Design and Validation of a Questionnaire to Measure the Quality of Care Focused on Hospitalized People

Abstract

Introduction: In health systems, the quality of care reflects the ontological relevance of the nursing professional.

Objective: To validate a questionnaire to measure quality of care during hospitalization, from a person-centered care perspective.

Methods: A descriptive study of methodological type was carried out during July 2021 to January 2022, in the International Orthopedic Scientific Complex "Frank País", Havana, Cuba. The study was organized in four stages: exploration of perceptions of people [H1] object of care, on itineraries of care processes in hospitalization services, by means of a talking map; integrative review of the study construct; elaboration and validation of the questionnaire, which included consultation to experts by means of Delphi method and Barraza method, for validation of content and precision of answers, mediated by piloting in 20 people object of care for validation of comprehension and appearance. The second piloting was applied to a sample of 41 users for reliability analysis using Cronbach's Alpha.

Results: The reliability of the questionnaire showed a Cronbach's alpha coefficient of 0.91 and 0.90 standardized Cronbach's alpha, which translates into high internal consistency of the scale.

Conclusion: The Person-Centered Care questionnaire is considered validated to measure the degree of quality of care and to identify failures in the hospitalization process. It also includes a general evaluation scale that leads to the establishment of a system of censor actions for continuous improvement of nursing care processes.