Data were collected from 1, patients in 12 U. Patient-nurse relationship data were collected safely and efficiently from hospitalized patients using a paper-and-pencil approach. The CAT holds promise for providing acute care registered nurses with the information they need to deliver reliable patient-centered care.
Given the link to better patient outcomes, measuring these relationships provides important quality information that can inform professional practice. For example, regularly providing RNs with patient feedback that represents the deepest meaning of their work caring relationships may better connect them to their practice, advancing learning and stimulating practice changes.
Our findings present a theoretically based instrument, low in burden and high in reliability to meet this need. We found evidence to support a single dimension, while reducing items and maintaining internal consistency reliability in a large sample of hospitalized adults. In addition, the CAT was safely and efficiently measured during the hospitalization process.
This study confirmed the psychometric properties of the CAT for use with hospitalized adults. The instrument can be used by researchers to describe, compare, or evaluate PCC environments and patient—nurse relationships. The reduction in items allows for easier use and analysis in clinical settings, thus increasing the number of readily available quality improvement tools. For example, nursing administrators could easily add the CAT to their profile of quality improvement indicators including annual nursing surveys such as the National Database on Nursing Quality Indicators American Nurses Association, b.
Additional research is needed on the performance of the CAT in other populations, with multidisciplinary groups, and on ways to improve patient—nurse relationships during the hospital experience. To be most informative, studies should attempt to measure PCC and its consequences for both nurses and patients in multilevel contexts hospitals and nursing units. Intervention research is needed at the departmental level to better understand whether PCC delivery produces measureable improvements in patient and nurse outcomes.
Using the CAT in the hospital setting to indicate patient-centered care delivery could generate clinical knowledge needed for ongoing practice changes and performance improvement. This study was supported by the following 12 hospitals: John C. N2 - Evaluation of the Caring Assessment Tool CAT is essential for its use in the monitoring and ongoing improvement of patient-nurse relationships.
Overview Fingerprint. Scientifically demonstrating its worth will advance professional nursing while simultaneously improving the quality of health care.
Duffy, J. New York, Springer Publishing Company. Also see summary here. She actively teaches nursing theory, research, and leadership in PhD, DNP, and honor programs and directs dissertations and scholarly projects.
She has held various administrative positions directing medical, rehabilitation, critical care, emergency, and transplantation nursing services at both community and academic medical centers. She also directed a Center for Outcomes Analysis, a nurse-led department for improving the quality of cardiovascular services. She has published extensively across the nursing literature, but is best known for her work in maximizing patient outcomes.
Duffy was the first to link nurse caring to patient outcomes, designed and tested multiple versions of the Caring Assessment Tool, and developed the Quality Caring Model. Duffy was the PI or co-investigator for several important projects and clinical trials, has held leadership positions with various nursing organizations, and has received several nursing awards.
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