Validation of CARE-Q in residential aged-care: rating of importance of caring behaviours from an e-cohort sub-study

Tuckett, Anthony G., Hughes, Karen, Schluter, Philip J. and Turner, Cathy (2009) Validation of CARE-Q in residential aged-care: rating of importance of caring behaviours from an e-cohort sub-study. Journal of Clinical Nursing, 18 10: 1501-1509. doi:10.1111/j.1365-2702.2008.02723.x

Author Tuckett, Anthony G.
Hughes, Karen
Schluter, Philip J.
Turner, Cathy
Title Validation of CARE-Q in residential aged-care: rating of importance of caring behaviours from an e-cohort sub-study
Formatted title
Validation of CARE-Q in residential aged-care: rating of importance of caring behaviours from an e-cohort sub-study
Journal name Journal of Clinical Nursing   Check publisher's open access policy
ISSN 0962-1067
Publication date 2009-05-20
Year available 2009
Sub-type Article (original research)
DOI 10.1111/j.1365-2702.2008.02723.x
Volume 18
Issue 10
Start page 1501
End page 1509
Total pages 9
Editor Roger Watson
Debra Jackson
Carol Haigh
Place of publication United Kingdom
Publisher Wiley-Blackwell Publishing
Collection year 2010
Language eng
Subject C1
111001 Aged Care Nursing
920210 Nursing
920502 Health Related to Ageing
Formatted abstract
Aim and objective. To validate the Caring Assessment Report Evaluation Q-sort questionnaire in the residential aged-care setting. Based on this determination, to conclude with what degree of confidence the questionnaire can be used to determine the ranking of the importance of caring behaviours amongst aged-care nurses and residents in residential aged-care.
Background. Perceptions of caring may be context specific. Caring in residential aged-care may stand in contrast to the sense of caring understood and practiced in other settings.
Design. Self-administered survey.
Methods. Residents from three not-for-profit aged-care facilities, across both high-care (nursing-home) and low-care (hostel care) were surveyed relying on the Caring Assessment Report Evaluation Q-sort questionnaire. A sub-sample of registered and enrolled nurses working in residential aged-care and registered with the Nurses & Midwives e-cohort study completed the same survey.
Results. Although the Caring Assessment Report Evaluation Q-sort questionnaire showed good internal consistency for the sample of nurses, the results for the residents were more erratic. Both groups displayed large ranges for the inter-item correlations. The results of the Mann–Whitney U-test indicated that the nurses rated the Comforts, Anticipates and Trusting relationship as significantly more important than the residents. Both groups rated the Explains and facilitates subscale as least
important. All subscales, however, received median scores greater than, or equal to, six (seven-point, Likert scale) indicating that all were considered important overall.
Conclusion. Based on poor Cronbach’s alpha coefficients, negative inter-item correlations and qualitative observations, without further development within the residential aged-care facility the free response format version of the Caring Assessment Report Evaluation Q-sort may not be an appropriate measure to use with residential aged-care residents. More research needs to be conducted into how residents and nurses are interpreting the items in the Caring Assessment Report Evaluation Q-sort.
Relevance to clinical practice. There will always remain a need for nurses to enact behaviours that are meaningful to residents (and patients generally).
Keyword aged-care
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Q-Index Code C1
Q-Index Status Confirmed Code

Document type: Journal Article
Sub-type: Article (original research)
Collections: 2010 Higher Education Research Data Collection
School of Nursing, Midwifery and Social Work Publications
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Citation counts: TR Web of Science Citation Count  Cited 10 times in Thomson Reuters Web of Science Article | Citations
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Created: Thu, 30 Apr 2009, 15:32:11 EST by Dr Anthony Tuckett on behalf of School of Nursing, Midwifery and Social Work