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Ease of care with patient controlled analgesia systems: questionnaire development and validation
Author(s) -
Harding Gale,
Vallow Sue,
Leidy Nancy K.,
Olson William,
Hewitt David J.,
Polomano Rosemary,
Nelson Winnie W.,
Schein Jeff R.
Publication year - 2007
Publication title -
journal of advanced nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.948
H-Index - 155
eISSN - 1365-2648
pISSN - 0309-2402
DOI - 10.1111/j.1365-2648.2007.04284.x
Subject(s) - modalities , medicine , patient satisfaction , usability , physical therapy , medline , reliability (semiconductor) , content validity , nursing , psychometrics , clinical psychology , social science , power (physics) , physics , human–computer interaction , quantum mechanics , sociology , computer science , political science , law
Title. Ease of care with patient controlled analgesia systems: questionnaire development and validationAim. This paper is a report of the development and validation of two questionnaires assessing ease of caring for patients receiving patient controlled analgesia from the perspectives of nurses and physical therapists. Background. While studies have assessed patient satisfaction with and preference for patient controlled analgesia modalities, no instruments have been developed to assess the ease of providing care (ease of care) for patients receiving patient controlled analgesia from nurses’ and physical therapists’ perspectives. Method. Nurses and physical therapists participated in focus groups during 2003 to identify concepts associated with caring for patients receiving intravenous patient controlled analgesia. Based on these discussions, items were developed and included in draft questionnaires. Content validity of draft questionnaires was assessed, and final questionnaires were developed. Psychometric properties of the final questionnaires were assessed using data from 79 nurses and 80 physical therapists from two clinical trials conducted during 2004 and 2005 to compare the efficacy and safety of two modalities of patient controlled analgesia. Findings. The Nurse and Physical Therapist Ease of Care Questionnaires had 22 items addressing three aspects of patient care: time‐efficiency (time‐consuming subscale), ease of use/convenience (bothersome subscale), and satisfaction (satisfaction subscale). All subscales on both questionnaires demonstrated evidence of internal consistency reliability, and subscale‐to‐subscale correlations suggested that the time‐consuming and bothersome subscales contribute equally to overall ease of care. The subscales were statistically significantly correlated with clinical measures. Conclusion. These instruments may be valuable for assessing the impact of patient controlled analgesia modalities on patient care for these healthcare providers.