title: Development and testing of the combined assessment of psychiatric environments: a patient-centered quality measure for inpatient psychiatric treatment.
abstract: BACKGROUND
  Inpatient psychiatric treatment satisfaction measures are not constructed from patients' perspective of hospitalization experiences that they deem meaningful and important.
  
  
  OBJECTIVE
  To develop and conduct psychometric testing of a measure that evaluates person-centered care on inpatient psychiatric units, the Combined Assessment of Psychiatric Environments (CAPE). The measure is built on a theoretical framework holding that if optimal care is to be achieved, all major stakeholders (patients and staff) need to experience a positive environment.
  
  
  METHODS
  An instrument development design was used to create the patient/staff nurse versions of the CAPE and to test their dimensions. The pilot versions of the CAPE were tested on six inpatient psychiatric units to determine the psychometrics of the staff/patient versions.
  
  
  RESULTS
  The overall reliability of both versions of the CAPE (staff/patient) was .91. The test-retest reliability for both versions was significant at the .01 level. Construct validity was established via factor analysis. Criterion-related validity was demonstrated by correlations of the two versions of the CAPE to instruments that were conceptually related.
  
  
  CONCLUSIONS
  The CAPE is a valid and reliable instrument that can be used to examine practice and the patient experience on inpatient psychiatric units. The CAPE highlights that patient-centered environments of care are intertwined with staff experiences of support for their role.
authors.affiliation: Kathleen R. Delaney, PhD, PMH-NP, FAAN, Rush University College of Nursing, Chicago, IL, USA Kathleen_R_Delaney@rush.edu.
authors.forename: Kathleen R
authors.initials: KR
authors.lastname: Delaney
authors.affiliation: Mary E. Johnson, PhD, RN, PMHCNS-BC, FAAN, Rush University College of Nursing, Chicago, IL, USA.
authors.forename: Mary E
authors.initials: ME
authors.lastname: Johnson
authors.affiliation: Louis Fogg, PhD, Rush University College of Nursing, Chicago, IL, USA.
authors.forename: Louis
authors.initials: L
authors.lastname: Fogg
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006760:Hospitalization; D006801:Humans; D007297:Inpatients / Q000523:psychology* / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction / Q000706:statistics & numerical data*; D018802:Patient-Centered Care / Q000379:methods* / Q000706:statistics & numerical data; D011568:Psychiatric Nursing / Q000379:methods* / Q000706:statistics & numerical data; D011594:Psychometrics; D011787:Quality of Health Care / Q000706:statistics & numerical data*; D015203:Reproducibility of Results; D011795:Surveys and Questionnaires / Q000592:standards*; D055815:Young Adult
keywords: hospitalization; inpatient treatment; outcome studies; patient satisfaction; quality improvement