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Perceptions des aidant(e)s de la qualité des soins et des services en unités de courte durée gériatriques: Développement et validation d'un outil de mesure*

Published online by Cambridge University Press:  29 November 2010

Danièle Roberge ,
Slim Haddad ,
Francine Ducharme ,
Paule Lebel ,
Raynald Pineault ,
Jacynthe Loiselle  and
Martine Remondin
Danièle Roberge
Affiliation:
Hôpital Charles LeMoyne, Greenfield Park
Slim Haddad
Affiliation:
Centre de recherche du CHUM, Hôpital Notre-Dame, Montréal
Francine Ducharme
Affiliation:
Institut universitaire de gériatrie de Montréal
Paule Lebel
Affiliation:
Institut universitaire de gériatrie de Montréal
Raynald Pineault
Affiliation:
Centre de recherche du CHUM, Hôpital Notre-Dame, Montréal
Jacynthe Loiselle
Affiliation:
Santé Québec
Martine Remondin
Affiliation:
Centre de recherche du CHUM, Hôpital Notre-Dame, Montréal
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Abstract

The goal of this study is to develop and validate a tool for measuring perceptions of caregivers of the quality of care and services in Geriatric Assessment Units. It has been designed so as to reproduce the notion of quality for caregivers. The validation of the tool is based on analyses of responses provided by caregivers (n = 274) to questions of perceived quality and to a certain number of questions necessary for the evaluation of its metric qualities. The measurement scale developed includes 25 items and it demonstrates good internal consistency. The Alpha Cronbach coefficients are 0.95 for the global index and they range from 0.88 to 0.91 on the sub-scales. The various analyses support a three-dimensional structure of the notion of quality for caregivers, explaining 66 per cent of the total variance. These dimensions are: “exchanges with professionals on the relative's condition,” “care given to a loved one,” and “planning the discharge”. It is hoped that this tool will promote the inclusion of the points of view of caregivers in the process of the improvement and assessment of quality.

Keywords

Qualité perçueaidantssoins gériatriquesoutil de mesurePerceived QualityCaregiversGeriatric CareMeasurement Tools
Type
Articles
Information
Canadian Journal on Aging / La Revue canadienne du vieillissement , Volume 20 , Issue 2 , Été/Summer 2001 , pp. 251 - 270
Copyright
Copyright © Canadian Association on Gerontology 2001

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References

Références

Calnan, M. (1988). Towards a conceptual framework of lay evaluation of health care. Social Science and Medicine, 27, 927–933.CrossRefGoogle ScholarPubMed
Cleary, P.D., & McNeil, B.J. (1988). Patient satisfaction as an indicator of quality of care. Inquiry, 25, 25–36.Google Scholar
Congdon, J.G. (1994). Managing the incongruities: The hospital discharge experience for elderly patients, their families, and nurses. Applied Nursing Research, 7(3), 125–131.CrossRefGoogle Scholar
Contandriopoulos, A-P., Kergoat, M-J., Latour, J., Lebel, P., Leduc, N., & Roberge, D. (1999). L'évaluation de la prise en charge des personnes âgées fragilespar les unités de courte durée gériatriques. Montréal: Université de Montréal, Faculté de médecine, Groupe de recherche interdisciplinaire en santé. Publications du GRIS, R99–07.Google Scholar
Coulter, A., & Fitzpatrick, R. (2000). The patient's perspective regarding appropriate health care. In Albrecht, G.L., Fitzpatrick, R., & Scimshaw, S.C., Handbook of social studies and medecine (pp. 454–463). Thousand Oaks, CA: Sage Publications.CrossRefGoogle Scholar
Cronbach, L.J. (1951). Coefficient alpha and the internal structure of tests. Psychometrica, 16, 297–334.CrossRefGoogle Scholar
Cryns, A., Nichols, R.C., Katz, L.A., & Calkins, E. (1989). The hierarchical structure of geriatric patient satisfaction: An older patient satisfaction scale designed for HMOs. Medical Care, 27, 802–816.CrossRefGoogle ScholarPubMed
Davies, A.R., & Ware, J.E. (1988). Involving consumers in quality of care assessment. Health Affairs, 7(1), 32–48.CrossRefGoogle ScholarPubMed
Dowson, P., & Rosenthal, C.J. (1996). Wives of institutionalized elderly men: what influences satisfaction with care? Canadian Journal on Aging, 15(2), 245–263.CrossRefGoogle Scholar
Ducharme, F., Lévesque, L., & Cossette, L. (1997). Predictors of psychosocial well-being of family caregivers of older people with dementia in institutions. Health Care in Later Life. An International Research Journal, 2(1), 3–13.Google Scholar
Ducharme, F., Lévesque, L., Gendron, M., & Soucy, o. (1999). Élaboration et évaluation, par des aidantes familiales d'un parent âgé hébergé, d'un programme de groupe favorisant l'auto-prise en charge de leur santé: Projet-pilote. Communication présentee dans le cadre du Congrès scientifique annuel de l'Association canadienne de gérontologie, Ottawa, 7 novembre 1999.Google Scholar
Ducharme, F., & Pérodeau, G. (1998). Femmes âgées et virage ambulatoire: Quelques résultats. Sans Préjudice … pour la santé des femmes. Bulletin du Réseau québécois d'actionpour la santé des femmes, 16, 8–10.Google Scholar
Durand, P.J., Plamondon, M., & Alberton, M. (1991). Les unités de courte durée gériatriques au Québec: Bilan descriptif d'une tournée de vingt-quatre centres hospitaliers de courte durée. MSSS-CRSSS 03–06.Google Scholar
Fakhoury, W., McCarthy, M., & Addington-Hall, J. (1996). Determinants of informal caregivers satisfaction with services for dying cancer patients. Social Science and Medicine, 42(5), 721–731.CrossRefGoogle ScholarPubMed
Grant, N.K., & Reimer, M. (1991). Indicators of quality of care as perceived by residents, significant others and nursing staff in long term care agencies. Calgary: University of Calgary, Faculty of Nursing. Final report.Google Scholar
Grol, R., Wensing, M., Mainz, J., Ferreira, P., Hearnshaw, H., Hjortdahl, P., Olesen, F., Ribacke, M., Spenser, T., & Szecsenyi, J. (1999). Patients' priorities with respect to general practice care: an international comparison. Family Practice, 16(1), 4–11.CrossRefGoogle ScholarPubMed
Haddad, S., Fournier, P., & Potvin, L. (1998). Measuring lay people's perceptions of the quality of primary health care services in developping countries. Validation of a 20-item scale. International Journal for Quality in Health Care, 10(2), 93–104.CrossRefGoogle Scholar
Haddad, S., Roberge, D., & Pineault, R. (1997). Comprendre la qualité: en reconnaître la complexité. Ruptures, 4(1), 59–78.Google Scholar
Haley, W.E., Clair, J.M., & Saulsberry, K. (1992). Family caregiver satisfaction with medical care of their demented relatives. The Gerontologist, 32(2), 219–226.CrossRefGoogle ScholarPubMed
Hall, J.A., & Dornan, M.C. (1988). What patients like about their medical care and how often they are asked: A meta-analysis of the satisfaction literature. Social Science and Medicine, 27(9), 935–939.CrossRefGoogle ScholarPubMed
Hall, J.A., & Dornan, M.C. (1990). Patient sociodemographic characteristics as predictors of satisfaction with medical care: A meta-analysis. Social Science and Medicine, 30(7), 811–818.CrossRefGoogle ScholarPubMed
Hays, R.D., & Arnold, S. (1986). Patient and family satisfaction. In Dush, D.M., Cassileth, B.R., & Turk, D.C.Psycholosocial assessment in terminal care (pp. 129–150). New York: Haworth Press Inc.Google Scholar
Herzog, A.R., & Hulka, R.A. (1989). Telephone and mail surveys with older populations: a methodological overview. In Hendricks, J.A. (Ed.), Special research methods for gerontology (pp. 63–89). Amityville, NY: Baywood Publishing Company.Google Scholar
Higginson, I., Wade, A., & McCarthy, M. (1990). Palliative care: views of families, British Medical Journal, 301, 277.CrossRefGoogle ScholarPubMed
Jones, D., & Lester, C. (1994). Hospital care and discharge: patients' and carers' opinions. Age and Ageing, 23, 91–96.CrossRefGoogle ScholarPubMed
Jung, H.P., Van Home, F., Wensing, M., Hearnshaw, H., & Grol, R. (1998). Which aspects of general practioners' behaviour determine patients' evaluations of care? Social Science and Medicine, 47(47), 8–1087.CrossRefGoogle Scholar
Kristjanson, L.J. (1993). Validity and reliability testing on the famcare scale: measuring family satisfaction with advanced cancer care. Social Science and Medicine, 36(5), 693–701.CrossRefGoogle ScholarPubMed
Laitinen, P. (1994). Elderly patients' and their informal caregivers' perceptions of care given: the study-control program ward design. Journal of Advanced Nursing, 20, 71–76.CrossRefGoogle Scholar
Laitinen, P., Merilainen, P., & Sinkkoven, S. (1996). Quality of elderly-patient care: an interrupted time series study. International Journal of Nursing Practice (Carlton), 2(3), 129–137.CrossRefGoogle ScholarPubMed
Lavizzo-Mourey, R.J., Zinn, J., & Taylor, L. (1992). Ability of surrogates to represent satisfaction of nursing home residents with quality of care. Journal of the American Geriatrics Society, 40, 39–47.CrossRefGoogle ScholarPubMed
Lee, Y., & Kasper, J.D. (1998). Assessement of medical care by elderly people: general satisfaction and physician quality. Health Services Research, 32(6), 741–757.Google ScholarPubMed
McCusker, J. (1984). Development of scales to measure satisfaction and preferences regarding long-term and terminal care. Medical Care, 22, 476–493.CrossRefGoogle ScholarPubMed
Meterko, M., Nelson, E.C., & Rubin, H.R. (1990). Patient judgments of hospital quality. Report of a pilot study. Medical Care, 28(9), S1–S51.CrossRefGoogle Scholar
Morishita, L., Boult, C, Boult, L., Smith, S., & Pacala, J.T. (1998). Satisfaction with outpatient geriatric evaluation and management (GEM). The Gerontologist, 35(3), 303–308.CrossRefGoogle Scholar
Moser, D.K., Dracup, K.A., & Marsden, C. (1993). Needs of recovering cardiac patients and their spouses: compared views. International Journal of Nursing Studies, 30(2), 105–114.CrossRefGoogle ScholarPubMed
Norton, P.G., van Maris, B., Soberman, L., & Murray, M. (1996). Satisfaction of residents and families in long-term care: construction and application of an instrument. Quality Management in Health Care, 4(3), 38–46.CrossRefGoogle ScholarPubMed
Owens, D.J., & Batchelor, C. (1996). Patient satisfaction and the elderly. Social Science and Medicine, 42, 1483–1491.CrossRefGoogle ScholarPubMed
Pascoe, G.C. (1983). Patient satisfaction in primary health care: AUterature review and analysis. Evaluation and Program Planning, 6, 185–210.CrossRefGoogle Scholar
Rees, Lewis J. (1994). Patient views on quality of care in general practice: literature review. Social Science and Medicine, 39(5), 655–670.Google Scholar
Reiker, P.P., Clark, E.J., & Fogelberg, P.R. (1992). Perceptions of quality of quality of life and quality of care for patients with cancer receiving biological therapy. Oncology Nursing Forum, 19(3), 433–140.Google Scholar
Roberge, D., Ducharme, F., Lebel, P., Pineault, R., & Loiselle, J.Qualité des soins dispenses en Unites de courte durée gériatriques: la perspective des aidants. Soumis pour publication.Google Scholar
Rubin, H.R. (1990). Can patients evaluate the quality of hospital care? Medical Care Review, 47, 267–327.CrossRefGoogle ScholarPubMed
Rubin, H.R, Gandek, B., Rogers, W., Kosinski-McHorney, C, & Ware, J. (1993). Patients' ratings of outpatient visits in different practice settings: results from Medical Outcomes Study. Journal of the American Medical Association, 270, 835–840.CrossRefGoogle ScholarPubMed
Sitzia, J., & Wood, N. (1997). Patient satisfaction: a review of issues and concepts. Social Science and Medicine, 45(12), 1829–1843.CrossRefGoogle ScholarPubMed
Thompson, A.G.H. (1986). The soft approach to quality of hospital care. Health Care Management, 10(40), 59–67.Google Scholar
Ware, J.E., Davies-Avery, A., & Stewart, A.L. (1978). The measurement and meaning of patient satisfaction. Health and Medical Care Services Review, 1, 1–15.Google ScholarPubMed
Weissert, W.G., Elston, J.M., Bolda, E.J., Zelman, W.N., Mutran, E., & Mangum, A.B. (1990). Participant and caregiver satisfaction with adult day care. In Adult day care: findings from a national survey (pp. 43–63). Baltimore, MD: The John Hopkins University Press.Google Scholar
Wensing, M., Grol, R., & Smits, A. (1994). Quality judgements by patients on general practice care: a literature analysis. Social Science and Medicine, 38(1), 45–53.CrossRefGoogle Scholar
Williams, S.J., & Calnan, M. (1991). Convergence and divergence: Assessing criteria of consumer satisfaction across general practice, dental and hospital care settings. Social Science and Medicine, 33(6), 707–716.CrossRefGoogle ScholarPubMed