Development of the Patient and Family Centered Care Attitudes Survey

Friday, 26 July 2013: 8:30 AM

Linda Baas, PhD, CS-ACNP
University Hospital Heart Failure and Transplant Program, UC Health, Cincinnati, OH
Judith Ann Schofield, MSN
CVSU, The Christ Hospital, Cincinnati, OH
Jeffrey Schlaudecker, MD
Department of Family Medicine, University of Cincinnati College of Medicine, Cincinnati, OH
Andrew Arken, BA
Family Advisory Council, The Christ Hospital, Cincinnati, OH

Learning Objective 1: Identify psychometric properties of the Patient and Family Centered Care Attitude Survey.

Learning Objective 2: Identify 2 ways in which the Patient and Family Centered Care Attitude Survey can be used in a clinical setting.


Patient and Family Centered Care (PFCC) has gained recognition since the Institute of Medicine issued a report supporting this approach and linking it to patient safety. Since then, it has been supported by numerous healthcare organizations. Despite the growth in interest, there are few tools developed to assist hospitals in assessing the status of PFCC. The purpose of this study was to develop a tool to assess attitudes of nursing staff toward PFCC and to assess the reliability and validity of the tool.


A team created the structure and blueprint of items for the PFCC Attitude Survey. Two groups of experts reviewed, revised, and added items to the tool as content validity was assessed. Pilot testing was performed by Research Council members. The final 21 item tool was sent as an electronic survey to all nursing staff of a 555 bed tertiary care teaching hospital. Also, paper copies were supplied for those who preferred that method of response. 


Surveys were completed by 335 people including: RNs (62.3%), Patient Care Assistants (19.3%), Hospital Unit Clerks (9.5%), and a few other patient care professionals (8.8%). Validity was assessed with principal components analysis with varimax rotation and 3 scales were identified: Benefits (12 items), Support (4 items), and Negatives (5 items). These components explained 62.3% of the variance in scores. Internal consistency reliability was assessed by Cronbach alpha with results of .965, .888, and .716. 


The PFCC Attitude Survey has demonstrated sound psychometric properties and may prove to be useful for institutions to identify strengths and weakness within the nursing organization related to PFCC delivery. It can be used as an assessment tool to help determine educational needs and assist with strategic planning.  Future research should assess psychometrics with other health care professionals and international groups.