Initial Psychometric Properties of the Pain Care Quality Survey (PainCQ).
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.


CONCLUSIONS
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.
Beck
Susan L
SL
University of Utah College of Nursing, Salt Lake City, Utah, USA. beck@nurs.utah.edu
Towsley
Gail L
GL
Pett
Marjorie A
MA
Berry
Patricia H
PH
Smith
Ellen Lavoie
EL
Brant
Jeannine M
JM
Guo
Jia-Wen
JW
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003430:Cross-Sectional Studies; D005260:Female; D006306:Health Surveys / Q000379:methods* / Q000592:standards; D006761:Hospitals / Q000592:standards; D006801:Humans; D008297:Male; D010147:Pain Measurement / Q000379:methods*; D017060:Patient Satisfaction / Q000706:statistics & numerical data; D011594:Psychometrics / Q000379:methods*; D011787:Quality of Health Care / Q000592:standards*; D055815:Young Adult