Measurement of patients' perceptions of the quality of acute stroke services development and validation of the stroke perception report

Anne Alexandrov, Barbara B. Brewer, Kari Moore, Charlene Grau, Dana J. Beenstock, Fern Cudlip, Deborah A. Murphy, Lynn Klassman, Andrea M. Korsnack, Brenda Johnson, Connie F. Parliament, Patricia C. Lane, Tina Walsh, Deidra Gottbrath, Alexis J. Wojner, Stephen E. Dibiase, Andrei V. Alexandrov

Research output: Contribution to journalArticle

Abstract

INTRODUCTION Patients' perceptions of healthcare quality have become an important part of quality measurement. We explored patients' and family's lived experiences during acute stroke hospitalization to develop a quantitative instrument. METHODS Focus groups were conducted using open-ended scripted questions. Interview data were coded and analyzed using an inductive approach to thematic analysis. Symmetric patient and family instruments were developed based on qualitative domains and serially refined to a set of 30 survey items, 12 stroke knowledge test items, and 5 subject demographic fields. Scales were evaluated for internal consistency reliability using Cronbach ; construct validity with exploratory factor analysis using principal components with varimax rotation was performed to determine the extent to which items in a scale measure the same underlying factor. Feasibility of an electronic cloud-based survey was also tested. RESULTS Three main themes emerged fast action to diagnose and treat stroke, genuine caring, and education to prevent and respond to stroke. A total of 1029 subjects completed the final instrument with no differences in perception found by race, ethnicity, or length of stay. Scales showed satisfactory internal consistency reliability (Cronbach scores,.89-.94); factor loadings across each scale ranged from 0.55 to 0.87. Data entry by electronic pad was perceived by 77% to be more confidential than paper surveys; median score for difficulty was 4 ("easy to use"). CONCLUSION The STROKE Perception Report enables understanding of patients' and family's beliefs about the quality of acute stroke care in essential new domains never explored before.

Original languageEnglish (US)
Pages (from-to)208-216
Number of pages9
JournalJournal of Neuroscience Nursing
Volume51
Issue number5
DOIs
StatePublished - Oct 1 2019

Fingerprint

Stroke
Quality of Health Care
Focus Groups
Statistical Factor Analysis
Length of Stay
Hospitalization
Demography
Interviews
Education
Surveys and Questionnaires

All Science Journal Classification (ASJC) codes

  • Surgery
  • Endocrine and Autonomic Systems
  • Clinical Neurology
  • Medical–Surgical

Cite this

Measurement of patients' perceptions of the quality of acute stroke services development and validation of the stroke perception report. / Alexandrov, Anne; Brewer, Barbara B.; Moore, Kari; Grau, Charlene; Beenstock, Dana J.; Cudlip, Fern; Murphy, Deborah A.; Klassman, Lynn; Korsnack, Andrea M.; Johnson, Brenda; Parliament, Connie F.; Lane, Patricia C.; Walsh, Tina; Gottbrath, Deidra; Wojner, Alexis J.; Dibiase, Stephen E.; Alexandrov, Andrei V.

In: Journal of Neuroscience Nursing, Vol. 51, No. 5, 01.10.2019, p. 208-216.

Research output: Contribution to journalArticle

Alexandrov, A, Brewer, BB, Moore, K, Grau, C, Beenstock, DJ, Cudlip, F, Murphy, DA, Klassman, L, Korsnack, AM, Johnson, B, Parliament, CF, Lane, PC, Walsh, T, Gottbrath, D, Wojner, AJ, Dibiase, SE & Alexandrov, AV 2019, 'Measurement of patients' perceptions of the quality of acute stroke services development and validation of the stroke perception report', Journal of Neuroscience Nursing, vol. 51, no. 5, pp. 208-216. https://doi.org/10.1097/JNN.0000000000000471
Alexandrov, Anne ; Brewer, Barbara B. ; Moore, Kari ; Grau, Charlene ; Beenstock, Dana J. ; Cudlip, Fern ; Murphy, Deborah A. ; Klassman, Lynn ; Korsnack, Andrea M. ; Johnson, Brenda ; Parliament, Connie F. ; Lane, Patricia C. ; Walsh, Tina ; Gottbrath, Deidra ; Wojner, Alexis J. ; Dibiase, Stephen E. ; Alexandrov, Andrei V. / Measurement of patients' perceptions of the quality of acute stroke services development and validation of the stroke perception report. In: Journal of Neuroscience Nursing. 2019 ; Vol. 51, No. 5. pp. 208-216.
@article{9adaca0a79b44e489fc169c0e162a3ce,
title = "Measurement of patients' perceptions of the quality of acute stroke services development and validation of the stroke perception report",
abstract = "INTRODUCTION Patients' perceptions of healthcare quality have become an important part of quality measurement. We explored patients' and family's lived experiences during acute stroke hospitalization to develop a quantitative instrument. METHODS Focus groups were conducted using open-ended scripted questions. Interview data were coded and analyzed using an inductive approach to thematic analysis. Symmetric patient and family instruments were developed based on qualitative domains and serially refined to a set of 30 survey items, 12 stroke knowledge test items, and 5 subject demographic fields. Scales were evaluated for internal consistency reliability using Cronbach ; construct validity with exploratory factor analysis using principal components with varimax rotation was performed to determine the extent to which items in a scale measure the same underlying factor. Feasibility of an electronic cloud-based survey was also tested. RESULTS Three main themes emerged fast action to diagnose and treat stroke, genuine caring, and education to prevent and respond to stroke. A total of 1029 subjects completed the final instrument with no differences in perception found by race, ethnicity, or length of stay. Scales showed satisfactory internal consistency reliability (Cronbach scores,.89-.94); factor loadings across each scale ranged from 0.55 to 0.87. Data entry by electronic pad was perceived by 77{\%} to be more confidential than paper surveys; median score for difficulty was 4 ({"}easy to use{"}). CONCLUSION The STROKE Perception Report enables understanding of patients' and family's beliefs about the quality of acute stroke care in essential new domains never explored before.",
author = "Anne Alexandrov and Brewer, {Barbara B.} and Kari Moore and Charlene Grau and Beenstock, {Dana J.} and Fern Cudlip and Murphy, {Deborah A.} and Lynn Klassman and Korsnack, {Andrea M.} and Brenda Johnson and Parliament, {Connie F.} and Lane, {Patricia C.} and Tina Walsh and Deidra Gottbrath and Wojner, {Alexis J.} and Dibiase, {Stephen E.} and Alexandrov, {Andrei V.}",
year = "2019",
month = "10",
day = "1",
doi = "10.1097/JNN.0000000000000471",
language = "English (US)",
volume = "51",
pages = "208--216",
journal = "Journal of Neuroscience Nursing",
issn = "0888-0395",
publisher = "American Association of Neuroscience Nurses",
number = "5",

}

TY - JOUR

T1 - Measurement of patients' perceptions of the quality of acute stroke services development and validation of the stroke perception report

AU - Alexandrov, Anne

AU - Brewer, Barbara B.

AU - Moore, Kari

AU - Grau, Charlene

AU - Beenstock, Dana J.

AU - Cudlip, Fern

AU - Murphy, Deborah A.

AU - Klassman, Lynn

AU - Korsnack, Andrea M.

AU - Johnson, Brenda

AU - Parliament, Connie F.

AU - Lane, Patricia C.

AU - Walsh, Tina

AU - Gottbrath, Deidra

AU - Wojner, Alexis J.

AU - Dibiase, Stephen E.

AU - Alexandrov, Andrei V.

PY - 2019/10/1

Y1 - 2019/10/1

N2 - INTRODUCTION Patients' perceptions of healthcare quality have become an important part of quality measurement. We explored patients' and family's lived experiences during acute stroke hospitalization to develop a quantitative instrument. METHODS Focus groups were conducted using open-ended scripted questions. Interview data were coded and analyzed using an inductive approach to thematic analysis. Symmetric patient and family instruments were developed based on qualitative domains and serially refined to a set of 30 survey items, 12 stroke knowledge test items, and 5 subject demographic fields. Scales were evaluated for internal consistency reliability using Cronbach ; construct validity with exploratory factor analysis using principal components with varimax rotation was performed to determine the extent to which items in a scale measure the same underlying factor. Feasibility of an electronic cloud-based survey was also tested. RESULTS Three main themes emerged fast action to diagnose and treat stroke, genuine caring, and education to prevent and respond to stroke. A total of 1029 subjects completed the final instrument with no differences in perception found by race, ethnicity, or length of stay. Scales showed satisfactory internal consistency reliability (Cronbach scores,.89-.94); factor loadings across each scale ranged from 0.55 to 0.87. Data entry by electronic pad was perceived by 77% to be more confidential than paper surveys; median score for difficulty was 4 ("easy to use"). CONCLUSION The STROKE Perception Report enables understanding of patients' and family's beliefs about the quality of acute stroke care in essential new domains never explored before.

AB - INTRODUCTION Patients' perceptions of healthcare quality have become an important part of quality measurement. We explored patients' and family's lived experiences during acute stroke hospitalization to develop a quantitative instrument. METHODS Focus groups were conducted using open-ended scripted questions. Interview data were coded and analyzed using an inductive approach to thematic analysis. Symmetric patient and family instruments were developed based on qualitative domains and serially refined to a set of 30 survey items, 12 stroke knowledge test items, and 5 subject demographic fields. Scales were evaluated for internal consistency reliability using Cronbach ; construct validity with exploratory factor analysis using principal components with varimax rotation was performed to determine the extent to which items in a scale measure the same underlying factor. Feasibility of an electronic cloud-based survey was also tested. RESULTS Three main themes emerged fast action to diagnose and treat stroke, genuine caring, and education to prevent and respond to stroke. A total of 1029 subjects completed the final instrument with no differences in perception found by race, ethnicity, or length of stay. Scales showed satisfactory internal consistency reliability (Cronbach scores,.89-.94); factor loadings across each scale ranged from 0.55 to 0.87. Data entry by electronic pad was perceived by 77% to be more confidential than paper surveys; median score for difficulty was 4 ("easy to use"). CONCLUSION The STROKE Perception Report enables understanding of patients' and family's beliefs about the quality of acute stroke care in essential new domains never explored before.

UR - http://www.scopus.com/inward/record.url?scp=85071832027&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85071832027&partnerID=8YFLogxK

U2 - 10.1097/JNN.0000000000000471

DO - 10.1097/JNN.0000000000000471

M3 - Article

VL - 51

SP - 208

EP - 216

JO - Journal of Neuroscience Nursing

JF - Journal of Neuroscience Nursing

SN - 0888-0395

IS - 5

ER -