Abstract
This study examined the psychometric properties of the Pain Care Quality (PainCQ)
survey, a new instrument to measure the quality of nursing and interdisciplinary care
related to pain management. Hospitalized medical/surgical oncology patients with pain
from 3 states completed the 44-item version of the PainCQ survey following completion
of a nursing shift. Interdisciplinary items were evaluated over the entire hospital
stay; nursing care was evaluated during the previous shift. The sample included 109
patients ranging in age from 20 to 84 (mean = 53.09). The sample was 58.7% female,
88% non-Hispanic white. Principal Axis Factoring with an oblimin rotation was used
as factors were correlated. Two scales resulted. The PainCQ-Interdisciplinary scale
included 11 items representing 2 constructs and explaining 47.1% of shared item variance:
partnership with the health care team (k = 6 items; α = .85) and comprehensive interdisciplinary pain care (k = 5 items; α = .76). The PainCQ-Nursing scale measured three constructs and explained
60.8 % of shared item variance: being treated right (k = 15 items; α = .95), comprehensive nursing pain care (k = 3 items; α = .77), and efficacy of pain management (k =4 items; α = .87). Results supported the internal consistency reliability and
structural validity of the PainCQ survey with 33 items.
Perspective
This article presents the psychometric properties of a new tool to measure interdisciplinary
and nursing care quality related to pain management from the patient's perspective.
This tool can be used for research and as a clinical performance measure to monitor
and improve quality of care and patient outcomes.
Key words
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Article info
Publication history
Published online: May 31, 2010
Accepted:
March 9,
2010
Received in revised form:
January 21,
2010
Received:
July 24,
2009
Footnotes
Supported by a grant from the Robert Wood Johnson Foundation as part of the Interdisciplinary Nursing Quality Research Initiative (INQRI).
Identification
Copyright
© 2010 American Pain Society. Published by Elsevier Inc. All rights reserved.
