PATIENT-CONSUMER PERCEPTIONS AND RESPONSES TO PROFESSIONAL NURSING CARE: INSTRUMENT DEVELOPMENT.
Contributors: Wayne State University.
Published: 1996
Number of pages: 307
Subjects: Health Sciences, Nursing.; Psychology, Social.; Business Administration, Marketing.; Psychology, Cognitive.; Psychology, Psychometrics.
Description: The purpose of the research was to develop instruments to assist nurse researchers and nurse managers in the measurement of patient satisfaction with nursing care. The final instrument differs from existing instruments in three important ways: (1) includes cognitive, affective, and behavioral aspects of attitude formation, (2) focuses on the profession's view of nurses' roles as seen by the patient-consumer and (3) is conceptually based using theory derivation within King's (1981) systems framework.

The target population was adult hospital inpatients (obstetrical, surgical, medical) who were discharged within four weeks from inpatient units of five (urban, suburban, and rural) hospitals in a Midwestern state.

Content validity of the six instruments was estimated by eight experts' ratings of 285 items. The sixty item (60) final study instrument's CVI was 82% (King panel) and 72% (relevancy panel).

An exploratory, descriptive, survey research design was utilized to test the instruments. The subject, or, if unable to participate, a family representative was asked to complete the instruments within one week (the returns were accepted for eight weeks). Subjects who completed one, two or three instruments totaled 1631 for a response rate of 68%.

Reliability of the instrument, titled the Killeen-King Patient Satisfaction with Nursing Care (KKPSNC), and related subscales were estimated using Cronbach's alpha. The six instruments had alpha's ranging from.84 to.97 and the KKPSNC's alpha was.99. The test-retest reliability was.88 demonstrating good stability reliability.

Construct validity of the instrument was estimated through convergent and divergent validity analysis. Correlations of the KKPSNC and the Patient Satisfaction Instrument (Hinshaw & Atwood, 1982) were.59, providing initial support of the instrument's construct validity but the divergent validity was not supported. A principal components factor analysis, with a varimax rotation, extracted five factors, leading to a reconfiguration of the instrument items and one new factor.

Findings supported initial reliability and validity of the KKPSNC. Further instrument revision is suggested with additional estimation of the revised instrument's reliability and validity. Findings also provide recommendations for nursing administration and practice.
Notes: Source: Dissertation Abstracts International, Volume: 57-04, Section: B, page: 2479.

Thesis (PH.D.)--WAYNE STATE UNIVERSITY, 1996.

School code: 0254.