Factors Associated With Patient Ratings of Timeliness of Primary Care Appointments.

As access is the lowest rated dimension in surveys of outpatient experience, we sought to identify patient, practice, and provider factors associated with positive ratings of timeliness of primary care appointments. A cross-sectional study with multivariable, multilevel logistic regression was performed using survey responses from 236 695 individuals receiving care in the Veterans Health Administration (VA). Top box ratings (response of "always") for whether the patient reported receiving an appointment as soon as they needed in primary care for routine care and for care needed right away were the main outcomes.

Trust in Nurses Scale: validation of the core elements.

Background: The Trust in Nurses Scale (TNS) was developed and psychometrically assessed so that patients' trust could be accurately and reliably measured. The TNS has been translated, assessed and administered to patients in Europe, Asia and North America.

Aim: This descriptive, cross-sectional, correlational study aimed to assess the psychometric characteristics of the Italian version of the Trust in Nurses Scale.

A scale to measure nurses' and providers' patient centered care in primary care settings.

Objectives: 1) Refine pilot scale measuring patients' experiences of outpatient nurses' and providers' care; 2) Determine variance explained by (a) pilot scale items and (b) "Survey of Health Experiences of Patients" (SHEP)/"Consumer Assessment of Health Care Providers and Systems" (CAHPS) scale items.

Methods: Randomly selected Veteran patients with recent visits with primary care outpatient nurses and providers (n = 1192) completed scales: pilot "PCC in Primary Care: Nurses and Providers Scale" and SHEP/CAHPS scale items. Factor analyses conducted using structural equation modeling (SEM), variance measurement using regression strategies.

Patient-Centered Care in Primary Care Scale: Pilot Development and Psychometric Assessment.

Background: Nurse contributions to patient-centered care in primary care clinics are all but ignored in standard patient experience surveys.

Purpose: The purpose was to conduct a pilot study to develop and psychometrically assess a scale measuring nurses' and other providers' patient-centered care in Veteran Affairs primary care clinics.

Method: We developed a patient experience survey composed of original items and previous studies' items and scales.

An Expanded Theoretical Framework of Care Coordination Across Transitions in Care Settings.

For many patients, high-quality, patient-centered, and cost-effective health care requires coordination among multiple clinicians and settings. Ensuring optimal care coordination requires a clear understanding of how clinician activities and continuity during transitions affect patient-centeredness and quality outcomes. This article describes an expanded theoretical framework to better understand care coordination.

Effects of race and language on patient-centered cancer nursing care and patient outcomes.

Nursing prides itself on the ability to advocate for patients. However, questions are raised in the National Health Care Disparities Reports from the Agency for Healthcare Research and Quality about how well nurses communicate with African Americans, Hispanics, and people who speak languages other than English. Our secondary analysis of patient data collected at an urban safety-net hospital oncology unit examined the relationships among race, language, patient-centered nursing care, and patient outcomes.

Effects of a patient/family-centered practice change on the quality and cost of intensive care: research protocol.

Aim: This paper is a description of a protocol for studying the impact of a patient/family-centered, evidence-based practice change on the quality, cost and use of services for critically ill patients at the end of life.

Background: International attention currently is focused on the quality and cost/use of intensive care services. Empirical literature and expert opinion suggest that early, enhanced communication among the clinical team and the patient and family results in higher quality and less costly care at the end of life.

A protocol for capturing daily variability in nursing care.

To meet current and future patient safety and quality requirements, traditional analyses based on data aggregated to the hospital or unit level over months or years may need to change. Nine customized databases were developed, five with patient data (e.g.

Trust in Nurses Scale: construct validity and internal reliability evaluation.

Aim: This paper is a report of the continued psychometric evaluation of the Trust in Nurses Scale.

Background: Qualitative analyses indicate that trust in nurses is critically important to adult patients. Instruments that distinctively measure this concept are lacking.

Relationships between patient-centered cancer nursing interventions and desired health outcomes in the context of the health care system.

A non-experimental longitudinal prospective study was conducted to examine the relationships between patient-centered nursing interventions (PCNIs), system characteristics, patient characteristics, and desired health outcomes (DHOs) for 173 hematology-oncology patients. Forty-nine nurse participants provided system characteristics data. Confirmatory factor analyses yielded parsimonious scales to operationalize the variables.

Cancer patients' descriptions of their nursing care.

Aim: This paper reports a study of cancer patients' descriptions of nurses and nursing care.

Background: Nurses lament their poor representation in the media, and campaigns to improve their portrayal have been initiated. Media portrayal of nurses might be more realistic if patients' descriptions of nursing care were incorporated.

Development and pilot testing of four desired health outcomes scales.

Purpose/objectives: To develop and pilot test scales to measure desired health outcomes hypothesized to result from high-quality cancer nursing care: Fortitude Scale, Trust in Nurses Scale, Cancer Patient Optimism Scale, and Authentic Self-Representation Scale.

Design: Instrument development.

Setting: Community cancer support organization.

Cancer patients' demographic characteristics and ratings of patient-centered nursing care.

Purpose: To examine relationships between patients' demographic characteristics and patients' reports of patient-centered care.

Design: Secondary analysis of data (N = 423) from a study in the northeastern United States focused on the psychometric properties of the Oncology Patients' Perceptions of the Quality of Nursing Care Scale (OPPQNCS).

Methods: The quality of four interpersonal nursing interventions, representing patient-centered nursing care, was measured with the OPPQNCS subscales.