Development of an instrument to measure patient perception of the quality of nursing care

Abstract

Although patient satisfaction has been given considerable attention in health care, analysis of the conceptual and measurement limitations of existing measures indicates that a more elemental approach to obtaining patients' perspectives is warranted. In this investigation we developed and evaluated the psychometric properties of an instrument designed to measure patients' perceptions of the degree to which their needs were met while hospitalized. This 15-item instrument, Patient Perception of Hospital Experience with Nursing (PPHEN), based on Swanson-Kauffman's framework of caring, is internally consistent and represents a single construct best described as feeling cared for. The relationship of PPHEN to other measures demonstrates concurrent validity; moreover, the scale is responsive to differences in care provided, as shown by differences in means for different hospitals. PPHEN offers a brief, theoretically oriented, internally consistent, and valid patient self-report measure of nursing care. It does not require patients to compare their expectations of care with the care received but only to evaluate whether their needs were met. It promises to be useful to clinical and health services researchers.

The Evaluation of Nursing Care Satisfaction and Patient Learning Needs in day Case Surgery

“…The validity and reliability analyses of this test, which measures satisfaction with regard to nursing, and was used for the first time by Dozier et al in 2001, were carried out by Coban and Kasikci in Turkey in 2007 [10,11]. The total point scores are evaluated out of 100 in the test, which consists of 15 questions with Likert-type scale answers.…”

Patient Perceptions of the Caring Environment

“…With a focus on nursing as opposed to physician specific verbiage, and with dependent variable noted as patient perceptions of needs met through care of nursing, survey tool for proposed project instrumentation was the Appropriateness of the tool is remarkable with all 15 items of the survey directly associated with care provided by the nurse. Items four and 15 specify wording to include phrasing such as, "the nurses gave me their undivided attention while caring for me" and "the nurses actions made me feel cared for" [12]. Content of the survey is applicable and consistent with project aim and focus.…”

“…Waiver of signed informed consent was approved by the Institutional Review Board (IRB). Participants were provided an information sheet, consistent with parent organization Institutional Review Board template, containing all elements of consent form, signature line deferred [12].…”

Evaluation of Patient Satisfaction With Nursing Care

“…Spokojenost pacientů zvyšuje prestiž a konkurence schopnost daného zařízení a výsledky šetření spokojenosti pak poskytují zpětnou vazbu o tom, jaký je rozdíl mezi oče-káváním pacienta a poskytovanou ošetřovatelskou péčí. (Dozier et al 2001;Gladkij 2003, s. 191) Jednoznačná kritéria kvality ošetřovatelské péče neexistují, protože se často liší podle toho, kým (sestrou, lékařem, plátcem péče, pacientem) je péče hodnocena. (Farkašová et al 2006;Madar et al 2004) Hodnocení kvality zdravotní péče má obvykle dvě dimenze: objektivní, která před-stavuje sledování určitých měřitelných hodnotících kritérií či výkonů zdravotnického zařízení a subjektivní, která se týká jen osobní spokojenosti pacienta.…”

“…Také autoři fi nské studie (Suhonen et al 2007) uvádějí, že nedostatečná informovanost pacientů bývá nejčastější příčinou jejich nespokojenosti. Podobně jako výzkumníci v zahrani-čí (Dozier et al 2001) jsme zaznamenali vyšší výskyt chybějících odpovědí (12 %) na otázku, související s poskytováním rad a informací rodině pacienta. Pravděpo-dobně proto, že tato položka je irelevantní pro skupinu autonomních a soběstačných nebo samostatně žijících pacientů ("single") -poskytovat informace a rady jejich rodině není zapotřebí.…”