TY - JOUR
T1 - Assessing face validity of the hexcom model for capturing complexity in clinical practice
T2 - A delphi study
AU - Busquet-Duran, Xavier
AU - Jiménez-Zafra, Eva Maria
AU - Tura-Poma, Magda
AU - la Rosa, Olga Bosch de
AU - Moragas-Roca, Anna
AU - Martin-Moreno, Susana
AU - Martínez-Losada, Emilio
AU - Crespo-Ramírez, Silvia
AU - Lestón-Lado, Lola
AU - Salamero-Tura, Núria
AU - Llobera-Estrany, Joana
AU - Oriol-Peregrina, Núria
AU - Moreno-Gabriel, Eduard
AU - Manresa-Domínguez, Josep Maria
AU - Torán-Monserrat, Pere
N1 - Publisher Copyright:
© 2021 by the authors. Licensee MDPI, Basel, Switzerland.
PY - 2021/2
Y1 - 2021/2
N2 - Capturing complexity is both a conceptual and a practical challenge in palliative care. The HexCom model has proved to be an instrument with strong reliability and to be valid for describing the needs and strengths of patients in home care. In order to explore whether it is also perceived to be helpful in enhancing coordinated and patient-centred care at a practical level, a methodological study was carried out to assess the face validity of the model. In particular, a Delphi method involving a group of 14 experts representing the full spectrum of healthcare professionals involved in palliative care was carried out. The results show that there is a high level of agreement, with a content validity index-item greater than 0.92 both with regard to the complexity model and the HexCom-Red, HexCom-Basic, and the HexCom-Clin instruments, and higher than 0.85 regarding the HexCom-Figure and the HexCom-Patient instruments. This consensus confirms that the HexCom model and the different instruments that are derived from it are valued as useful tools for a broad range of healthcare professional in coordinately capturing complexity in healthcare practice.
AB - Capturing complexity is both a conceptual and a practical challenge in palliative care. The HexCom model has proved to be an instrument with strong reliability and to be valid for describing the needs and strengths of patients in home care. In order to explore whether it is also perceived to be helpful in enhancing coordinated and patient-centred care at a practical level, a methodological study was carried out to assess the face validity of the model. In particular, a Delphi method involving a group of 14 experts representing the full spectrum of healthcare professionals involved in palliative care was carried out. The results show that there is a high level of agreement, with a content validity index-item greater than 0.92 both with regard to the complexity model and the HexCom-Red, HexCom-Basic, and the HexCom-Clin instruments, and higher than 0.85 regarding the HexCom-Figure and the HexCom-Patient instruments. This consensus confirms that the HexCom model and the different instruments that are derived from it are valued as useful tools for a broad range of healthcare professional in coordinately capturing complexity in healthcare practice.
KW - Complexity
KW - Coordinated care
KW - Delphi technique
KW - Home care services
KW - Methodological study
KW - Needs assessment
KW - Palliative care
UR - http://www.scopus.com/inward/record.url?scp=85104467611&partnerID=8YFLogxK
U2 - 10.3390/healthcare9020165
DO - 10.3390/healthcare9020165
M3 - Article
C2 - 33557220
AN - SCOPUS:85104467611
VL - 9
IS - 2
M1 - 165
ER -
