TY - JOUR
T1 - Evaluation of the measuring and improving quality in palliative care survey
AU - Dy, Sydney M.
AU - Sharma, Ritu
AU - Kuchinad, Kamini
AU - Liew, Zi Rou
AU - Al Hamayel, Nebras Abu
AU - Hannum, Susan M.
AU - Zhu, Junya
AU - Kamal, Arif H.
AU - Walling, Anne M.
AU - Lorenz, Karl A.
AU - Isenberg, Sarina R.
N1 - Funding Information:
Supported by the National Cancer Institute of the National Institutes of Health under Award No. R21CA197362. Also supported by the Cambia Health Foundation Sojourns Scholar Leadership Award (A.M.W.) and Canadian Institutes of Health Research Grant No. 146181 (S.R.I.). The content of this articleissolelytheresponsibilityoftheauthorsanddoesnotnecessarilyrepresent the official views of the National Institutes of Health. Presented in part at the American Academy of Hospice and Palliative Medicine meeting, Boston MA, March 14, 2018, and the American Geriatrics Society meeting, Orlando, FL May 4, 2018. We acknowledge Sallie Weaver, PhD, and the Department of Supportive Care Medicine, Moffitt Cancer Center, Tampa, Florida.
Publisher Copyright:
Copyright © 2018 by American Society of Clinical Oncology
PY - 2018/12/1
Y1 - 2018/12/1
N2 - Purpose: To evaluate the reliability, content validity, and variation among sites of a survey to assess facilitators and barriers to quality measurement and improvement in palliative care programs. Methods: We surveyed a sample of diverse US and Canadian palliative care programs and conducted postcompletion discussion groups. The survey included constructs addressing educational support and training, communication, teamwork, leadership, and prioritization for quality measurement and improvement. We tested internal consistency reliability, described variation among sites, and reported descriptive feedback on content validity. Results: Of 103 respondents in 11 sites, the most common roles were attending physician (38.9%) and nurse practitioner, clinical nurse specialist, or physician assistant (16.5%). Internal consistency reliability was acceptable (Cronbach's a = .70 to .99) for all but one construct. Results varied across sites by more than 1 point on the 1 to 5 scales between the 10th and 90th percentiles of sites for two constructs in recognition and focus on quality measurement (score range by site, 1.7 to 4.8), one construct in teamwork (score range, 3.1 to 4.6), and five constructs in quality improvement (score range, 1.8 to 4.6). In descriptive content validity evaluation, respondents described the survey as an opportunity for assessing quality initiatives and discussing potential improvements, particularly improvements in communication, training, and engagement of team members regarding program quality efforts. Conclusion: This survey to assess palliative care team perspectives on barriers and facilitators for quality measurement and improvement demonstrated reliability, content validity, and initial evidence of variation among sites. Our findings highlight how palliative care team members' perspectives may be valuable to plan, evaluate, and monitor quality-of-care initiatives.
AB - Purpose: To evaluate the reliability, content validity, and variation among sites of a survey to assess facilitators and barriers to quality measurement and improvement in palliative care programs. Methods: We surveyed a sample of diverse US and Canadian palliative care programs and conducted postcompletion discussion groups. The survey included constructs addressing educational support and training, communication, teamwork, leadership, and prioritization for quality measurement and improvement. We tested internal consistency reliability, described variation among sites, and reported descriptive feedback on content validity. Results: Of 103 respondents in 11 sites, the most common roles were attending physician (38.9%) and nurse practitioner, clinical nurse specialist, or physician assistant (16.5%). Internal consistency reliability was acceptable (Cronbach's a = .70 to .99) for all but one construct. Results varied across sites by more than 1 point on the 1 to 5 scales between the 10th and 90th percentiles of sites for two constructs in recognition and focus on quality measurement (score range by site, 1.7 to 4.8), one construct in teamwork (score range, 3.1 to 4.6), and five constructs in quality improvement (score range, 1.8 to 4.6). In descriptive content validity evaluation, respondents described the survey as an opportunity for assessing quality initiatives and discussing potential improvements, particularly improvements in communication, training, and engagement of team members regarding program quality efforts. Conclusion: This survey to assess palliative care team perspectives on barriers and facilitators for quality measurement and improvement demonstrated reliability, content validity, and initial evidence of variation among sites. Our findings highlight how palliative care team members' perspectives may be valuable to plan, evaluate, and monitor quality-of-care initiatives.
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U2 - 10.1200/JOP.18.00405
DO - 10.1200/JOP.18.00405
M3 - Article
C2 - 30537461
AN - SCOPUS:85058593345
VL - 14
SP - E834-E843
JO - Journal of Oncology Practice
JF - Journal of Oncology Practice
SN - 1554-7477
IS - 12
ER -