Measurement of Patients' Perceptions of the Quality of Acute Stroke Services: Development and Validation of the STROKE Perception Report
AuthorAlexandrov, Anne W
Brewer, Barbara B
Beenstock, Dana J
Murphy, Deborah A
Korsnack, Andrea M
Parliament, Connie F
Lane, Patricia C
Wojner, Alexis J
DiBiase, Stephen E
Alexandrov, Andrei V
AffiliationUniv Arizona, Coll Nursing
patient perception of quality care
patient reported outcomes
MetadataShow full item record
PublisherLIPPINCOTT WILLIAMS & WILKINS
CitationAlexandrov, A. W., Brewer, B. B., Moore, K., Grau, C., Beenstock, D. J., Cudlip, F., ... & Parliament, C. F. (2019). Measurement of Patients' Perceptions of the Quality of Acute Stroke Services: Development and Validation of the STROKE Perception Report. Journal of Neuroscience Nursing, 51(5), 208-216.
JournalJOURNAL OF NEUROSCIENCE NURSING
RightsCopyright © 2019 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the American Association of Neuroscience Nurses. This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CC BY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in anyway or used commercially without permission from the journal.
Collection InformationThis item from the UA Faculty Publications collection is made available by the University of Arizona with support from the University of Arizona Libraries. If you have questions, please contact us at firstname.lastname@example.org.
AbstractINTRODUCTION: Patients' perceptions of healthcare quality have become an important part of quality measurement. We explored patients' and family's lived experiences during acute stroke hospitalization to develop a quantitative instrument. METHODS: Focus groups were conducted using open-ended scripted questions. Interview data were coded and analyzed using an inductive approach to thematic analysis. Symmetric patient and family instruments were developed based on qualitative domains and serially refined to a set of 30 survey items, 12 stroke knowledge test items, and 5 subject demographic fields. Scales were evaluated for internal consistency reliability using Cronbach alpha; construct validity with exploratory factor analysis using principal components with varimax rotation was performed to determine the extent to which items in a scale measure the same underlying factor. Feasibility of an electronic cloud-based survey was also tested. RESULTS: Three main themes emerged: fast action to diagnose and treat stroke, genuine caring, and education to prevent and respond to stroke. A total of 1029 subjects completed the final instrument with no differences in perception found by race, ethnicity, or length of stay. Scales showed satisfactory internal consistency reliability (Cronbach alpha scores, .89-.94); factor loadings across each scale ranged from 0.55 to 0.87. Data entry by electronic pad was perceived by 77% to be more confidential than paper surveys; median score for difficulty was 4 ("easy to use"). CONCLUSION: The STROKE Perception Report enables understanding of patients' and family's beliefs about the quality of acute stroke care in essential new domains never explored before.
NoteOpen access article
VersionFinal published version
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