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PubMed1999

Development and testing of a visit-specific patient satisfaction questionnaire: the Princess Margaret Hospital Satisfaction With Doctor Questionnaire.

PURPOSE: To develop a psychometrically sound patient-satisfaction-with-physician questionnaire that can be used in an outpatient oncology setting. PATIENTS AND METHODS: The questionnaire was developed by a four-step process involving a total of 277 cancer patients. The item-generation process utilized input from 95 oncology outpatients, three medical researchers, and the relevant literature. Items were tested by 70 of the above patients. Initial item reduction was achieved by input from another eight patients. Factor analysis and validity testing used data derived from a different group of 174 oncology outpatients. Convergent validity was tested by correlating the Princess Margaret Hospital Patient Satisfaction with Doctor Questionnaire (PMH/PSQ-MD) with Rubin et al's Physician subscale of the Patient's Viewpoint Questionnaire (PS-PVQ) and Smith et al's Patient-Doctor Interaction Scale (PDIS). Divergent validity was tested by comparing these questionnaires with Spitzer's quality of life (QOL) questionnaire. RESULTS: The final PMH/PSQ-MD is a 29-item self-administered questionnaire with four response categories and a "does not apply" category. Four domains were confirmed by factor analysis: (1) information exchange, (2) interpersonal skills, (3) empathy, and (4) quality of time. The questionnaire has an overall Cronbach's alpha of 0.97; the values for each domain are, respectively, 0.92, 0.90, 0. 88, and 0.88. The PMH/PSQ-MD correlated well with both the PDIS and the PS-PVQ (P <.001 for both). Divergent validity was confirmed with Spitzer's QOL questionnaire. CONCLUSION: The PMH/PSQ-MD is an outpatient satisfaction questionnaire specific to the patient-physician interaction that has shown excellent internal consistency, is feasible, and has strong support for validity in this oncology population.

Adult↗

PubMed2003

Development of the Telemedicine Satisfaction Questionnaire to evaluate patient satisfaction with telemedicine: a preliminary study.

We developed a questionnaire for the evaluation of patient satisfaction with telemedicine. Items related to patient satisfaction with telemedicine were identified through a review of the literature. The internal consistency and the intraclass correlation coefficient were used to evaluate the reliability of the proposed instrument. Content validity was examined using a panel of experts. The predictive validity of the proposed instrument was assessed by correlating scores on the Telemedicine Satisfaction Questionnaire (TSQ) with haemoglobin A(1c) levels and adherence to self-management activities among 38 patients with type 2 diabetes, after they had completed a four-session interactive diabetes tele-education programme. A principal-components analysis with varimax rotation was performed to reduce the number of questionnaire items from 15 to 14, and the scree test was used to select significant factors. There were three components with eigenvalues over 1.0, which together explained 68% of the total variance. These were: quality of care provided, similarity to face-to-face encounter and perception of the interaction. The TSQ demonstrated preliminary reliability and validity but more extensive testing will be required before it can be considered generally applicable.

Adult↗

PubMed2003

Nurse autonomy, nurse job satisfaction and client satisfaction with nursing care: their place in nursing data sets.

Many changes have taken place in the healthcare system that have influenced nurse autonomy, job satisfaction and client satisfaction. Standardized language facilitates communication within the discipline of nursing. Examples of such language include the Nursing Intervention Classification (NIC) and the Nursing Outcomes Classification (NOC) systems as well as the Nursing Minimum Data Set (NMDS), which provides a formal structure for electronic data sets to support nursing care. The Nursing Management Minimum Data Set (NMMDS) was designed to identify variables to guide nurse managers in evaluating the impact of nursing interventions on client outcomes. Gaps within NMDS and NMMDS are discussed, and solutions are proposed.

Attitude of Health Personnel↗

PubMed1985

Health status, job satisfaction, job stress, and life satisfaction among academic and clinical faculty.

The present study compares academic and clinical faculty affiliated with a major teaching hospital in terms of work characteristics, job stress, conflict between work and personal life, job and life satisfaction, and perceived health. There were no significant differences between the two physician groups on job satisfaction, total stress, anxiety, or depression scores. However, academic faculty reported working longer hours, taking less vacation time, and spending more time in research and teaching, but seeing fewer outpatients. Academic physicians experienced more conflict between work and personal life, were burdened by a variety of time pressures, and were less satisfied with their finances, but experienced fewer recent episodes of physical illness than clinical faculty. However, compared with what is known about the general population, both physician samples seemed equally or more satisfied with their health and their lives.

Adult↗

PubMed1999

A review of patient satisfaction: 2. Dental patient satisfaction: an appraisal of recent literature.

This paper examines the way patient satisfaction is perceived in the dental literature. The majority of studies carried out since the early 1980s concentrate on patient perceptions of various service quality attributes and the role that sociodemographic variables play in determining satisfaction. Recent work concerning attribution theory suggests that two concepts, duty and culpability, may be central to explaining this process.

Attitude to Health↗

PubMed1992

Life satisfaction in elderly Nigerians: reliability and factor composition of the life satisfaction Index Z.

Life satisfaction Index Z was administered to 945 persons aged 60 years and over in a community survey in rural and urban locations in South-Western Nigeria. Life Satisfaction Index scores correlated significantly with items on self-assessed health, loneliness, sex (women having a higher mean score) and location. Items that measure social contact, such as marital status, proximity of nearest child, and frequency of seeing close friends, did not correlate at a significant level. Factor analysis produced two factors on varimax rotation and an internal consistency value of 0.72 was obtained. These values are similar to some of those reported in other studies outside Africa.

Aged↗

PubMed1988

Measurement of life satisfaction. Developing a life satisfaction scale.

The purpose of this study was to develop a life satisfaction scale (LSS) suited for elderly Finnish people. The subjects were non-institutionalized elderly living in rural and urban areas in south-western Finland. They were interviewed for a prospective follow-up study (TURVA project) concerned with the psychosocial development of elderly people during retirement. Following the interview, the first version of the LSS was submitted to 339 respondents. It was completed and returned by 330 (97%). This version of the scale was then reduced to a 26-item version (LSS-A), which had a high reliability coefficient (Cronbach alpha 0.89). In factor analysis, LSS-A consisted of three main components: psychic balance, assessment of past life, and present happiness. An abbreviated 12-item scale (LSS-B) was also drawn up. When the number of items was reduced, the roles of psychic balance and present happiness were emphasized. The LSS, proved to be easy to use, its reliability was good, and the correlations between the sum score of LSS and the questions concerning life satisfaction in the interviews suggested fairly good validity. To further evaluate the validity and applicability of the scale, we need further studies in different types of elderly populations.

Adaptation, Psychological↗

PubMed1977

Individual need satisfaction, organizational practices, and job satisfaction among laboratory professionals.

This study examines the role of 1) personal job-related needs and 2) certain organizational characteristics in affecting overall job satisfaction for a sample of 259 laboratory professionals, primarily medical technologists. Specific individual needs and specific organizational characteristics were found to be related to three measures of overall job satisfaction. Additional comparisons were made for administrators versus non-administrators and for differences associated with different sized organizations. Implications for the managers of medical technologists and other laboratory professionals are discussed.

Administrative Personnel↗

PubMed1999

A review of patient satisfaction: 1. Concepts of satisfaction.

Against a background of growing consumerism, satisfying patients has become a key task for all healthcare providers. This paper reviews current conceptual models of consumer satisfaction, including the one most dominant in the marketing literature--disconfirmation theory.

Attitude to Health↗

PubMed2001

Assessment of patient satisfaction with psychiatric care. Development and clinical evaluation of a brief consumer satisfaction rating scale (UKU-ConSat).

Quality management and quality control of health services has become increasingly important. Central to the concept of quality of care is the patient's (the health care consumer's) own view of the care provided and the treatment outcome. UKU (Udvalg for Kliniske Undersøgelser; that is, Committee for Clinical Trials), a working group within the Scandinavian Society for Psychopharmacology (SSP), has designed a brief consumer satisfaction rating scale, the UKU-ConSat. Based on an extensive literature review, a number of principles related to content, assessment, interview techniques, documentation and standardisation steered the design of the rating scale. UKU-ConSat consists of six items related to the structure and process of treatment care, and two items related to outcome and well-being. A manual accompanies the rating scale with guidelines for how to solicit information from the patient and how to rate each item. A first field trial of the rating scale in 135 inpatients at multiple clinical sites in Finland and Sweden showed that it could be applied to several relevant patient categories (psychotic, affective, neurotic, organic and alcohol and substance abuse disorders). According to both patients and staff the rating scale promises to become useful both for research and for improvement of routine psychiatric services.

Adolescent↗

PubMed2003

Dimensionality of the Kansas Family Strengths Scale and the Kansas Marital Satisfaction Scale as revised to capture changes in marital satisfaction.

The Kansas Marital Satisfaction Scale was modified to reflect issues of relationship development and administered, along with 19 items from a previously reported Kansas Family Strengths Scale by Schumm, Bollman, Jurich, and Hatch, to 337 married couples from a midwestern urban community. High internal consistency was obtained for the revised version (alpha=.93), and the dimensionality of the Kansas Family Strengths Scale was approximately similar to that reported previously. In both this and the previous study, communication and conflict resolution items factored together while items for enjoying time together and actually spending time together factored separately. Likewise, in both studies, normative and affective commitment factored separately, and the internal consistency of the affective commitment subscale exceeded that for the normative commitment subscale. While the subscales for affective commitment, communication or conflict resolution, positive interaction, and time together yielded fair to adequate internal consistency in both studies, both studies indicated very low internal consistency for the normative commitment subscale, suggesting a need for improvement in that particular subscale.

Adult↗

PubMed1993