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).
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 email@example.com.
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
Except where otherwise noted, this item's license is described as Copyright © 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).
- Development and Validation of the MiPrep Survey: An Instrument Assessing Patients' Perceived Preparation for Medical Interventions Including Medical Imaging, Radiotherapy, and Surgery.
- Authors: Fakes KL, Hall AE, Carey ML, Boyes AW, Symonds M, Evans TJ, Sanson-Fisher RW
- Issue date: 2019 Jun
- Validation of the Intermountain patient perception of quality (PPQ) survey among survivors of an intensive care unit admission: a retrospective validation study.
- Authors: Brown SM, McBride G, Collingridge DS, Butler JM, Kuttler KG, Hirshberg EL, Jones JP, Hopkins RO, Talmor D, Orme J, Center for Humanizing Critical Care.
- Issue date: 2015 Apr 14
- Development of an instrument to measure medical students' perceptions of the assessment environment: initial validation.
- Authors: Sim JH, Tong WT, Hong WH, Vadivelu J, Hassan H
- Issue date: 2015
- Measuring patient and family perceptions of team processes and outcomes in healthcare teams: questionnaire development and psychometric evaluation.
- Authors: Kilpatrick K, Tchouaket É, Paquette L, Guillemette C, Jabbour M, Desmeules F, Landry V, Fernandez N
- Issue date: 2019 Jan 6
- Minimally Invasive Surgery Survey: A Survey of Surgical Team Members' Perceptions for Successful Minimally Invasive Surgery.
- Authors: Yurteri-Kaplan LA, Andriani L, Kumar A, Saunders PA, Mete MM, Sokol AI
- Issue date: 2017 Nov - Dec