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. 2017 Apr;30(2):160-167.
doi: 10.1177/0894318417693286.

Peplau's Theory of Interpersonal Relations: An Alternate Factor Structure for Patient Experience Data?

Thomas A Hagerty  1 , William Samuels  2 , Andrea Norcini-Pala  3 , Eileen Gigliotti  4
Affiliations

Peplau's Theory of Interpersonal Relations: An Alternate Factor Structure for Patient Experience Data?

Thomas A Hagerty et al. Nurs Sci Q. 2017 Apr.

Abstract

A confirmatory factor analysis of data from the responses of 12,436 patients to 16 items on the Consumer Assessment of Healthcare Providers and Systems-Hospital survey was used to test a latent factor structure based on Peplau's middle-range theory of interpersonal relations. A two-factor model based on Peplau's theory fit these data well, whereas a three-factor model also based on Peplau's theory fit them excellently and provided a suitable alternate factor structure for the data. Though neither the two- nor three-factor model fit as well as the original factor structure, these results support using Peplau's theory to demonstrate nursing's extensive contribution to the experiences of hospitalized patients.

Keywords: HCAHPS; Peplau; confirmatory factor analysis; patient experience.

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Conflict of interest statement

Declaration of Conflicting Interests: The authors declared no potential conflicts of interest with respect to the authorship and/or publication of this review.

Figures

Figure 1
Figure 1
Path Diagram of 16 HCAHPS Items That Correspond to Peplau's Phases.
Figure 2
Figure 2
CFA Peplau Model.
Figure 3
Figure 3
CFA Peplau Model With Three Factors.
See this image and copyright information in PMC

References

    1. Centers for Medicare and Medicaid Services. CAHPS® hospital survey quality assurance guidelines (Version 7.0) Washington, DC: Centers for Medicare and Medicaid Services; 2012.
    1. Epstein RM, Fiscella K, Lesser CS, Stange KC. Why the nation needs a policy push on patient-centered health care. Health Affairs. 2010;29:1489–1495. - PubMed
    1. Fawcett J. Criteria for evaluation of a theory. Nursing Science Quarterly. 2005;18:131–135. - PubMed
    1. Forchuk C, Westwell J, Martin M, Azzapardi WB, Kosterewa-Tolman D, Hux M. Factors influencing movement of chronic psychiatric patients from the orientation to the working phase of the nurse-client relationship on an inpatient unit. Perspectives in Psychiatric Care. 1998;34:36–44. - PubMed
    1. Gastmans C. Interpersonal relations in nursing: A philosophical-ethical analysis of the work of Hildegard E. Peplau. Journal of Advanced Nursing. 1998;28:1312–1319. - PubMed