Belitung Nursing Journal
Vol. 9 No. 5 (2023): September - October

Development and psychometric properties of the Person-centered Palliative Care Nursing Instrument (PPCNI) in the Philippines

Gil P. Soriano (Graduate School of Health Sciences, Tokushima University, Tokushima, Japan | College of Allied Health, Department of Nursing, National University Philippines)
Kathyrine A. Calong Calong (College of Nursing, San Beda University, Philippines)
Rudolf Cymorr Kirby Martinez (College of Nursing, San Beda University, Philippines)
Hirokazu Ito (Department of Nursing, Institute of Biomedical Sciences, Tokushima University, Tokushima, Japan)
Yuko Yasuhara (Department of Nursing, Institute of Biomedical Sciences, Tokushima University, Tokushima, Japan)
Evalyn Abalos (College of Nursing, Silliman University, Philippines)
Tetsuya Tanioka (Department of Nursing, Institute of Biomedical Sciences, Tokushima University, Tokushima, Japan)



Article Info

Publish Date
26 Oct 2023

Abstract

Background: Over the years, a few tools and instruments have been developed to assist in the assessment within a palliative care setting. However, many of these tools and instruments do not reflect a person-centered palliative care model. Objective: This study aims to develop a Person-centered Palliative Care Nursing Instrument (PPCNI) in the Philippines. Methods: An exhaustive search of the literature was conducted to develop a pool of items for the instrument. The validity of the instrument was evaluated using the content validity index (CVI), while the factor structure was assessed using exploratory factor analysis (EFA) using maximum likelihood estimation with Promax rotation. Also, the internal reliability was evaluated using Cronbach’s alpha. Results: EFA yielded three factors: 1) Caring as maintaining person’s dignity (13 items), 2) caring as empowerment of person’s autonomy (14 items), and 3) caring as understanding person’s momentary concerns (10 items). Whereas the internal consistency reliability of these subscales appeared excellent (i.e., 0.95, 0.96, and 0.93, respectively), the Cronbach’s alpha for the overall scale was 0.98. The item-total correlation coefficients were >0.30 for all items, ranging from 0.310 to 0.726. Conclusion: Findings support a three-factor, 37-item PPCNI that can be used in clinical practice to ensure that nurses provide palliative care based on patient needs and preferences.

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Journal Info

Abbrev

bnj

Publisher

Subject

Nursing

Description

BNJ contributes to the advancement of evidence-based nursing, midwifery and healthcare by disseminating high quality research and scholarship of contemporary relevance and with potential to advance knowledge for practice, education, management or policy. BNJ welcomes submissions of evidence-based ...