge, Great Britain2012
        • Donabedian A.
        Evaluating the quality of medical care.
        The Milbank Memorial Fund Quarterly. 1966; 44: 166-206https://doi.org/10.2307/3348969
        • Gardner K.
        • Parkinson A.
        • Banfield M.
        • Sargent G.M.
        • Desborough J.
        • Hehir K.K.
        Usability of patient experience surveys in Australian primary health care: a scoping review.
        Australian Journal of Primary Health. 2016; 22: 93-99https://doi.org/10.1071/py14179
        • Goldfeld S.
        • Gray S.
        • Azpitarte F.
        • Cloney D.
        • Mensah F.
        • Redmond G.
        • et al.
        Driving precision policy responses to child health and developmental inequities.
        Health Equity. 2019; 3: 489-494https://doi.org/10.1089/heq.2019.0045
        • Harrison R.
        • Walton M.
        • Manias E.
        • Mears S.
        • Plumb J.
        Patients' experiences in Australian hospitals: a systematic review of evidence.
        Australian Health Review. 2017; 41: 419-435https://doi.org/10.1071/ah16053
        • Institute of Medicine
        Crossing the quality chasm: a new health system for the 21st century.
        National Academies Press, US)2001
        • Larson E.
        • Sharma J.
        • Bohren M.A.
        • Tunçalp Ö.
        When the patient is the expert: measuring patient experience and satisfaction with care.
        Bulletin of the World Health Organization. 2019; 97: 563-569https://doi.org/10.2471/blt.18.225201
        • Little T.D.
        • Lindenberger U.
        • Nesselroade J.R.
        On selecting indicators for multivariate measurement and modeling with latent variables: When “good” indicators are bad and “bad” indicators are good.
        Psychological Methods. 1999; 4: 192-211https://doi.org/10.1037/1082-989X.4.2.192
        • Lynn M.R.
        Determination and quantification of content validity.
        Nursing Research. 1986; 35: 382-385
        • MacCallum R.C.
        • Browne M.W.
        • Sugawara H.M.
        Power analysis and determination of sample size for covariance structure modeling.
        Psychological Methods. 1996; 1: 130-149https://doi.org/10.1037/1082-989X.1.2.130
        • Malterud K.
        • Siersma V.D.
        • Guassora A.D.
        Sample size in qualitative interview studies: guided by information power.
        Qualitative Health Research. 2016; 26: 1753-1760https://doi.org/10.1177/1049732315617444
        • Muthén L.K.
        • Muthén B.O.
        MPlus user's guide: statistical analysis with latent variables.
        7th ed. Muthén & Muthén, Los Angeles, CA2015
        • Nelson H.J.
        • Pienaar C.
        • Williams A.M.
        • Munns A.
        • McKenzie K.
        • Mörelius E.
        Patient experience surveys for children's community health services: a scoping review.
        Journal of Child Health Care. 2021; 13674935211005874https://doi.org/10.1177/13674935211005874
        • Ogrinc G.
        • Davies L.
        • Goodman D.
        • Batalden P.
        • Davidoff F.
        • Stevens D.
        SQUIRE 2.0 (Standards for QUality Improvement Reporting Excellence): revised publication guidelines from a detailed consensus process.
        BMJ Quality & Safety. 2016; 25: 986-992https://doi.org/10.1136/bmjqs-2015-004411
        • Padilla M.A.
        • Divers J.
        A comparison of composite reliability estimators: coefficient omega confidence intervals in the current literature.
        Educational and Psychological Measurement. 2015; 76: 436-453https://doi.org/10.1177/0013164415593776
        • Raykov T.
        Estimation of composite reliability for congeneric measures.
        Applied Psychological Measurement. 1997; 21: 173-184https://doi.org/10.1177/01466216970212006
        • Reichheld F.F.
        The one number you need to grow.
        Harvard Business Review. 2003; 81 (124): 46-54
        • Schober P.
        • Boer C.
        • Schwarte L.A.
        Correlation coefficients: appropriate use and interpretation.
        Anesthesia Analgesia. 2018; 126: 1763-1768https://doi.org/10.1213/ane.0000000000002864
        • Shields L.
        What is “family-centered Care”?.
        European Journal for Person Centered Healthcare. 2015; 3: 139-144https://doi.org/10.5750/ejpch.v3i2.993
        • Taylor A.
        • Grant J.
        • Grande E.D.
        Australian hospital patient experience question set field testing and statistical analysis: technical report.
        ACSQHC, Adelaide2018
        • Tong A.
        • Sainsbury P.
        • Craig J.
        Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups.
        International Journal for Quality in Health Care. 2007; 19: 349-357https://doi.org/10.1093/intqhc/mzm042
        • World Health Organization
        Standards for improving the quality of care for children and young adolescents in health facilities.
        World Health Organization, Geneva, Switzerland2018