C.Y.CHEONG1, Y.R.LEE2, F.H.E.TAY2, P.L.K.YAP1
Khoo Teck Puat Hospital1, National University Hospital2
Person-centred care (PCC) is synonymous with best practice in the care of persons with dementia. Despite this, person-centredness is not routinely assessed and there is no assessment tool available in the acute setting.
We aimed to validate the Person-Centred Assessment Tool (P-CAT), a commonly used assessment tooL in the long-term residential care settings, in an acute tertiary hospital.
P-CAT was administered independently to a total of 162 nurses (n=16, from a specialised dementia unit with PCC training; n=116, geriatric wards; n=30, medical/surgical wards). The word “residents” was replaced with “patients” on individual items. We employed confirmatory factor analysis (CFA) with principal component extraction to explore the three- and two-factor solutions. A one-way between groups ANOVA was then used to investigate group differences in the P-CAT score (as a total scale and subscale).
Factor analysis revealed the two-factor solution (variance 42.28%); (i)extent of personalising care, and (ii)amount of organisational and environmental support. Out of the 13 items, only 2 items did not load as expected. The internal consistency reliability of the scale was satisfactory (Cronbach’s α = .77). Nurses’ P-CAT score were significantly different across ward settings[Welch’s F(2,37.20)=13.01,p<0.001,ω2=0.09], with the highest among those PCC-trained. Post hoc analyses revealed a significant difference in mean subscale scores between PCC-trained nurses and nurses from the other two ward settings. P-CAT scores were not significantly correlated with age, r(159 =0.01,p=0.861, or with nursing experience, r(159)=0.04, p=0.615.
P-CAT provided satisfactory validity and reliability as a quantitative assessment tool of person-centred care in the acute hospital setting.