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Association between Quality of Interactions Schedule ratings and care experiences of people with a dementia in general hospital settings: a validation study

Association between Quality of Interactions Schedule ratings and care experiences of people with a dementia in general hospital settings: a validation study
Association between Quality of Interactions Schedule ratings and care experiences of people with a dementia in general hospital settings: a validation study

Introduction

Establishing methods to evaluate interactions between hospital staff and patients with a dementia is vital to inform care delivery. This study aimed to assess the validity of Quality of Interactions Schedule (QuIS) ratings in relation to the care experiences of people with a dementia in a general hospital setting.
Methods

Four hundred and ninety face‐to‐face interactions between staff and patients with a dementia (n = 107) on six medicine for older people wards in a UK National Health Service hospital were observed and rated using QuIS and the Psychological Well‐Being in Cognitively Impaired Persons (PWB‐CIP) tool. We also invited patient ratings for longer interactions (n = 217). Analyses explored associations between QuIS ratings, PWB‐CIP ratings and patient ratings.
Results

When QuIS was rated negative, the mean researcher‐rated patient psychological well‐being was lower (PWB = 7.9 out of maximum score of 10) than when QuIS was non‐negative (PWB = 8.8, p = 0.036). Negative QuIS ratings were associated with negative ratings on seven out of ten individual PWB‐CIP items. When QuIS was rated negative, the associated patient rating was 4% less likely to be ‘happy’. The patient was also 4% more likely to rate the interaction as ‘kind’. Patients struggled to participate in care ratings.
Conclusions

Some patients found responding to researcher questions difficult or not relevant, reflecting the need for development of more suitable methods in this field. Our findings of an association between lower quality QuIS‐rated interactions and lower psychological well‐being lend support to the use of QuIS with patient populations that include people with a dementia.
dementia, hospitals, patient satisfaction, process assessment (health care), quality of health care, validation study
0885-6230
Lee, Kellyn
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Frankland, Jane
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Griffiths, Peter
ac7afec1-7d72-4b83-b016-3a43e245265b
Hewer-Richards, Leah
57659ce6-98df-47a6-a0b8-48c811c22117
Young, Alexandra
cd1a36bc-a2f9-4c84-9649-258f5ca7e031
Bridges, Jacqueline
57e80ebe-ee5f-4219-9bbc-43215e8363cd
Lee, Kellyn
6c8c3a3e-f987-4ca0-b1a6-466afeeb399c
Frankland, Jane
94f07ae3-6361-4572-b716-6fdc4ba3c75a
Griffiths, Peter
ac7afec1-7d72-4b83-b016-3a43e245265b
Hewer-Richards, Leah
57659ce6-98df-47a6-a0b8-48c811c22117
Young, Alexandra
cd1a36bc-a2f9-4c84-9649-258f5ca7e031
Bridges, Jacqueline
57e80ebe-ee5f-4219-9bbc-43215e8363cd

Lee, Kellyn, Frankland, Jane, Griffiths, Peter, Hewer-Richards, Leah, Young, Alexandra and Bridges, Jacqueline (2020) Association between Quality of Interactions Schedule ratings and care experiences of people with a dementia in general hospital settings: a validation study. International Journal of Geriatric Psychiatry.

Record type: Article

Abstract


Introduction

Establishing methods to evaluate interactions between hospital staff and patients with a dementia is vital to inform care delivery. This study aimed to assess the validity of Quality of Interactions Schedule (QuIS) ratings in relation to the care experiences of people with a dementia in a general hospital setting.
Methods

Four hundred and ninety face‐to‐face interactions between staff and patients with a dementia (n = 107) on six medicine for older people wards in a UK National Health Service hospital were observed and rated using QuIS and the Psychological Well‐Being in Cognitively Impaired Persons (PWB‐CIP) tool. We also invited patient ratings for longer interactions (n = 217). Analyses explored associations between QuIS ratings, PWB‐CIP ratings and patient ratings.
Results

When QuIS was rated negative, the mean researcher‐rated patient psychological well‐being was lower (PWB = 7.9 out of maximum score of 10) than when QuIS was non‐negative (PWB = 8.8, p = 0.036). Negative QuIS ratings were associated with negative ratings on seven out of ten individual PWB‐CIP items. When QuIS was rated negative, the associated patient rating was 4% less likely to be ‘happy’. The patient was also 4% more likely to rate the interaction as ‘kind’. Patients struggled to participate in care ratings.
Conclusions

Some patients found responding to researcher questions difficult or not relevant, reflecting the need for development of more suitable methods in this field. Our findings of an association between lower quality QuIS‐rated interactions and lower psychological well‐being lend support to the use of QuIS with patient populations that include people with a dementia.

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Association between Quality of Interactions Schedule ratings and care experiences of people with a dementia in general hospital settings a validation study - Accepted Manuscript
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More information

Accepted/In Press date: 8 November 2020
e-pub ahead of print date: 10 November 2020
Keywords: dementia, hospitals, patient satisfaction, process assessment (health care), quality of health care, validation study

Identifiers

Local EPrints ID: 445229
URI: http://eprints.soton.ac.uk/id/eprint/445229
ISSN: 0885-6230
PURE UUID: ac4281f5-c991-4a37-b4a7-f7d085821f9b
ORCID for Jane Frankland: ORCID iD orcid.org/0000-0002-3813-8879
ORCID for Peter Griffiths: ORCID iD orcid.org/0000-0003-2439-2857
ORCID for Leah Hewer-Richards: ORCID iD orcid.org/0000-0002-1714-564X
ORCID for Jacqueline Bridges: ORCID iD orcid.org/0000-0001-6776-736X

Catalogue record

Date deposited: 25 Nov 2020 17:33
Last modified: 26 Nov 2021 06:17

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Contributors

Author: Kellyn Lee
Author: Jane Frankland ORCID iD
Author: Peter Griffiths ORCID iD
Author: Leah Hewer-Richards ORCID iD
Author: Alexandra Young

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