Patient satisfaction in a nurse-led rheumatology clinic

Authors

  • Jackie Hill MPhil RGN

    Corresponding author
    1. Rheumatology Nurse Practitioner/Lecturer, Rheumatology and Rehabilitation Research Unit, University of Leeds, and The General Infirmary, Leeds, England
    Search for more papers by this author

Jackie Hill, Rheumatology and Rehabilitation Research Unit, University of Leeds, Chapel Allerton Hospital, Chapeltown Road, Leeds LS7 4SA, England.

Abstract

Patient satisfaction with a nurse-led rheumatology clinic was tested using the Leeds Satisfaction Questionnaire (LSQ), which was specially developed and shown to be both reliable (Cronbach's alpha, 0.96) and stable (test-re-test r= 0·83). A total of 70 patients with rheumatoid arthrists, aged 22–75 years were randomly allocated to either a nurse's or a rheumatologist's clinic and seen on six occasions over a year. They completed the LSQ on entry and there were no significant differences between them. By week 48 the medical cohort showed significantly increased satisfaction with access and continuity (P < 0.05) but no change in overall satisfaction. The patients in the nurse-led clinic recorded significant increases in overall satisfaction and in all subscales (P < 0.0001). Between-group comparison at week 48 showed the nurse's patients to be significantly more satisfied than those of the rheumatologist.

Ancillary