title: [Quality of advanced practice nurse counseling in home care settings (APN-BQ): psychometric testing of the instrument].
abstract: BACKGROUND
  Patient centred and individually-tailored counselling of older people with a chronic condition who live at home is a useful intervention to support their independence.
  
  
  OBJECTIVE
  The paper presents the development and psychometric testing of the APN-BQ Instrument, to measure patient-centeredness.
  
  
  METHODS
  To measure the quality of an in-home counselling intervention, a 23-item questionnaire was developed and tested with 206 people 80 years and older. Principal component analysis with Varimax Rotation was conducted (n = 206).
  
  
  RESULTS
  Analysis revealed a four factor (fs = 0.91) model scoring in 19 items. All factors loaded > 0.45. Cronbach's alpha was 0.86. The utility and acceptance of the instrument was confirmed by the high response rate (100 %) and the fact that participants answered 98.8 % of all questions.
  
  
  CONCLUSIONS
  The APN-BQ has shown to be a reliable Instrument with good content and construct validity. It is a tool for APNs to measure structure, process, and outcome quality of a patient-centred and individually-tailored counselling program, including the degree of patient participation, and patient empowerment.
authors.affiliation: Zürcher Hochschule für Angewandte Wissenschaften ZHAW, Winterthur.
authors.forename: Heidi
authors.initials: H
authors.lastname: Petry
authors.affiliation: Zürcher Hochschule für Angewandte Wissenschaften ZHAW, Winterthur.
authors.forename: Susanne
authors.initials: S
authors.lastname: Suter-Riederer
authors.affiliation: Zürcher Hochschule für Angewandte Wissenschaften ZHAW, Winterthur.
authors.forename: Carmen
authors.initials: C
authors.lastname: Kerker-Specker
authors.affiliation: Zürcher Hochschule für Angewandte Wissenschaften ZHAW, Winterthur.
authors.forename: Lorenz
authors.initials: L
authors.lastname: Imhof
mesh_terms: D057179:Advanced Practice Nursing; D000368:Aged; D000369:Aged, 80 and over; D002908:Chronic Disease / Q000451:nursing*; D003376:Counseling / Q000592:standards*; D005260:Female; D006699:Home Care Services / Q000592:standards*; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D010358:Patient Participation; D017060:Patient Satisfaction; D018802:Patient-Centered Care; D011594:Psychometrics / Q000706:statistics & numerical data; D011785:Quality Assurance, Health Care; D015203:Reproducibility of Results; D011795:Surveys and Questionnaires; D013557:Switzerland
keywords: Advanced Practice Nurse; Beratungsqualität; Pflegeexpertin-APN; Spitex; alte Menschen; elderly people; home care; patient centred counselling; patientenzentrierte Beratung; quality measure; spitalexterne Versorgung