Developing and testing an instrument for the measurement of individual care

J Adv Nurs. 2000 Nov;32(5):1253-63. doi: 10.1046/j.1365-2648.2000.01596.x.


This paper describes a preliminary study in which an instrument was developed for the measurement of individual care in adult patients and in which the reliability and validity of the instrument were evaluated. Individual care was defined in terms of how patient individuality was taken into account and how patient participation in decision-making was facilitated. The purpose here is to describe the process by which the individual care instrument (IC) was developed, the preliminary testing of the instrument and psychometric evaluation of the instrument in a sample of adult patients discharged from a Finnish general Hospital (n=203). Item analyses showed an acceptable level of internal consistency reliability and homogeneity in each scale of the IC, and Cronbach alpha values were high in every measurement. Exploratory factor analysis supported a three-factor solution. The psychometric evaluations suggested that the instrument is worthy of further development.

Publication types

  • Validation Study

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Decision Making
  • Factor Analysis, Statistical
  • Female
  • Finland
  • Humans
  • Male
  • Middle Aged
  • Nursing Audit / methods*
  • Nursing Care / psychology
  • Nursing Care / standards*
  • Nursing Evaluation Research
  • Outcome Assessment, Health Care / methods*
  • Patient Participation
  • Patient-Centered Care / standards*
  • Psychometrics
  • Surveys and Questionnaires / standards*