Satisfaction Scale for Community Nursing: development and validation
Article first published online: 2 JUL 2010
© 2010 The Authors. Journal of Advanced Nursing © 2010 Blackwell Publishing Ltd
Journal of Advanced Nursing
Volume 66, Issue 10, pages 2331–2340, October 2010
How to Cite
Cheng, W. L. S. and Lai, C. K. Y. (2010), Satisfaction Scale for Community Nursing: development and validation. Journal of Advanced Nursing, 66: 2331–2340. doi: 10.1111/j.1365-2648.2010.05373.x
- Issue published online: 2 SEP 2010
- Article first published online: 2 JUL 2010
- Accepted for publication 8 May 2010
- factor analysis;
- instrument development;
- Satisfaction Scale for Community Nursing
cheng w.l.s. & lai c.k.y. (2010) Satisfaction Scale for Community Nursing: development and validation. Journal of Advanced Nursing 66(10), 2331–2340.
Aim. This study is a report of the development and testing of the Satisfaction Scale for Community Nursing for measuring patient satisfaction with community nursing.
Background. Measuring patient satisfaction with a psychometrically sound instru-ment is important if patient judgment is used as a quality indicator to evaluate the quality of the service.
Methods. Service users and providers participated in generating items for a questionnaire related to the concept of patient satisfaction. A convenient sample of 121 patients receiving care from the Community Nursing Service was recruited to pilot the questionnaire for its initial validation in 2005. Content validity and factor analysis of the draft questionnaire were assessed. Psychometric properties of the final questionnaire were assessed using data from 80 patients in a validation study conducted during 2006.
Results. A 17-item satisfaction questionnaire with a five-point Likert scale measuring three quality domains was developed: technical competence, coordination of services and interpersonal relationships in community nursing. Cronbach’s alpha was 0·90. Principal component analysis with varimax rotation yielded three factors with eigenvalues >1; these accounted for 76·6% of the total variance. The factor loadings of the items ranged from >0·64 to 0·84. The concurrent validity of the scale associated with two conceptually related variables was 0·61 (P < 0·05) and 0·66 (P < 0·05).
Conclusion. The questionnaire may be valuable for assessing the satisfaction level of clients with community nursing service in meeting their expectations, and thus for enhancing treatment adherence and improving the quality of care.