Please use this identifier to cite or link to this item: http://hdl.handle.net/11531/39289
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dc.contributor.authorFernández-Ballesteros García, Rocíoes-ES
dc.contributor.authorSánchez-Izquierdo Alonso, Macarenaes-ES
dc.contributor.authorOlmos, Ricardoes-ES
dc.contributor.authorHuici, Carmenes-ES
dc.contributor.authorCaprara, Giovannaes-ES
dc.contributor.authorSantacreu, Martaes-ES
dc.contributor.authorRibera Casado, José Manueles-ES
dc.contributor.authorCruz Jentoft, Alfonsoes-ES
dc.date.accessioned2019-08-09T07:28:03Z-
dc.date.available2019-08-09T07:28:03Z-
dc.date.issued03/07/2019es_ES
dc.identifier.issn0309-2402es_ES
dc.identifier.urihttp://hdl.handle.net/11531/39289-
dc.descriptionArtículos en revistases_ES
dc.description.abstractAim: There is a need for a validated instrument to measure the type of care (paternalism or person‐centred) provided for older adults. Since paternalism and person‐centred care are the most important caregiving styles in the field of care and as they are usually opposed, the study aims to develop and establish psychometrics data of an instrument to identify paternalistic and autonomist behaviours in older adults care contexts, which can help to enhance care practice. Design: Instrument development. Methods: After observing and standardizing behaviours in formal care contexts in 2016, an instrument was developed and proceeding to a first validation using standard validation techniques among caregivers in two care settings during 2016 2017: senior citizen centres and older adult day care centres. Results: The Paternalist/Autonomist Care Assessment (PACA) is a 30‐item, behaviourbased instrument which measures both the appraisal of caregivers on elements of care (Care Appraisal Scale‐ PACA‐Appraisal) and the occurrence of behaviours (Occurrence of Care in Context‐ PACA‐Occurrence). The Paternalist/Autonomist Care Assessment (PACA) was validated in 160 professional caregivers and was able to discriminate two factors: paternalistic or overprotective behaviours and autonomist behaviours. However, these factors were not fully dichotomous and were shown to coexist to some degree. Conclusion: The instrument displayed good psychometric properties to measure paternalism and autonomy in older adult care. Moreover, it showed that the two types of care are not antagonistic and can coexist, with overprotective behaviours being more frequent in contexts of care for more dependent persons. Impact: There are no validated instruments to measure paternalism and person‐centred behaviour in care contexts. The two measures yielded by the PACA show good construct and concurrent empirical validity, internal consistency, and convergent and discriminant validity. Family caregiver, professional caregivers, nurses, older adults.es-ES
dc.description.abstractAim: There is a need for a validated instrument to measure the type of care (paternalism or person‐centred) provided for older adults. Since paternalism and person‐centred care are the most important caregiving styles in the field of care and as they are usually opposed, the study aims to develop and establish psychometrics data of an instrument to identify paternalistic and autonomist behaviours in older adults care contexts, which can help to enhance care practice. Design: Instrument development. Methods: After observing and standardizing behaviours in formal care contexts in 2016, an instrument was developed and proceeding to a first validation using standard validation techniques among caregivers in two care settings during 2016 2017: senior citizen centres and older adult day care centres. Results: The Paternalist/Autonomist Care Assessment (PACA) is a 30‐item, behaviourbased instrument which measures both the appraisal of caregivers on elements of care (Care Appraisal Scale‐ PACA‐Appraisal) and the occurrence of behaviours (Occurrence of Care in Context‐ PACA‐Occurrence). The Paternalist/Autonomist Care Assessment (PACA) was validated in 160 professional caregivers and was able to discriminate two factors: paternalistic or overprotective behaviours and autonomist behaviours. However, these factors were not fully dichotomous and were shown to coexist to some degree. Conclusion: The instrument displayed good psychometric properties to measure paternalism and autonomy in older adult care. Moreover, it showed that the two types of care are not antagonistic and can coexist, with overprotective behaviours being more frequent in contexts of care for more dependent persons. Impact: There are no validated instruments to measure paternalism and person‐centred behaviour in care contexts. The two measures yielded by the PACA show good construct and concurrent empirical validity, internal consistency, and convergent and discriminant validity. Family caregiver, professional caregivers, nurses, older adults.en-GB
dc.format.mimetypeapplication/pdfes_ES
dc.language.isoen-GBes_ES
dc.rightses_ES
dc.rights.uries_ES
dc.sourceRevista: Journal of Advanced Nursing, Periodo: 2, Volumen: 2019, Número: 0, Página inicial: 1, Página final: 13es_ES
dc.titleDevelopment and validation of a Paternalism & autonomist care assessmentes_ES
dc.typeinfo:eu-repo/semantics/articlees_ES
dc.description.versioninfo:eu-repo/semantics/publishedVersiones_ES
dc.rights.holderNormas de la revistaes_ES
dc.rights.accessRightsinfo:eu-repo/semantics/restrictedAccesses_ES
dc.keywordsassessment, autonomy, care assessment, development, instrument, nursing, nursing care, paternalism, styles of care, type of carees-ES
dc.keywordsassessment, autonomy, care assessment, development, instrument, nursing, nursing care, paternalism, styles of care, type of careen-GB
dc.identifier.doi10.1111/jan.14154es_ES
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