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Development and psychometric evaluation of patient needs assessment in palliative care (PNAP) instrument

Published online by Cambridge University Press:  08 April 2015

Radka Buzgova ,
Radka Kozakova ,
Lucie Sikorova ,
Renata Zelenikova  and
Darja Jarosova
Radka Buzgova*
Affiliation:
Department of Nursing and Midwifery, Faculty of Medicine, University of Ostrava, Czech Republic
Radka Kozakova
Affiliation:
Department of Nursing and Midwifery, Faculty of Medicine, University of Ostrava, Czech Republic
Lucie Sikorova
Affiliation:
Department of Nursing and Midwifery, Faculty of Medicine, University of Ostrava, Czech Republic
Renata Zelenikova
Affiliation:
Department of Nursing and Midwifery, Faculty of Medicine, University of Ostrava, Czech Republic
Darja Jarosova
Affiliation:
Department of Nursing and Midwifery, Faculty of Medicine, University of Ostrava, Czech Republic
*
Address correspondence and reprint requests to: Radka Buzgova, Department of Nursing and Midwifery, Faculty of Medicine, University of Ostrava, Syllabova 19, Ostrava 700 30, Czech Republic. E-Mail: radka.buzgova@osu.cz
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Abstract

Objective:

Although assessment of palliative patients' needs is a key issue in palliative care, a suitable instrument for identification of such needs is not available in Central European countries. Our objectives were to produce an adequate tool for identifying the importance and satisfaction of palliative patients' needs and to verify its psychometric properties.

Method:

The patient needs assessment in palliative care (PNAP) instrument was constructed based on a literature review and qualitative research (focus groups, n = 5). The psychometric properties of the questionnaire were verified by a cross-sectional study. The convergent validity of the questionnaire was determined by confirmatory factor analysis. Furthermore, internal consistency, test–retest reliability, and construct validity were also tested. The qualitative research group comprised 30 participants (27 experts in palliative care, 1 patient, and 2 family members). Psychometric properties were evaluated in a group of 349 hospital inpatients terminally ill with chronic disease or cancer and receiving palliative care.

Results:

Based on the qualitative data analysis, a questionnaire was constructed that contained 42 items grouped into 5 domains. When testing the psychometric properties of the questionnaire, a new model containing 40 items in 7 domains was produced. Cronbach's α for the entire PNAP questionnaire was 0.89 on the importance scale and 0.80 on the satisfaction scale. Test–retest reliability was higher than 0.7 for all domains in both scales.

Significance of Results:

The results of tests on the psychometric properties of the PNAP questionnaire showed at least satisfactory validity and reliability, and it can be employed to assess the needs of palliative care patients in Central European countries.

Keywords

Palliative careNeeds assessmentPatients
Type
Original Articles
Information
Palliative & Supportive Care , Volume 14 , Issue 2: Measurement Development in Palliative and Supportive Care , April 2016 , pp. 129 - 137
Copyright
Copyright © Cambridge University Press 2015 

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