Development and Validation of the Person-Centered Care Self-Assessment Tool (PCCSAT) Using Nursing Documentation Approach

OBJECTIVE: This study aims to develop a valid and reliable self-assessment instrument using a 5-point Likert scale that enables Registered Nurses (RNs) at KPJ Group of Hospitals utilize systematic self- reflection and evaluate the quality of their person-centred care documentation. METHODOLOGY: This study employed a mixed-method design to develop and validate the Person-Centered Care Self-Assessment Tool (PCCSAT). It is part of a broader research measuring PCC documentation skills of RNs at KPJ Hospitals. Data were collected from March – May 2024. The item constructs were developed based on the McCormick PCC Documentation Framework and subsequently validated by a panel of four academic experts, who reviewed and provided feedback on their relevance, clarity, and comprehensiveness. The finalized instrument was then administered to a selected group of Registered Nurses (RNs) from KPJ Hospitals enrolled in the post-basic program on campus. RESULTS: There are final 31 self-assessment items generated for PCCSAT. The pilot test involving 33 participants demonstrated good internal consistency, with a Cronbach’s alpha of 0.965. However, due to the small sample size, these findings should consider preliminary, and additional validation with a larger sample is necessary. CONCLUSION: The pilot test provides valuable insights into the reliability and validity of self-assessment PCC documentation instrument. The instrument has been revised based on the findings and now considered ready for deployment in the main study.