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Use of the quality of interactions schedule (QuIS) in assessing negative staff-patient interactions in acute care settings for older people: a content validation study

Use of the quality of interactions schedule (QuIS) in assessing negative staff-patient interactions in acute care settings for older people: a content validation study
Use of the quality of interactions schedule (QuIS) in assessing negative staff-patient interactions in acute care settings for older people: a content validation study
Introduction: The Quality of Interactions Schedule (QuIS) is an observational tool to assess the quality of staff-patient interactions in a healthcare context. QuIS is a promising measure for the evaluation of compassionate care, particularly where care is being delivered to patient populations, such as older people, who may be excluded from self-completion data collection methods. This study investigates the content validity of QuIS in identification of negative staff-patient interactions in acute care.

Methods: Staff-patient interactions (n = 1598) on adult inpatient units with a high proportion of older patients in two UK National Health Service hospitals were observed and rated using QuIS. When rating interactions as negative quality, observers recorded brief field notes to explain the rating. Content analysis was used to develop categories of negative interaction type. These categories were compared with the QuIS negative interaction definitions.

Results: Eighty-eight negative ratings were accompanied by a field note that could be used in the analysis. Five interaction categories were identified: Patient calls for help, call not acknowledged; Staff focused on task and appear to ignore/not hear patient; Patient-led interactions appear dismissed or ignored; Patient prevented from doing something without explanation; Staff interact with each other or talk to relatives, not including patient. There was clear association between the derived categories and QuIS guidance for negative ratings.

Conclusion: These findings support the validity of QuIS data in relation to measurement of interaction quality in acute care settings. Extending the research to a wider range of settings would be useful.
communication, hospitals, process assessment (health care), professional-patient relations, quality of health care, social skills, validation study
1748-3735
Young, Alexandra
cd1a36bc-a2f9-4c84-9649-258f5ca7e031
Frankland, Jane
94f07ae3-6361-4572-b716-6fdc4ba3c75a
Bridges, Jacqueline
57e80ebe-ee5f-4219-9bbc-43215e8363cd
Young, Alexandra
cd1a36bc-a2f9-4c84-9649-258f5ca7e031
Frankland, Jane
94f07ae3-6361-4572-b716-6fdc4ba3c75a
Bridges, Jacqueline
57e80ebe-ee5f-4219-9bbc-43215e8363cd

Young, Alexandra, Frankland, Jane and Bridges, Jacqueline (2022) Use of the quality of interactions schedule (QuIS) in assessing negative staff-patient interactions in acute care settings for older people: a content validation study. International Journal of Older People Nursing. (doi:10.1111/opn.12448).

Record type: Article

Abstract

Introduction: The Quality of Interactions Schedule (QuIS) is an observational tool to assess the quality of staff-patient interactions in a healthcare context. QuIS is a promising measure for the evaluation of compassionate care, particularly where care is being delivered to patient populations, such as older people, who may be excluded from self-completion data collection methods. This study investigates the content validity of QuIS in identification of negative staff-patient interactions in acute care.

Methods: Staff-patient interactions (n = 1598) on adult inpatient units with a high proportion of older patients in two UK National Health Service hospitals were observed and rated using QuIS. When rating interactions as negative quality, observers recorded brief field notes to explain the rating. Content analysis was used to develop categories of negative interaction type. These categories were compared with the QuIS negative interaction definitions.

Results: Eighty-eight negative ratings were accompanied by a field note that could be used in the analysis. Five interaction categories were identified: Patient calls for help, call not acknowledged; Staff focused on task and appear to ignore/not hear patient; Patient-led interactions appear dismissed or ignored; Patient prevented from doing something without explanation; Staff interact with each other or talk to relatives, not including patient. There was clear association between the derived categories and QuIS guidance for negative ratings.

Conclusion: These findings support the validity of QuIS data in relation to measurement of interaction quality in acute care settings. Extending the research to a wider range of settings would be useful.

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Use of the Quality of Interactions Schedule - Accepted Manuscript
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Accepted/In Press date: 30 December 2021
Published date: 15 February 2022
Additional Information: Funding information: NIHR CLAHRC Wessex; The Burdett Trust for Nursing
Keywords: communication, hospitals, process assessment (health care), professional-patient relations, quality of health care, social skills, validation study

Identifiers

Local EPrints ID: 454934
URI: http://eprints.soton.ac.uk/id/eprint/454934
ISSN: 1748-3735
PURE UUID: 3e7d210b-43df-4bb9-9422-11106d7d853e
ORCID for Jane Frankland: ORCID iD orcid.org/0000-0002-3813-8879
ORCID for Jacqueline Bridges: ORCID iD orcid.org/0000-0001-6776-736X

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Date deposited: 01 Mar 2022 17:53
Last modified: 12 Apr 2022 01:42

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Contributors

Author: Alexandra Young
Author: Jane Frankland ORCID iD

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