CLIENT AND NURSE SATISFACTION IN HOME HEALTH: DEVELOPMENT OF AN INSTRUMENT (CLIENT SATISFACTION).
Contributors: University Of Illinois At Chicago, Health Sciences Center.
Published: 1991
Number of pages: 94
Subjects: Health Sciences, Nursing.
Description: The purpose of this research was to develop an instrument to measure nurse and client satisfaction with nursing care in home health. Based on the nurse-client interaction as a conceptual framework, a two-part instrument, Nurse and Client Satisfaction Scale, was developed.

A literature search of patient satisfaction and nurse-client interaction concepts elicited 73 behaviors that clients looked for in their nurses. Thirty-two graduate nurses were asked to rank each behavior in one of the three dimensions of the nurse-client interaction concept. Items selected were based on the highest percent agreement for each behavior with greater than 70% agreement for the trusting and educational dimensions and 50% for the technical-professional dimension. The Client Satisfaction Scale (CSS), was developed first and used statements in the present tense. It contained an equal number of positive and negative statements to eliminate acquiescent response set, utilizing a 5-point Likert scale. Then the Nurse Satisfaction Scale (NSS), a companion piece for the CSS, was developed and patterned after the CSS.

The study was conducted at five home health care agencies, both urban and rural, using the drop-off/mail-back method. The convenience sample consisted of 30 nurses, each of whom selected five clients from her caseload. The response rate for nurses and clients was 90.6% and 85.3%, respectively. The client sample was 66.8% female and 82% caucasian, with a mean age of 74.3 years.

There was no evidence to substantiate a three-dimensional instrument for measuring nurse and client satisfaction as originally conceptualized in this study. In fact, the proposed nurse-client interaction instrument may be unidimensional, a conclusion based on the high reliabilities of both scales and the failure of the predicted dimensions to load on different factors. In addition, the high means for each of the 33 items showed a lack of variability (the items failed to yield a wide range of scores). The correlation between the NSS and the CSS was low, also.

The study findings also suggested that the nurses and clients derived their satisfaction with nursing care from different perspectives. Thus, to measure satisfaction from the nurse's and the client's viewpoints needs two separate instruments, using two different conceptual frameworks. (Abstract shortened with permission of author.).
Notes: Source: Dissertation Abstracts International, Volume: 52-11, Section: B, page: 5760.

Thesis (PH.D.)--UNIVERSITY OF ILLINOIS AT CHICAGO, HEALTH SCIENCES CENTER, 1991.

School code: 0806.