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A systematic review of the psychometric properties of instruments for assessing the quality of the physical environment in healthcare
Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing. Karolinska Institutet; Chalmers University of Technology.ORCID iD: 0000-0001-7044-8896
Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing. Karolinska Institutet.ORCID iD: 0000-0003-3356-7583
Dalarna University, School of Education, Health and Social Studies, Social Work.ORCID iD: 0000-0002-8795-7555
2017 (English)In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 73, no 12, 2796-2816 p.Article in journal (Refereed) Published
Abstract [en]

AIM: To identify instruments measuring the quality of the physical healthcare environment, describe their psychometric properties.

BACKGROUND: The physical healthcare environment is regarded as a quality factor for healthcare. To facilitate evidence-based design there is a need for valid and usable instruments that can evaluate the design of the healthcare environment.

DESIGN: Systematic psychometric review.

DATA SOURCES: A systematic literature search in Medline, CINAHL, Psychinfo, Avery index and reference lists of eligible papers (1990-2016).

REVIEW METHOD: COSMIN guidelines were used to evaluate psychometric data reported.

RESULTS: Twenty-three instruments were included. Most of the instruments are intended for for healthcare environments related to the care of older people. Many of the instruments were old, lacked strong, contemporary theoretical foundations, varied in the extent to which they had been used in empirical studies and in the degree to which their validity and reliability had been evaluated.

CONCLUSIONS: Although we found many instruments for measuring the quality of the physical healthcare environment, none met all of our criteria for robustness. Of the instruments, The Multiphasic environmental assessment procedure, The Professional environment assessment protocol and The therapeutic environment screening have been used and tested most frequently. The Perceived hospital quality indicators is user centred and combine aspects of the physical and social environment. The Sheffield care environment assessment matrix has potential as it is comprehensive developed using a theoretical framework that has the needs of older people at the centre. However, further psychometric and user-evaluation of the instrument is required. 

Place, publisher, year, edition, pages
2017. Vol. 73, no 12, 2796-2816 p.
Keyword [en]
evidence-based design; healthcare facilities; measurement instruments; nursing; older adults; physical healthcare environment; systematic psychometric review
National Category
Nursing Social Work
Research subject
Health and Welfare
Identifiers
URN: urn:nbn:se:du-24413DOI: 10.1111/jan.13281PubMedID: 28207946OAI: oai:DiVA.org:du-24413DiVA: diva2:1075899
Note

Open Access APC beslut 5/2017

Available from: 2017-02-21 Created: 2017-02-21 Last updated: 2017-12-01Bibliographically approved

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Elf, MarieNordin, SusannaMcKee, Kevin

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