Person-Centered Care Assessment Tool: French Validation and Structural Invariance in Nursing Home Staff

IF 1.6 4区医学 Q4 GERIATRICS & GERONTOLOGY

International Journal of Older People Nursing Pub Date : 2025-05-19 DOI:10.1111/opn.70032

Jérôme Erkes, Clarisse Madiouni, Cécile Bourgeois, David Edvardsson, Valérie Vitou, Sophie Bayard

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Abstract

Introduction

Person-centred care is widely recognised as the gold standard of quality in terms of gerontological care approaches and offers an alternative to traditional, medically oriented models. The Person-Centered Care Assessment Tool (P-CAT), developed by Edvardsson et al. (2010), is one of the most extensively studied instruments for adaptation and validation across countries. However, its structural invariance remains questionable, with the number of factors varying from one to three depending on the study. Currently, no validated French version exists. This study aims to explore the psychometric properties of the French version of the P-CAT among nursing home staff.

Methods

We translated the P-CAT into French. A total of 473 participants, recruited in 41 nursing homes and divided into two independent samples, completed several questionnaires including the P-CAT. We conducted exploratory and confirmatory factor analyses and assessed reliability, as well as convergent and divergent validity of the P-CAT.

Results

Exploratory and confirmatory factor analyses supported a three-factor structure with adequate internal consistency (ω = 0.79). The three dimensions are related to the following: Organisational and environmental support; care planning; and adaptability to the residents' needs. Good convergent validity and divergent validity were documented.

Conclusion

The French version of the P-CAT demonstrated good psychometric properties and a structural invariance among nursing home staff. It can be used in research and practice to assess person-centredness in gerontological care settings.

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以人为中心的护理评估工具：养老院工作人员的法语验证和结构不变性

在老年护理方法方面，以人为中心的护理被广泛认为是质量的黄金标准，并提供了传统的以医学为导向的模式的替代方案。Edvardsson等人（2010）开发的以人为中心的护理评估工具（P-CAT）是各国适应和验证研究最广泛的工具之一。然而，其结构的不变性仍然值得怀疑，根据研究的不同，因素的数量从1到3不等。目前，没有经过验证的法语版本存在。本研究旨在探讨养老院工作人员法文P-CAT量表的心理测量特性。方法将P-CAT翻译成法文。共有473名参与者，从41家养老院招募，分为两个独立的样本，完成了包括P-CAT在内的几份问卷。我们进行了探索性和验证性因素分析，并评估了P-CAT的信度、收敛效度和发散效度。结果探索性和验证性因子分析支持三因素结构，具有足够的内部一致性（ω = 0.79）。这三个维度与以下内容有关：组织和环境支持；保健计划;以及对居民需求的适应性。具有良好的收敛效度和发散效度。结论法语P-CAT量表在养老院工作人员中具有良好的心理测量特性和结构不变性。它可以用于研究和实践，以评估以人为中心的老年护理设置。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Older People Nursing Nursing-Gerontology

CiteScore

3.60

自引率

9.10%

发文量

期刊介绍： International Journal of Older People Nursing welcomes scholarly papers on all aspects of older people nursing including research, practice, education, management, and policy. We publish manuscripts that further scholarly inquiry and improve practice through innovation and creativity in all aspects of gerontological nursing. We encourage submission of integrative and systematic reviews; original quantitative, qualitative, and mixed methods research; secondary analyses of existing data; historical works; theoretical and conceptual analyses; evidence based practice projects and other practice improvement reports; and policy analyses. All submissions must reflect consideration of IJOPN''s international readership and include explicit perspective on gerontological nursing. We particularly welcome submissions from regions of the world underrepresented in the gerontological nursing literature and from settings and situations not typically addressed in that literature. Editorial perspectives are published in each issue. Editorial perspectives are submitted by invitation only.