Patient satisfaction in anesthesia: A modified Iowa Satisfaction in Anesthesia Scale

Abstract

Objectives:To set up and validate a patient satisfaction questionnaire based on Iowa Satisfaction in Anesthesia Scale (ISAS) for evaluating the degree of patient satisfaction in anesthesia.Materials and Methods:We established and validated a survey questionnaire of 13 questions measuring the following dimensions adequacy of patient information; participation in decision making, nurse patient relation, accessibility of communication with the anesthesiologist, patient fear and anxiety and the post anesthesia care management. The process passed through three steps: instrument validation, survey conduction and data analysis. Cronbach's alpha was used to measure the reliability and standard psychometric techniques were used to measure instrument validity.Results:Our modified instrument shows good reliability which is obvious with a Cronbach's alpha value of 0.72 and all the perspectives of validity (face, content and construct). Also, 173 (21.54%) patients achieved an overall satisfaction score of less than 85% female patients are were less satisfied than male patients. Educated patients were less satisfied, and those belonging to ASA group I and II were significantly less satisfied. Dimensions pinpointed are related to information and decision making, adverse events in recovery room, fear and anxiety contributed to patient dissatisfaction.Conclusion:The instrument used for the evaluation of patient satisfaction in anesthesia is a valid tool for the Arabic speaking patients. There is room for improvement in the anesthesia care, mainly in the dimension of information, decision making and postoperative anesthesia care.

Patient satisfaction with anaesthesia services and associated factors at the University of Gondar Hospital, 2013: a cross-sectional study

“…Of patients who operated upon under general anesthesia and local anesthesia, 87 % of patient was satisfied, 0.5 % dissatisfied and 12.5 % had no opinion [ 13 ]. Whereas another study revealed that 54 % of patients achieved an overall satisfaction less than 85 %, and female, educated and American Society of Anesthesiologists physical status (ASA) 1–2 patients were less satisfied [ 14 ].…”

Patient satisfaction with the perioperative care by anesthesiologists: pilot study at four surgical departments

“…We decided not to use the Leiden Perioperative care Patient Satisfaction questionnaire because in our opinion it was too lengthy to use during a structured interview [10]. Many of the previously published studies involved staff distributing the questionnaires to the patients at the ward, resulting in response rates between 80 and 100% [10][11]. To improve the response rate, we conducted systematic, structured interviews using our qu-estionnaire.…”

Topical anesthetic techniques in office‐based laryngeal surgery: A comparison of patient preferences

“…This tool has been shown useful in monitored anesthesia care associated with anesthetic techniques for several other procedures, including cataract surgery, emergency medical procedures, hernia repair, craniotomy, and transesophageal echocardiography; it has been validated in several languages . Within otolaryngology, it has recently been used in the context of local anesthesia for cochlear implantation and in‐office lateral nasal wall block for office‐based procedures, although the small numbers in these series seem to have precluded further reliability and validity testing and any group comparisons.…”